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Updated: Jun 2, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
CH5424802, a selective ALK inhibitor capable of blocking the resistant gatekeeper mutant
Hiroshi Sakamoto1, Toshiyuki Tsukaguchi, Sayuri Hiroshima
1Kamakura Research Laboratories, Chugai Pharmaceutical Co., Ltd., 200 Kajiwara, Kamakura, Kanagawa 247-8530, Japan. sakamotohrs@chugai-pharm.co.jp
Abstract:
Anaplastic lymphoma kinase (ALK) is a tyrosine kinase that is constitutively activated in certain cancers, following gene alterations such as chromosomal translocation, amplification, or point mutation. Here, we identified CH5424802, a potent, selective, and orally available ALK inhibitor with a unique chemical scaffold, showing preferential antitumor activity against cancers with gene alterations of ALK, such as nonsmall cell lung cancer (NSCLC) cells expressing EML4-ALK fusion and anaplastic large-cell lymphoma (ALCL) cells expressing NPM-ALK fusion in vitro and in vivo. CH5424802 inhibited ALK L1196M, which corresponds to the gatekeeper mutation conferring common resistance to kinase inhibitors, and blocked EML4-ALK L1196M-driven cell growth. Our results support the potential for clinical evaluation of CH5424802 for the treatment of patients with ALK-driven tumors.
Insights
A new drug, CH5424802, effectively targets anaplastic lymphoma kinase (ALK) in cancers like nonsmall cell lung cancer. This potent inhibitor shows promise for treating ALK-driven tumors, even those with resistance mutations.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Anaplastic lymphoma kinase (ALK) is a tyrosine kinase implicated in various cancers due to genetic alterations.
- Constitutive ALK activation, through translocations, amplifications, or mutations, drives tumor growth in specific malignancies.
Purpose of the Study:
- To identify and characterize CH5424802, a novel, orally available inhibitor targeting ALK.
- To evaluate the antitumor efficacy of CH5424802 against ALK-driven cancers, including those with known resistance mechanisms.
Main Methods:
- In vitro and in vivo studies were conducted using cancer cell lines and models harboring ALK gene alterations.
- The study assessed the inhibitory activity of CH5424802 against wild-type ALK and the ALK L1196M gatekeeper mutation.
Main Results:
- CH5424802 demonstrated potent and selective inhibition of ALK.
- The compound exhibited preferential antitumor activity in nonsmall cell lung cancer (NSCLC) and anaplastic large-cell lymphoma (ALCL) models with EML4-ALK and NPM-ALK fusions, respectively.
- CH5424802 effectively inhibited the ALK L1196M mutation, overcoming a common resistance mechanism and blocking associated cell growth.
Conclusions:
- CH5424802 is a promising ALK inhibitor with a unique scaffold and favorable pharmacokinetic properties.
- The drug shows significant potential for treating patients with ALK-driven tumors, including those resistant to other kinase inhibitors.
- Clinical evaluation of CH5424802 is warranted for ALK-altered malignancies.
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