{"id":49,"date":"2026-06-16T05:25:23","date_gmt":"2026-06-16T05:25:23","guid":{"rendered":"https:\/\/astinovabiolabs.com\/blog\/?p=49"},"modified":"2026-06-16T05:25:23","modified_gmt":"2026-06-16T05:25:23","slug":"synthesis-of-brensocatib-brinsupri","status":"publish","type":"post","link":"https:\/\/astinovabiolabs.com\/blog\/synthesis-of-brensocatib-brinsupri\/","title":{"rendered":"Synthesis of Brensocatib (BRINSUPRI)"},"content":{"rendered":"\n<p><strong>Compiled:<\/strong>&nbsp;2026-06-16 \u00b7&nbsp;<strong>Trigger event:<\/strong>&nbsp;FDA approval, 2025-08-12&nbsp;<strong>Innovator:<\/strong>&nbsp;Insmed Incorporated (originator AstraZeneca; AZD7986, worldwide-licensed to Insmed Oct 2016 as INS1007)&nbsp;<strong>Status:<\/strong>&nbsp;Approved NME<\/p>\n\n\n\n<p><strong>INN:<\/strong>&nbsp;brensocatib<strong>Brand (US):<\/strong>&nbsp;BRINSUPRI<strong>CAS:<\/strong>&nbsp;1802148-05-5<strong>ChEMBL:<\/strong>&nbsp;CHEMBL3900409<strong>MW:<\/strong>&nbsp;420.5 g\/mol<strong>NDA #:<\/strong>&nbsp;NDA 217673<strong>Approval:<\/strong>&nbsp;2025-08-12<\/p>\n\n\n\n<p><strong>Mechanism:<\/strong>\u00a0Brensocatib is a competitive, reversible (reversible-covalent, via a nitrile warhead engaging the catalytic Cys) inhibitor of dipeptidyl peptidase 1 (DPP1, cathepsin C; ChEMBL target CHEMBL2252). DPP1 activates pro-inflammatory neutrophil serine proteases (NSPs) \u2014 neutrophil elastase, cathepsin G, proteinase 3 \u2014 during neutrophil maturation in the bone marrow. By blocking DPP1, brensocatib lowers the activity of mature-neutrophil NSPs that drive the airway-damage cycle of neutrophil-mediated NCFB inflammation. Refs: PMID 27690432 (discovery), PMID 29484635.<\/p>\n\n\n\n<p><strong>Synthesis Route of the Originator<\/strong><\/p>\n\n\n\n<p>Convergent synthesis disclosed in the AstraZeneca discovery paper (Doyle et al., J. Med. Chem. 2016, 59, 9457-9472; AZD7986 = compound 30). The eastern warhead precursor is built from 4-bromo-L-phenylalaninamide (N-Boc): Suzuki\u2013Miyaura coupling with 3-methyl-2-oxo-2,3-dihydro-1,3-benzoxazol-5-ylboronate (SM-2) forms the biaryl (INT-2). Boc removal (INT-3), then amide coupling with N-Boc-(2S)-1,4-oxazepane-2-carboxylic acid (SM-3) builds the central amide (INT-4, the penultimate bis-amide). The terminal primary amide is then dehydrated (Burgess reagent, or TFAA\/Et\u2083N, cold) to the reversible-covalent nitrile warhead (INT-5); final Boc removal and crystallisation from aqueous ethanol give brensocatib monohydrate. The amide\u2192nitrile dehydration is intentionally the last C-modifying step to avoid epimerising the (1S) alpha-amino-nitrile centre. Both stereocentres are (S): the warhead centre derives from L-phenylalanine and the oxazepane is the (2S) building block. Conditions are representative for the named transformations \u2014 verify against originator\/process literature before scale-up.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"154\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-1024x154.png\" alt=\"\" class=\"wp-image-52\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-1024x154.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-300x45.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-768x115.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-1536x231.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-2-2048x308.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"134\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-1024x134.png\" alt=\"\" class=\"wp-image-53\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-1024x134.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-300x39.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-768x101.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-1536x201.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-3-2048x268.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"354\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-4-1024x354.png\" alt=\"\" class=\"wp-image-54\" style=\"width:431px;height:auto\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-4-1024x354.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-4-300x104.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-4-768x266.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-4.png 1040w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Reagents and conditions: (1) 3-methyl-2-oxo-2,3-dihydro-1,3-benzoxazol-5-ylboronic acid pinacol ester (1.1 eq), Pd(dppf)Cl\u2082 (3\u20135 mol%), K\u2083PO\u2084 or K\u2082CO\u2083 (2\u20133 eq), 1,4-dioxane\/H\u2082O 4:1, 80\u201390 \u00b0C, 4\u201312 h; (2) HCl (4 M in 1,4-dioxane) or TFA\/CH\u2082Cl\u2082, rt, 1\u20132 h; free-base on workup; (3) N-Boc-(2S)-1,4-oxazepane-2-carboxylic acid (1.05 eq), T3P (1.5 eq) or HATU (1.2 eq), DIPEA (2\u20133 eq), DMF or EtOAc, 0 \u00b0C \u2192 rt, 2\u20136 h; (4) Burgess reagent (1.3 eq), THF, 40\u201360 \u00b0C; or TFAA (1.2 eq)\/Et\u2083N, CH\u2082Cl\u2082, \u221210 \u00b0C \u2192 0 \u00b0C. Mild, low-temperature dehydration selective for the 1\u00b0 amide; preserves the (1S) alpha-amino-nitrile stereocentre; (5) HCl\/dioxane or TFA\/CH\u2082Cl\u2082, rt; free-base, then crystallise from aqueous EtOH to give brensocatib monohydrate (drug-substance form, C\u2082\u2083H\u2082\u2084N\u2084O\u2084\u00b7H\u2082O, MW 438.48).