Discovery of a Potent and Selective EGFR Inhibitor (AZD9291) of Both Sensitizing and T790M Resistance Mutations That Spares the Wild Type Form of the Receptor
作者:M. Raymond V. Finlay、Mark Anderton、Susan Ashton、Peter Ballard、Paul A. Bethel、Matthew R. Box、Robert H. Bradbury、Simon J. Brown、Sam Butterworth、Andrew Campbell、Christopher Chorley、Nicola Colclough、Darren A. E. Cross、Gordon S. Currie、Matthew Grist、Lorraine Hassall、George B. Hill、Daniel James、Michael James、Paul Kemmitt、Teresa Klinowska、Gillian Lamont、Scott G. Lamont、Nathaniel Martin、Heather L. McFarland、Martine J. Mellor、Jonathon P. Orme、David Perkins、Paula Perkins、Graham Richmond、Peter Smith、Richard A. Ward、Michael J. Waring、David Whittaker、Stuart Wells、Gail L. Wrigley
DOI:10.1021/jm500973a
日期:2014.10.23
receptor (EGFR) inhibitors have been used clinically in the treatment of non-small-cell lung cancer (NSCLC) patients harboring sensitizing (or activating) mutations for a number of years. Despite encouraging clinical efficacy with these agents, in many patients resistance develops leading to disease progression. In most cases, this resistance is in the form of the T790M mutation. In addition, EGFR wild
表皮生长因子受体(EGFR)抑制剂已在临床上用于治疗具有致敏(或激活)突变的非小细胞肺癌(NSCLC)患者,已有多年历史。尽管这些药物具有令人鼓舞的临床疗效,但在许多患者中,耐药性仍在发展,导致疾病进展。在大多数情况下,这种抗性是T790M突变的形式。另外,这些试剂固有的EGFR野生型受体抑制作用可导致皮疹和腹泻的剂量限制性毒性。我们在本文中描述了早期突变选择性导致临床候选药物AZD9291的进化,它是EGFR致敏(EGFRm +)和T790M抗性突变的不可逆抑制剂,对受体的野生型具有选择性。