2019
DOI: 10.1021/acs.jmedchem.9b01169
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Start Selective and Rigidify: The Discovery Path toward a Next Generation of EGFR Tyrosine Kinase Inhibitors

Abstract: The epidermal growth factor receptor (EGFR), when carrying an activating mutation like del19 or L858R, acts as an oncogenic driver in a subset of lung tumors. While tumor responses to tyrosine kinase inhibitors (TKIs) are accompanied by marked tumor shrinkage, the response is usually not durable. Most patients relapse within two years of therapy often due to acquisition of an additional mutation in EGFR kinase domain that confers resistance to TKIs. Crucially, oncogenic EGFR harboring both resistance mutations… Show more

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Cited by 97 publications
(99 citation statements)
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References 62 publications
(121 reference statements)
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“…Thus, the compound profile of CH7233163, which selectively inhibit EGFR-Del19/T790M/C797S over EGFR WT and potent antitumor activity upon monotherapy, would benefit osimertinib-resistant patients. Recently, new ATP competitive EGFR TKIs, BI-4020 and its derivatives, were reported as mutant selective EGFR-Del19/T790M/C797S inhibitors (46). However, these compounds are reported as 10-fold weaker potency against L858R/T790M/C797S in biochemical assays.…”
Section: Discussionmentioning
confidence: 99%
“…Thus, the compound profile of CH7233163, which selectively inhibit EGFR-Del19/T790M/C797S over EGFR WT and potent antitumor activity upon monotherapy, would benefit osimertinib-resistant patients. Recently, new ATP competitive EGFR TKIs, BI-4020 and its derivatives, were reported as mutant selective EGFR-Del19/T790M/C797S inhibitors (46). However, these compounds are reported as 10-fold weaker potency against L858R/T790M/C797S in biochemical assays.…”
Section: Discussionmentioning
confidence: 99%
“…The docking of M6 into the ATP pocket of EGFR L858R/T790M indicates that M6 adapted a binding mode similar to docetaxel as well as the co-crystal ligand; compound 1 had a docking energy score of −7.4 kcal/mol ( Figure 4 A). Compound 1 is a potent non-covalent inhibitor of EGFR del19 T790M C797S , with an IC 50 = 790 nM [ 34 ].…”
Section: Resultsmentioning
confidence: 99%
“…52 Most efforts have focused on development of reversible, ATP-competitive compounds that are effective against the T790M mutant. Examples include trisubstituted imidazoles (Figure 2f), [53][54][55] BI-4020 56 and brigatinib, 57 an inhibitor of the ALK kinase that also has activity against EGFR T790M. All of these compounds appear to make important interactions with conserved residues that are crucial for receptor function, such as K745, the catalytic lysine.…”
Section: Egfr-first-generation To Third-generation Inhibitors and Beyondmentioning
confidence: 99%