ACS Medicinal Chemistry Letters
Letter
(5) Torre, L. A.; Bray, F.; Siegel, R. L.; Ferlay, J.; Lortet-Tieulent, J.;
Jemal, A. Global cancer statistics. Ca-Cancer J. Clin. 2015, 65 (2), 87−
108.
the Mutant-Selective EGFR Inhibitor AZD9291 Is Associated with
Increased Dependence on RAS Signaling in Preclinical Models.
Cancer Res. 2015, 75 (12), 2489−2500.
(19) Jia, Y.; Yun, C.-H.; Park, E.; Ercan, D.; Manuia, M.; Juarez, J.;
Xu, C.; Rhee, K.; Chen, T.; Zhang, H.; Palakurthi, S.; Jang, J.; Lelais,
G.; DiDonato, M.; Bursulaya, B.; Michellys, P.-Y.; Epple, R.; Marsilje,
(6) Cohen, M. H.; Williams, G. A.; Sridhara, R.; Chen, G.;
McGuinn, W. D.; Morse, D.; Abraham, S.; Rahman, A.; Liang, C.;
Lostritto, R.; Baird, A.; Pazdur, R. United States Food and Drug
Administration Drug Approval summary: Gefitinib (ZD1839; Iressa)
tablets. Clin. Cancer Res. 2004, 10 (4), 1212−1218.
̈
T. H.; McNeill, M.; Lu, W.; Harris, J.; Bender, S.; Wong, K.-K.; Janne,
P. A.; Eck, M. J. Overcoming EGFR(T790M) and EGFR(C797S)
resistance with mutant-selective allosteric inhibitors. Nature 2016, 534
(7605), 129−132.
(7) Xu, Y.; Liu, H.; Chen, J.; Zhou, Q. Acquired resistance of lung
adenocarcinoma to EGFR-tyrosine kinase inhibitors gefitinib and
erlotinib. Cancer Biol. Ther. 2010, 9 (8), 572−582.
(20) Morabito, A.; Piccirillo, M. C.; Falasconi, F.; De Feo, G.; Del
Giudice, A.; Bryce, J.; Di Maio, M.; De Maio, E.; Normanno, N.;
Perrone, F. Vandetanib (ZD6474), a dual inhibitor of vascular
endothelial growth factor receptor (VEGFR) and epidermal growth
factor receptor (EGFR) tyrosine kinases: current status and future
directions. Oncologist 2009, 14 (4), 378−390.
(8) Tiseo, M.; Bartolotti, M.; Gelsomino, F.; Bordi, P. Emerging role
of gefitinib in the treatment of non-small-cell lung cancer (NSCLC).
Drug Des., Dev. Ther. 2010, 81−98.
(9) Gazdar, A. F. Activating and resistance mutations of EGFR in
non-small-cell lung cancer: role in clinical response to EGFR tyrosine
kinase inhibitors. Oncogene 2009, 28, S24−S31.
(21) Garofalo, A.; Goossens, L.; Lemoine, A.; Farce, A.; Arlot, Y.;
Depreux, P. Quinazoline-urea, new protein kinase inhibitors in
treatment of prostate cancer. J. Enzyme Inhib. Med. Chem. 2010, 25
(2), 158−171.
(22) Chen, L.; Fu, W.; Zheng, L.; et al. Recent progress of small-
molecule epidermal growth factor receptor (EGFR) inhibitors against
C797S resistance in non-small-cell lung cancer. J. Med. Chem. 2018,
61, 4290−4300.
(10) Yu, H. A.; Arcila, M. E.; Rekhtman, N.; Sima, C. S.; Zakowski,
M. F.; Pao, W.; Kris, M. G.; Miller, V. A.; Ladanyi, M.; Riely, G. J.
Analysis of tumor specimens at the time of acquired resistance to
EGFR-TKI therapy in 155 patients with EGFR-mutant lung cancers.
Clin. Cancer Res. 2013, 19 (8), 2240−2247.
(11) Yun, C.-H.; Mengwasser, K. E.; Toms, A. V.; Woo, M. S.;
Greulich, H.; Wong, K.-K.; Meyerson, M.; Eck, M. J. The T790M
mutation in EGFR kinase causes drug resistance by increasing the
affinity for ATP. Proc. Natl. Acad. Sci. U. S. A. 2008, 105 (6), 2070−
2075.