<\/p>\n\n\n\n<p><strong>Key intermediates<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"791\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5-1024x791.png\" alt=\"\" class=\"wp-image-55\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5-1024x791.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5-300x232.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5-768x594.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5-1536x1187.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-5.png 1752w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"747\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6-1024x747.png\" alt=\"\" class=\"wp-image-56\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6-1024x747.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6-300x219.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6-768x561.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6-1536x1121.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-6.png 1762w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Key patent filings<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th class=\"has-text-align-left\" data-align=\"left\">atent \/ Application<\/th><th class=\"has-text-align-left\" data-align=\"left\">Type<\/th><th class=\"has-text-align-left\" data-align=\"left\">Assignee<\/th><th class=\"has-text-align-left\" data-align=\"left\">Filed<\/th><th class=\"has-text-align-left\" data-align=\"left\">Expiry (~)<\/th><th class=\"has-text-align-left\" data-align=\"left\"><\/th><\/tr><\/thead><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>AstraZeneca composition-of-matter family \u2014 oxazepane amidoacetonitrile DPP1 series [VERIFY exact WO\/US no. on Espacenet]<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Composition of matter (originator)<\/td><td class=\"has-text-align-left\" data-align=\"left\">AstraZeneca AB<\/td><td class=\"has-text-align-left\" data-align=\"left\">Priority ~2014\u20132015 (the 2nd-generation reversible-covalent DPP1 inhibitor series described in Doyle et al., J. Med. Chem. 2016)<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2034\u20132036 nominal (20 yr from filing), before any PTE<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Insmed-era patents \u2014 &#8216;Reversible DPP1 inhibitors and uses thereof&#8217; \/ formulation &amp; method-of-use [VERIFY exact nos.]<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Formulation \/ method-of-use \/ polymorph<\/td><td class=\"has-text-align-left\" data-align=\"left\">Insmed Incorporated<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2019\u20132024<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2039\u20132044 nominal<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Process patent(s) \u2014 building-block routes<\/strong><\/td><td class=\"has-text-align-left\" data-align=\"left\">Process<\/td><td class=\"has-text-align-left\" data-align=\"left\">AstraZeneca \/ Insmed \/ CDMO [VERIFY]<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2015\u20132022<\/td><td class=\"has-text-align-left\" data-align=\"left\">~2035\u20132042<\/td><td class=\"has-text-align-left\" data-align=\"left\"><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"51-approved-indication\">Approved indication<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Approval date (US):<\/strong>\u00a02025-08-12<\/li>\n\n\n\n<li><strong>NDA number:<\/strong>\u00a0NDA 217673<\/li>\n\n\n\n<li><strong>Brand (US):<\/strong>\u00a0BRINSUPRI<\/li>\n\n\n\n<li><strong>Indication:<\/strong>\u00a0Treatment of non-cystic fibrosis bronchiectasis (NCFB) in adult and pediatric patients 12 years of age and older. First-in-class: the first DPP1 (dipeptidyl peptidase 1) inhibitor and the first drug ever approved specifically for bronchiectasis.<\/li>\n\n\n\n<li><strong>Dosage form \/ strength:<\/strong>\u00a0Film-coated tablet, oral. 10 mg (brown, round, debossed &#8217;10&#8217;\/&#8217;BRE&#8217;); 25 mg (gray, round, debossed &#8217;25&#8217;\/&#8217;BRE&#8217;)<\/li>\n\n\n\n<li><strong>Review pathway:<\/strong>\u00a0NDA, Type 1 New Molecular Entity, Priority Review; approval letter dated 2025-08-13 (per openFDA). Breakthrough Therapy Designation granted for NCFB.