1. Discovery of a Furanopyrimidine-Based Epidermal Growth Factor Receptor Inhibitor (DBPR112) as a Clinical Candidate for the Treatment of Non-Small Cell Lung Cancer
- Author
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Sing Yi Wang, Pei Yi Chen, Yung Chang Hsu, Teng Kuang Yeh, Hsu Yi Sun, Chun Hwa Chen, Kai-Chia Yeh, Shu Yu Lin, Su Ying Wu, Hsing Pang Hsieh, Ching Ping Chen, Chiung-Tong Chen, Hui Yi Shiao, Yi Hui Peng, Tzu Wen Lien, Fu Ming Kuo, Yi Yu Ke, Wen-Hsing Lin, Chang Ying Chu, and Tsu An Hsu
- Subjects
Male ,Lung Neoplasms ,Receptor, ErbB-2 ,Afatinib ,Phases of clinical research ,Mice, Nude ,Antineoplastic Agents ,Crystallography, X-Ray ,01 natural sciences ,03 medical and health sciences ,T790M ,Structure-Activity Relationship ,In vivo ,Carcinoma, Non-Small-Cell Lung ,Cell Line, Tumor ,Drug Discovery ,medicine ,Animals ,Humans ,Osimertinib ,Epidermal growth factor receptor ,Receptor ,Lung cancer ,Protein Kinase Inhibitors ,030304 developmental biology ,0303 health sciences ,Mice, Inbred ICR ,Binding Sites ,biology ,Chemistry ,Exons ,medicine.disease ,Xenograft Model Antitumor Assays ,0104 chemical sciences ,Rats ,ErbB Receptors ,010404 medicinal & biomolecular chemistry ,Pyrimidines ,Drug Resistance, Neoplasm ,Drug Design ,Mutation ,Cancer research ,biology.protein ,Molecular Medicine ,medicine.drug - Abstract
Epidermal growth factor receptor (EGFR)-targeted therapy in non-small cell lung cancer represents a breakthrough in the field of precision medicine. Previously, we have identified a lead compound, furanopyrimidine 2, which contains a (S)-2-phenylglycinol structure as a key fragment to inhibit EGFR. However, compound 2 showed high clearance and poor oral bioavailability in its pharmacokinetics studies. In this work, we optimized compound 2 by scaffold hopping and exploiting the potent inhibitory activity of various warhead groups to obtain a clinical candidate, 78 (DBPR112), which not only displayed a potent inhibitory activity against EGFRL858R/T790M double mutations but also exhibited tenfold potency better than the third-generation inhibitor, osimertinib, against EGFR and HER2 exon 20 insertion mutations. Overall, pharmacokinetic improvement through lead-to-candidate optimization yielded fourfold oral AUC better that afatinib along with F = 41.5%, an encouraging safety profile, and significant antitumor efficacy in in vivo xenograft models. DBPR112 is currently undergoing phase 1 clinical trial in Taiwan.
- Published
- 2019