(12) Zhou, W.; Ercan, D.; Chen, L.; Yun, C.-H.; Li, D.; Capelletti,
M.; Cortot, A. B.; Chirieac, L.; Iacob, R. E.; Padera, R.; Engen, J. R.;
̈
Wong, K.-K.; Eck, M. J.; Gray, N. S.; Janne, P. A. Novel mutant-
selective EGFR kinase inhibitors against EGFR T790M. Nature 2009,
462 (7276), 1070−1074.
(13) Singh, M.; Jadhav, H. Targeting non-small cell lung cancer with
small-molecule EGFR tyrosine kinase inhibitors. Drug Discovery Today
2018, 23 (3), 745−753.
(14) Zhang, L.; Yang, Y. Y.; Zhou, H. J.; Zheng, Q. M.; Li, Y. H.;
Zheng, S. S.; Zhao, S. Y.; Chen, D.; Fan, C. W. Structure-activity study
of quinazoline derivatives leading to the discovery of potent EGFR-
T790M inhibitors. Eur. J. Med. Chem. 2015, 102, 445−463.
(15) Ward, R. A.; Anderton, M. J.; Ashton, S.; Bethel, P. A.; Box, M.;
Butterworth, S.; Colclough, N.; Chorley, C. G.; Chuaqui, C.; Cross,
́
D. A. E.; Dakin, L. A.; Debreczeni, J. E.; Eberlein, C.; Finlay, M. R. V.;
Hill, G. B.; Grist, M.; Klinowska, T. C. M.; Lane, C.; Martin, S.;
Orme, J. P.; Smith, P.; Wang, F.; Waring, M. J. Structure- and
reactivity-based development of covalent inhibitors of the activating
and gatekeeper mutant forms of the epidermal growth factor receptor
(EGFR). J. Med. Chem. 2013, 56, 7025−7048.
(16) Finlay, M. R.; Anderton, M.; Ashton, S.; Ballard, P.; Bethel, P.
A.; Box, M. R.; Bradbury, R. H.; Brown, S. J.; Butterworth, S.;
Campbell, A.; Chorley, C.; Colclough, N.; Cross, D.; Currie, G.; Grist,
M.; Hassall, L.; Hill, G. B.; James, G.; James, M.; Kemmitt, P.;
Klinowska, T.; Lamont, G.; Lamont, S. G.; Martin, N.; McFarland, H.
L.; Mellor, M. J.; Orme, J. P.; Perkins, D.; Perkins, P.; Richmond, G.;
Smith, P.; Ward, R. A.; Waring, M. J.; Whittaker, D.; Wells, S.;
Wrigley, G. Discovery of a potent and selective EGFR inhibitor
(AZD9291) of both sensitizing and T790M resistancemutations that
spares the wild type form of the receptor. J. Med. Chem. 2014, 57
(20), 8249−67.
(17) Planchard, D.; Brown, K. H.; Kim, D.-W.; Kim, S.-W.; Ohe, Y.;
̈
Felip, E.; Leese, P.; Cantarini, M.; Vishwanathan, K.; Janne, P. A.;
Ranson, M.; Dickinson, P. A. Osimertinib Western and Asian clinical
pharmacokinetics in patients and healthy volunteers: implications for
formulation, dose, and dosing frequency in pivotal clinical studies.
Cancer Chemother. Pharmacol. 2016, 77 (4), 767−776.
(18) Eberlein, C. A.; Stetson, D.; Markovets, A. A.; Al-Kadhimi, K.
J.; Lai, Z.; Fisher, P. R.; Meador, C. B.; Spitzler, P.; Ichihara, E.; Ross,
S. J.; Ahdesmaki, M. J.; Ahmed, A.; Ratcliffe, L. E.; O’Brien, E. L. C.;
Barnes, C. H.; Brown, H.; Smith, P. D.; Dry, J. R.; Beran, G.; Thress,
K. S.; Dougherty, B.; Pao, W.; Cross, D. A. E. Acquired Resistance to
E
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