2016
DOI: 10.1002/anie.201509240
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Conformational Studies and Atropisomerism Kinetics of the ALK Clinical Candidate Lorlatinib (PF‐06463922) and Desmethyl Congeners

Abstract: Lorlatinib (PF-06463922) is an ALK/ROS1 inhibitor and is in clinical trials for the treatment of ALK positive or ROS1 positive NSCLC (i.e. specific subsets of NSCLC). One of the laboratory objectives for this molecule indicated that it would be desirable to advance a molecule which was CNS penetrant in order to treat brain metastases. From this perspective, a macrocyclic template was attractive for a number of reasons. In particular, this template reduces the number of rotatable bonds, provides the potential t… Show more

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Cited by 38 publications
(17 citation statements)
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“…A common site of metastases in non-small cell lung cancer (NSCLC) patients is in the brain where previous generation ALK inhibitors have limited effectiveness, and may be attributed to poor blood–brain barrier (BBB) penetration or active transport out of the brain by efflux pumps111213. Lorlatinib was specifically designed to address this unmet clinical need for robust brain penetration and activity against TKI-resistant ALK mutants, including the crizotinib-, alectinib- and ceritinib-resistant fusion of echinoderm microtubule-associated protein-like 4 ( EML-4 ) -ALK Gly1202Arg mutant14. This drug is presently undergoing Phase I/II clinical trial investigations (http://clinicaltrials.gov/ct2/show/NCT01970865) in ROS1 and ALK fusion-positive NSCLC patients1315161718192021.…”
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confidence: 99%
“…A common site of metastases in non-small cell lung cancer (NSCLC) patients is in the brain where previous generation ALK inhibitors have limited effectiveness, and may be attributed to poor blood–brain barrier (BBB) penetration or active transport out of the brain by efflux pumps111213. Lorlatinib was specifically designed to address this unmet clinical need for robust brain penetration and activity against TKI-resistant ALK mutants, including the crizotinib-, alectinib- and ceritinib-resistant fusion of echinoderm microtubule-associated protein-like 4 ( EML-4 ) -ALK Gly1202Arg mutant14. This drug is presently undergoing Phase I/II clinical trial investigations (http://clinicaltrials.gov/ct2/show/NCT01970865) in ROS1 and ALK fusion-positive NSCLC patients1315161718192021.…”
mentioning
confidence: 99%
“…[5] Larger heterocyclic rings are likewise prevalent in biologically active macrolides [6] and cyclic peptides. [7] Recent exploration of drug candidates containing medium-ring nitrogen heterocycles [8] has highlighted the importance of conformational constraints in these structures. [9] Methods enabling the straightforward synthesis of classes of nitrogen heterocycles with ring sizes of eight or more would prove particularly valuable for exploring this less-charted area of chemical space.…”
mentioning
confidence: 99%
“…In addition, a nµMber of other small molecules, including brigatinib (4) [16][17][18] , lorlatinib (5) 16,19,20 , and entrectinib (6) 21 are also under extensive clinical trials with high potency against both ALK and its active mutants.…”
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confidence: 99%