Abstract
Aberrant activation of the mitogen-activated protein kinase pathway frequently drives tumor growth, and the ERK1/2 kinases are positioned at a key node in this pathway, making them important targets for therapeutic intervention. Recently, a number of ERK1/2 inhibitors have been advanced to investigational clinical trials in patients with activating mutations in B-Raf proto-oncogene or Ras. Here, we describe the discovery of the clinical candidate ASTX029 (15) through structure-guided optimization of our previously published isoindolinone lead (7). The medicinal chemistry campaign focused on addressing CYP3A4-mediated metabolism and maintaining favorable physicochemical properties. These efforts led to the identification of ASTX029, which showed the desired pharmacological profile combining ERK1/2 inhibition with suppression of phospho-ERK1/2 (pERK) levels, and in addition, it possesses suitable preclinical pharmacokinetic properties predictive of once daily dosing in humans. ASTX029 is currently in a phase I-II clinical trial in patients with advanced solid tumors.
MeSH terms
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Animals
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Antineoplastic Agents / chemical synthesis
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Antineoplastic Agents / metabolism
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Antineoplastic Agents / pharmacokinetics
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Antineoplastic Agents / therapeutic use*
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Crystallography, X-Ray
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Dogs
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Humans
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Indoles / chemical synthesis
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Indoles / metabolism
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Indoles / pharmacokinetics
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Indoles / therapeutic use*
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Male
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Mice
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Mice, Inbred BALB C
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Mitogen-Activated Protein Kinase 1 / antagonists & inhibitors*
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Mitogen-Activated Protein Kinase 1 / chemistry
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Mitogen-Activated Protein Kinase 1 / metabolism
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Molecular Structure
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Neoplasms / drug therapy*
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Phosphorylation / drug effects
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Protein Binding
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Protein Kinase Inhibitors / chemical synthesis
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Protein Kinase Inhibitors / metabolism
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Protein Kinase Inhibitors / pharmacokinetics
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Protein Kinase Inhibitors / therapeutic use*
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Proto-Oncogene Mas
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Pyrimidines / chemical synthesis
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Pyrimidines / metabolism
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Pyrimidines / pharmacokinetics
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Pyrimidines / therapeutic use*
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Rats
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Rats, Sprague-Dawley
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Rats, Wistar
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Structure-Activity Relationship
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Xenograft Model Antitumor Assays
Substances
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Antineoplastic Agents
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Indoles
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MAS1 protein, human
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Protein Kinase Inhibitors
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Proto-Oncogene Mas
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Pyrimidines
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Mitogen-Activated Protein Kinase 1