Superior efficacy and selectivity of novel small molecule kinase inhibitors of T790M mutant EGFR in preclinical models of lung cancer.
By: Jin Kyung Rho, In Young Lee, Yun Jung Choi, Chang-Min Choi, Jae-Young Hur, Jong Sung Koh, Jaekyoo Lee, Byung-Chul Suh, Ho-Juhn Song, Paresh Salgaonkar, Jungmi Lee, Jaesang Lee, Dong Sik Jung, Sang-Yeob Kim, Dong-Cheol Woo, In-Jeoung Baek, Joo-Yong Lee, Chang Hoon Ha, Young Hoon Sung, Jeong Kon Kim, Woo Sung Kim, Joon Seon Song, Cheol Hyeon Kim, Trever G Bivona, Jae Cheol Lee

Asan Institute for Life Sciences, University of Ulsan.
2016-12-07; doi: 10.1158/0008-5472.CAN-16-2432
Abstract

The clinical utility of approved EGFR small molecule kinase inhibitors is plagued both by toxicity against wild-type EGFR and by metastatic progression in the central nervous system (CNS), a disease sanctuary site. Here we report the discovery and preclinical efficacy of GNS-1486 and GNS-1481, two novel small molecule EGFR kinase inhibitors that are selective for T790M mutant isoforms of EGFR. Both agents were effective in multiple mouse xenograft models of human lung adenocarcinoma (T790M positive or negative), exhibiting less activity against wild-type EGFR than existing approved EGFR kinase inhibitors (including osimertinib). Additionally, GNS-1486 showed superior potency against intracranial metastasis of EGFR-mutant lung adenocarcinoma. Our results offer a preclinical proof of concept for new EGFR kinase inhibitors with the potential to improve therapeutic index and efficacy against brain metastases in patients.



Copyright ©2017, American Association for Cancer Research.

PMID:28082405






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