“…Here, we sought to extend these initial findings by determining the proteome-wide reactivity of third-generation inhibitors for EGFR designed to selectively and irreversibly target the T790M drug-resistant mutant form of this kinase. All three inhibitors investigated – the recently approved osimertinib (Tagrisso, AZD9291; 1 , Figure 1A), PF-06747775 ( 2 , Figure 1A) and rociletinib (CO-1686; 3 , Figure 1A) – were optimized for an EGFR inhibition profile that maintained good potency against the two original drug-sensitive, kinase-activating mutants (exon19Del and L858R) and the two major drug-resistant T790M mutants (exon19Del/T790M and L858R/T790M), while showing reduced activity against wild type (WT)-EGFR to minimize mechanism-based toxicity (Cross et al, 2014, Finlay et al, 2014, Tjin Tham Sjin et al, 2014, Walter et al, 2013, Planken et al, 2017). Our chemical proteomic studies reveal that, despite the highly engineered EGFR mutant inhibition profile achieved by all three third-generation inhibitors and their shared unsubstituted acrylamide reactive group, the inhibitors exhibited strikingly distinct proteome-wide reactivity profiles in human cancer cells.…”