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Updated: May 20, 2026

Kinase Inhibitor Screening In Self-assembled Human Protein Microarrays
Published on: October 23, 2019
AT13148 is a novel, oral multi-AGC kinase inhibitor with potent pharmacodynamic and antitumor activity
Timothy A Yap1, Mike I Walton, Kyla M Grimshaw
1Cancer Research UK Cancer Therapeutics Unit, Division of Cancer Therapeutics, The Institute of Cancer Research, Sutton, United Kingdom.
Purpose:
Deregulated phosphatidylinositol 3-kinase pathway signaling through AGC kinases including AKT, p70S6 kinase, PKA, SGK and Rho kinase is a key driver of multiple cancers. The simultaneous inhibition of multiple AGC kinases may increase antitumor activity and minimize clinical resistance compared with a single pathway component.
Experimental Design:
We investigated the detailed pharmacology and antitumor activity of the novel clinical drug candidate AT13148, an oral ATP-competitive multi-AGC kinase inhibitor. Gene expression microarray studies were undertaken to characterize the molecular mechanisms of action of AT13148.
Results:
AT13148 caused substantial blockade of AKT, p70S6K, PKA, ROCK, and SGK substrate phosphorylation and induced apoptosis in a concentration and time-dependent manner in cancer cells with clinically relevant genetic defects in vitro and in vivo. Antitumor efficacy in HER2-positive, PIK3CA-mutant BT474 breast, PTEN-deficient PC3 human prostate cancer, and PTEN-deficient MES-SA uterine tumor xenografts was shown. We show for the first time that induction of AKT phosphorylation at serine 473 by AT13148, as reported for other ATP-competitive inhibitors of AKT, is not a therapeutically relevant reactivation step. Gene expression studies showed that AT13148 has a predominant effect on apoptosis genes, whereas the selective AKT inhibitor CCT128930 modulates cell-cycle genes. Induction of upstream regulators including IRS2 and PIK3IP1 as a result of compensatory feedback loops was observed.
Conclusions:
The clinical candidate AT13148 is a novel oral multi-AGC kinase inhibitor with potent pharmacodynamic and antitumor activity, which shows a distinct mechanism of action from other AKT inhibitors. AT13148 will now be assessed in a first-in-human phase I trial.
Insights
The novel drug AT13148, a multi-AGC kinase inhibitor, effectively blocks cancer cell growth and induces apoptosis. This compound demonstrates potent antitumor activity and a distinct mechanism of action, warranting further clinical investigation.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Deregulated phosphatidylinositol 3-kinase (PI3K) pathway signaling via AGC kinases (e.g., AKT, p70S6K, PKA, SGK, ROCK) drives multiple cancers.
- Simultaneous inhibition of multiple AGC kinases may enhance antitumor activity and reduce clinical resistance compared to targeting single pathway components.
Purpose of the Study:
- To investigate the pharmacology and antitumor activity of AT13148, a novel oral ATP-competitive multi-AGC kinase inhibitor.
- To characterize the molecular mechanisms of action of AT13148 using gene expression microarray studies.
Main Methods:
- Pharmacodynamic and antitumor activity assessment of AT13148 in cancer cell lines and xenograft models.
- Gene expression microarray analysis to elucidate molecular mechanisms of action.
- Evaluation of substrate phosphorylation blockade and apoptosis induction in vitro and in vivo.
Main Results:
- AT13148 effectively inhibited phosphorylation of AKT, p70S6K, PKA, ROCK, and SGK substrates, inducing apoptosis in cancer cells with relevant genetic defects.
- Demonstrated antitumor efficacy in HER2-positive breast, PTEN-deficient prostate, and PTEN-deficient uterine tumor xenografts.
- Gene expression studies revealed AT13148 predominantly affects apoptosis genes, contrasting with cell-cycle modulation by selective AKT inhibitors; compensatory feedback loops were observed.
Conclusions:
- AT13148 is a novel oral multi-AGC kinase inhibitor with significant pharmacodynamic and antitumor effects.
- AT13148 exhibits a distinct mechanism of action compared to other AKT inhibitors.
- AT13148 is advancing to a first-in-human Phase I clinical trial.
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