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-crystal-forms-salts-and-solid-state-profile\">Crystal Forms, Salts, and Solid-State Profile<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>API in approved drug product:<\/strong>\u00a0Brensocatib monohydrate (C\u2082\u2083H\u2082\u2084N\u2084O\u2084\u00b7H\u2082O, MW 438.48; free base 420.47). White to off-white solid powder. Slightly soluble at pH 1.2, freely soluble at pH 4.5, very slightly soluble at pH 6.8; soluble in MeCN, sparingly soluble in EtOH.<\/li>\n\n\n\n<li><strong>Strengths approved:<\/strong>\u00a010 mg and 25 mg oral film-coated tablets, QD<\/li>\n\n\n\n<li><strong>Third-party polymorph activity:<\/strong>\u00a0No third-party US polymorph activity identified as of 2026-06-16 \u2014 expected given the long-dated COM. Monitor SureChEMBL\/Espacenet.<\/li>\n\n\n\n<li><strong>Originator polymorph filing:<\/strong>\u00a0Insmed monohydrate drug-substance form is the marketed solid form; polymorph\/hydrate claims expected within the Insmed estate<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"54-key-peer-reviewed-literature\">Key peer-reviewed literature<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shoemark A et al.,\u00a0<em>Lancet Respir Med<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/S2213-2600(25)00334-0\">Azurocidin-1 as a mediator of bronchiectasis severity, epithelial defence, and target&#8230;<\/a>\u00a0(PMID 42044645)<\/li>\n\n\n\n<li>Papapetropoulos A et al.,\u00a0<em>Br J Pharmacol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1111\/bph.70376\">Novel drugs approved by the EMA, the FDA and the MHRA in 2025: A year in review<\/a>\u00a0(PMID 41771767)<\/li>\n\n\n\n<li>Xia X et al.,\u00a0<em>J Thorac Dis<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.21037\/jtd-2026-1-0207\">Bronchiectasis in the precision medicine era: pathogenesis and therapeutic advances<\/a>\u00a0(PMID 42182764)<\/li>\n\n\n\n<li>Panou T et al.,\u00a0<em>Biomedicines<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.3390\/biomedicines14051008\">The Role of Dipeptidyl Peptidase Inhibitors in Pulmonary Diseases<\/a>\u00a0(PMID 42193335)<\/li>\n\n\n\n<li>Li D et al.,\u00a0<em>Front Pharmacol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.3389\/fphar.2026.1689804\">Impact of dipeptidyl peptidase I and neutrophil serine proteases on neutrophil&#8230;<\/a>\u00a0(PMID 42110548)<\/li>\n\n\n\n<li>\u2014 et al.,\u00a0<em>\u2014<\/em>\u00a02006 \u2014 Brensocatib (PMID 42044256)<\/li>\n\n\n\n<li>Gramegna A et al.,\u00a0<em>J Inflamm Res<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.2147\/JIR.S558745\">Tackling Neutrophilic Inflammation in Bronchiectasis: From Macrolides to Cathepsin C Inhibitors<\/a>\u00a0(PMID 41993889)<\/li>\n\n\n\n<li>Premuda C et al.,\u00a0<em>Expert Opin Pharmacother<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1080\/14656566.2026.2664617\">Pharmacotherapy options and drug development in bronchiectasis: spotlight on&#8230;<\/a>\u00a0(PMID 42048140)<\/li>\n\n\n\n<li>Bautista J et al.,\u00a0<em>Curr Opin Infect Dis<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1097\/QCO.0000000000001186\">Anti-inflammatory therapies for bronchiectasis<\/a>\u00a0(PMID 41593454)<\/li>\n\n\n\n<li>T Pallenberg S et al.,\u00a0<em>J Cyst Fibros<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jcf.2026.02.010\">Cystic fibrosis year in review 2025<\/a>\u00a0(PMID 41781219)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Compiled:&nbsp;2026-06-16 \u00b7&nbsp;Trigger event:&nbsp;FDA approval, 2025-08-12&nbsp;Innovator:&nbsp;Insmed Incorporated (originator AstraZeneca; AZD7986, worldwide-licensed to Insmed Oct 2016 as INS1007)&nbsp;Status:&nbsp;Approved NME INN:&nbsp;brensocatibBrand (US):&nbsp;BRINSUPRICAS:&nbsp;1802148-05-5ChEMBL:&nbsp;CHEMBL3900409MW:&nbsp;420.5 g\/molNDA #:&nbsp;NDA 217673Approval:&nbsp;2025-08-12 Mechanism:\u00a0Brensocatib is a competitive, reversible (reversible-covalent, via a nitrile warhead engaging the catalytic Cys) inhibitor of&hellip;<\/p>\n","protected":false},"author":1,"featured_media":57,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[20,21],"class_list":["post-49","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fda-approved-small-molecules","tag-brensocatib","tag-dipeptidyl-peptidase-1"],"_links":{"self":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/49","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/comments?post=49"}],"version-history":[{"count":1,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/49\/revisions"}],"predecessor-version":[{"id":58,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/49\/revisions\/58"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media\/57"}],"wp:attachment":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media?parent=49"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/categories?post=49"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/tags?post=49"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}