Indolidan is a small-molecule cardiotonic agent originally developed by Eli Lilly & Co. for the treatment of heart failure. Structurally classified as a 2-indolinone derivative, it acts primarily as a selective inhibitor of phosphodiesterase 3 (PDE3), thereby enhancing cardiac contractility by increasing intracellular cyclic AMP (cAMP) levels in cardiac myocytes. Indolidan has been investigated in clinical settings for its potential to improve cardiac output in patients with heart failure, but development has not advanced beyond early-phase clinical trials due to concerns about safety and overall efficacy.
A Friedel–Crafts acylation of 3,3-dimethyloxindole [19155-24-9] (4) with succinic anhydride (5) afforded 5-(3,3-dimethyloxindole)-4-oxobutyric acid, PC13620376 (6). Treatment with hydrazine afforded the pyridazinone ring closure, thus completing the synthesis of indolidan (7) proper.
An alternative way to create 3,3-dimethyloxindole (4) starting material is from N'-phenylisobutyrohydrazide [5461-50-7]. Intramolecular ring closure is made to occur upon heating in calcium hydride.
Adibendan also uses 3,3-dimethyloxindole starting material.
References
12Robertson DW, Krushinski JH, Beedle EE, Wyss V, Pollock GD, Wilson H, etal. (October 1986). "Dihydropyridazinone cardiotonics: the discovery and inotropic activity of 1,3-dihydro-3,3-dimethyl-5-(1,4,5,6-tetrahydro-6-oxo-3-pyridazinyl)-2H -indol-2- one". Journal of Medicinal Chemistry. 29 (10): 1832–1840. doi:10.1021/jm00160a006. PMID3761304.
↑Hayes JS, Pollock GD, Wilson H, Bowling N, Robertson DW (April 1987). "Pharmacology of LY195115, a potent, orally active cardiotonic with a long duration of action". Journal of Cardiovascular Pharmacology. 9 (4): 425–434. doi:10.1097/00005344-198704000-00007. PMID2438505.
↑Kauffman RF, Crowe VG, Utterback BG, Robertson DW (December 1986). "LY195115: a potent, selective inhibitor of cyclic nucleotide phosphodiesterase located in the sarcoplasmic reticulum". Molecular Pharmacology. 30 (6): 609–616. doi:10.1016/S0026-895X(25)10404-5. ISSN0026-895X. PMID2946929.
↑Lednicer D (1995). The organic chemistry of drug synthesis. 5. Wiley. ISBN978-0-471-58959-4.
↑US 4647564,Robertson DW,"Cardiotonic agents",issued 3 March 1987, assigned to Eli Lilly and Co
↑Robertson DW, Jones ND, Krushinski JH, Pollock GD, Swartzendruber JK, Hayes JS (April 1987). "Molecular structure of the dihydropyridazinone cardiotonic 1,3-dihydro-3,3-dimethyl-5-(1,4,5,6-tetrahydro-6-oxo-pyridazinyl)- 2H-indol-2-one, a potent inhibitor of cyclic AMP phosphodiesterase". Journal of Medicinal Chemistry. 30 (4): 623–627. doi:10.1021/jm00387a007. PMID3031290.
12Robertson DW, Krushinski JH, Kau D (April 1986). "Synthesis of 14 C- and 2 H-labeled 1,3-dihydro-3,3-dimethyl-5-(1,4,5,6-tetrahydro-6-oxo-3-pyridazinyl)-2 H -indol-2-one (LY195115), an orally effective positive inotrope". Journal of Labelled Compounds and Radiopharmaceuticals. 23 (4): 343–354. doi:10.1002/jlcr.2580230402.