1. Discovery of 7-(1-methyl-1H-pyrazol-4-yl)-1,6-naphthyridine derivatives as potent inhibitors of rearranged during transfection (RET) and RET solvent-front mutants for overcoming selpercatinib resistance.
- Author
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Wu J, Mo H, An Z, Tang Z, Deng X, Zhou H, Gong Y, Zheng C, Zhuo L, and Tan S
- Subjects
- Humans, Animals, Mice, Structure-Activity Relationship, Molecular Structure, Dose-Response Relationship, Drug, Pyrazoles chemistry, Pyrazoles pharmacology, Pyrazoles chemical synthesis, Cell Proliferation drug effects, Drug Screening Assays, Antitumor, Drug Discovery, Rats, Cell Line, Tumor, Solvents chemistry, Neoplasms, Experimental drug therapy, Neoplasms, Experimental pathology, Neoplasms, Experimental metabolism, Pyridines, Proto-Oncogene Proteins c-ret antagonists & inhibitors, Proto-Oncogene Proteins c-ret genetics, Proto-Oncogene Proteins c-ret metabolism, Protein Kinase Inhibitors pharmacology, Protein Kinase Inhibitors chemistry, Protein Kinase Inhibitors chemical synthesis, Antineoplastic Agents pharmacology, Antineoplastic Agents chemistry, Antineoplastic Agents chemical synthesis, Mutation, Naphthyridines pharmacology, Naphthyridines chemistry, Naphthyridines chemical synthesis, Drug Resistance, Neoplasm drug effects
- Abstract
Rearranged during transfection kinase (RET) inhibition has been considered a promising therapeutic approach for treatment of a variety of cancers. However, the clinical therapeutic benefits of the second-generation RET inhibitor selpercatinib are greatly compromised by acquired resistance mediated by solvent-front mutations (e.g., RET
G810 R/S/C ). Herein, we report a class of 7-(1-methyl-1H-pyrazol-4-yl)-1,6-naphthyridine derivatives as potent RET and RET solvent-front mutant inhibitors for overcoming selpercatinib resistance. The representative compound 20p exhibited excellent in vitro inhibitory activities against solvent-front mutations (RETG810R , RETG810S , and RETG810C ) with low nanomolar range (IC50 of 5.7-8.3 nM), which was 15-29-fold more potent than selpercatinib (IC50 of 95.3-244.1 nM). Additionally, 20p exhibited acceptable pharmacokinetic properties with oral bioavailability of 30.4 %. Importantly, 20p exhibited highly impressive antitumor potency in both a Ba/F3-KIF5B-RETWT -derived xenograft mouse model and a selpercatinib-resistant Ba/F3-KIF5B-RETG810R -positive mutant xenograft mouse model. Overall, 20p represents a novel and promising drug lead for overcoming RET solvent-front mutation-based resistance to selpercatinib., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)- Published
- 2024
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