%0 Journal Article %A Decara, Juan M %A Vazquez-Villa, Henar %A Brea, Jose %A Alonso, Monica %A Srivastava, Raj Kamal %A Orio, Laura %A Alen, Francisco %A Suarez, Juan %A Baixeras, Elena %A Garcia-Carceles, Javier %A Escobar-Peña, Andrea %A Lutz, Beat %A Rodriguez, Ramon %A Codesido, Eva %A Garcia-Ladona, F Javier %A Bennett, Teresa A %A Ballesteros, Juan A %A Cruces, Jacobo %A Loza, Maria I %A Benhamu, Bellinda %A Rodriguez-de-Fonseca, Fernando %A Lopez-Rodriguez, Maria L %T Discovery of V-0219: A Small-Molecule Positive Allosteric Modulator of the Glucagon-Like Peptide-1 Receptor toward Oral Treatment for "Diabesity". %D 2022 %U http://hdl.handle.net/10668/22590 %X Peptidic agonists of the glucagon-like peptide-1 receptor (GLP-1R) have gained a prominent role in the therapy of type-2 diabetes and are being considered for reducing food intake in obesity. Potential advantages of small molecules acting as positive allosteric modulators (PAMs) of GLP-1R, including oral administration and reduced unwanted effects, could improve the utility of this class of drugs. Here, we describe the discovery of compound 9 (4-{[1-({3-[4-(trifluoromethyl)phenyl]-1,2,4-oxadiazol-5-yl}methyl)piperidin-3-yl]methyl}morpholine, V-0219) that exhibits enhanced efficacy of GLP-1R stimulation, subnanomolar potency in the potentiation of insulin secretion, and no significant off-target activities. The identified GLP-1R PAM shows a remarkable in vivo activity, reducing food intake and improving glucose handling in normal and diabetic rodents. Enantioselective synthesis revealed oral efficacy for (S)-9 in animal models. Compound 9 behavior bolsters the interest of a small-molecule PAM of GLP-1R as a promising therapeutic approach for the increasingly prevalent obesity-associated diabetes. %K Eating %K Insulin Secretion %K Glucose %K Administration, Oral %~