# Synthesis and Evaluation of Functionally Biased Opioid Analgesics

> **NIH NIH R01** · SCRIPPS FLORIDA · 2020 · $736,212

## Abstract

Opiate analgesics act at the mu opioid receptor (MOR) in humans to alleviate pain but also to produce
unwanted effects such as constipation, respiratory suppression/overdose and addiction. The overall potency
and efficacy of an agonist at the receptor may be determined not only by how well the drug binds the receptor
but also by how well the receptor engages with intracellular signaling proteins, such as barrestin2. Our studies
over the last decade have led us to hypothesize that if a drug could activate the MOR yet not induce barrestin2
interactions with the receptor, then such a drug might be an efficacious analgesic with limited side effects,
producing less tolerance, constipation and overdose potential. In the last 5 years, we have generated more
than 50 new MOR agonists that activate G protein signaling pathways in a highly biased manner, such that
they do not recruit barrestins. Using these compounds, we have tested our hypothesis and have found that
this is approach will allow for the separation of analgesic efficacy in vivo from respiratory suppression. We
have identified lead candidates and have filed for patent protection of this series of compounds and are
currently pursuing clinical development. While certain physiological side effects have been limited, there is no
indication thus far that the compounds will not produce reward or be subject to abuse. In this current proposal,
we are seeking to test whether they promote drug preference and to further refine candidate compounds and
also to introduce affinity at an additional receptor target as a means to introduce abuse deterrence into the
compounds. In our initial screens for target selectivity, we noted some affinity for D3 dopamine receptors in a
series that was not further pursued (as we focused on MOR selectivity). However, given that D3 dopamine
receptors play an important role in maintaining dopamine homeostasis, can greatly impact drug reward
thresholds, and have been identified as a drug abuse deterrence target by NIDA, we will focus on optimizing
D3 antagonism while maintaining biased MOR agonism in this compound series. In this multidisciplinary study,
the Bohn pharmacology laboratory will work in a highly collaborative manner with the Bannister medicinal
chemistry laboratory to generate and optimize multiple derivatives on the compound series (Aim 1). We will
use several cell-based assays to characterize the signaling parameters induced by these compounds with the
goal of finding opiates that maintain G protein over barrestin signaling bias at MOR yet also display D3 DAR
antagonism (Aim 2). These compounds will be tested in mouse models to determine if their signaling
properties correlate with their ability to produce analgesia with less respiratory suppression and also if
dopaminergic behaviors, such as locomotor activity and conditioned place preference are avoided (Aim 3).
Finally, in collaboration with Dr. Michael Cameron of Scripps Florida, we will evaluate the DMPK pr...

## Key facts

- **NIH application ID:** 9933872
- **Project number:** 5R01DA033073-08
- **Recipient organization:** SCRIPPS FLORIDA
- **Principal Investigator:** Thomas D Bannister
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $736,212
- **Award type:** 5
- **Project period:** 2012-02-15 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9933872

## Citation

> US National Institutes of Health, RePORTER application 9933872, Synthesis and Evaluation of Functionally Biased Opioid Analgesics (5R01DA033073-08). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9933872. Licensed CC0.

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