Journal of Medicinal Chemistry p. 4701 - 4719 (2010)
Update date:2022-08-29
Topics:
Huang, Wei-Sheng
Metcalf, Chester A.
Sundaramoorthi, Raji
Wang, Yihan
Zou, Dong
Thomas, R. Mathew
Zhu, Xiaotian
Cai, Lisi
Wen, David
Liu, Shuangying
Romero, Jan
Qi, Jiwei
Chen, Ingrid
Banda, Geetha
Lentini, Scott P.
Das, Sasmita
Xu, Qihong
Keats, Jeff
Wang, Frank
Wardwell, Scott
Ning, Yaoyu
Snodgrass, Joseph T.
Broudy, Marc I.
Russian, Karin
Zhou, Tianjun
Commodore, Lois
Narasimhan, Narayana I.
Mohemmad, Qurish K.
Iuliucci, John
Rivera, Victor M.
Dalgarno, David C.
Sawyer, Tomi K.
Clackson, Tim
Shakespeare, William C.
In the treatment of chronic myeloid leukemia (CML) with BCR-ABL kinase inhibitors, the T315I gatekeeper mutant has emerged as resistant to all currently approved agents. This report describes the structure-guided design of a novel series of potent pan-inhibitors of BCR-ABL, including the T315I mutation. A key structural feature is the carbon-carbon triple bond linker which skirts the increased bulk of Ile315 side chain. Extensive SAR studies led to the discovery of development candidate 20g (AP24534), which inhibited the kinase activity of both native BCR-ABL and the T315I mutant with low nM IC 50s, and potently inhibited proliferation of corresponding Ba/F3-derived cell lines. Daily oral administration of 20g significantly prolonged survival of mice injected intravenously with BCR-ABLT315I expressing Ba/F3 cells. These data, coupled with a favorable ADME profile, support the potential of 20g to be an effective treatment for CML, including patients refractory to all currently approved therapies.
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