GDC-9545 (Giredestrant): A Potent and Orally Bioavailable Selective Estrogen Receptor Antagonist and Degrader with an Exceptional Preclinical Profile for ER+ Breast Cancer
作者:Jun Liang、Jason R. Zbieg、Robert A. Blake、Jae H. Chang、Stephen Daly、Antonio G. DiPasquale、Lori S. Friedman、Thomas Gelzleichter、Matthew Gill、Jennifer M. Giltnane、Simon Goodacre、Jane Guan、Steven J. Hartman、Ellen Rei Ingalla、Lorn Kategaya、James R. Kiefer、Tracy Kleinheinz、Sharada S. Labadie、Tommy Lai、Jun Li、Jiangpeng Liao、Zhiguo Liu、Vidhi Mody、Neville McLean、Ciara Metcalfe、Michelle A. Nannini、Jason Oeh、Martin G. O’Rourke、Daniel F. Ortwine、Yingqing Ran、Nicholas C. Ray、Fabien Roussel、Amy Sambrone、Deepak Sampath、Leah K. Schutt、Maia Vinogradova、John Wai、Tao Wang、Ingrid E. Wertz、Jonathan R. White、Siew Kuen Yeap、Amy Young、Birong Zhang、Xiaoping Zheng、Wei Zhou、Yu Zhong、Xiaojing Wang
DOI:10.1021/acs.jmedchem.1c00847
日期:2021.8.26
Breast cancer remains a leading cause of cancer death in women, representing a significant unmet medical need. Here, we disclose our discovery efforts culminating in a clinical candidate, 35 (GDC-9545 or giredestrant). 35 is an efficient and potent selective estrogen receptor degrader (SERD) and a full antagonist, which translates into better antiproliferation activity than known SERDs (1, 6, 7, and
乳腺癌仍然是女性癌症死亡的主要原因,代表着未满足的医疗需求。在这里,我们公开了我们的发现工作,最终形成了临床候选药物35(GDC-9545 或 giredestrant)。35是一个高效的和有效的选择性雌激素受体降解剂(SERD)和一个完全拮抗剂,转化为比已知SERDs(更好抗增殖活性1,6,7,和9在多个细胞系)。微调理化特性使临床前物种和人类每天口服35 次成为可能。35表现出较低的药物相互作用倾向,并表现出优异的体外和体内安全性概况。在低剂量下,35在 ESR1 Y537S突变 PDX 或野生型 ERα 肿瘤模型中作为单一药物或与 CDK4/6 抑制剂联合诱导肿瘤消退。目前,35 种药物正在 III 期临床试验中进行评估。