Altiratinib Inhibits Tumor Growth, Invasion, Angiogenesis, and Microenvironment-Mediated Drug Resistance via Balanced
Bryan D Smith1, Michael D Kaufman1, Cynthia B Leary1
1Deciphera Pharmaceuticals, Lawrence, Kansas.
Abstract:
Altiratinib (DCC-2701) was designed based on the rationale of engineering a single therapeutic agent able to address multiple hallmarks of cancer (1). Specifically, altiratinib inhibits not only mechanisms of tumor initiation and progression, but also drug resistance mechanisms in the tumor and microenvironment through balanced inhibition of MET, TIE2 (TEK), and VEGFR2 (KDR) kinases. This profile was achieved by optimizing binding into the switch control pocket of all three kinases, inducing type II inactive conformations. Altiratinib durably inhibits MET, both wild-type and mutated forms, in vitro and in vivo. Through its balanced inhibitory potency versus MET, TIE2, and VEGFR2, altiratinib provides an agent that inhibits three major evasive (re)vascularization and resistance pathways (HGF, ANG, and VEGF) and blocks tumor invasion and metastasis. Altiratinib exhibits properties amenable to oral administration and exhibits substantial blood-brain barrier penetration, an attribute of significance for eventual treatment of brain cancers and brain metastases.
Insights
Altiratinib is a novel cancer therapeutic designed to target multiple cancer hallmarks. It inhibits key kinases involved in tumor growth, resistance, and metastasis, offering potential for oral administration and brain cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Cancer cells develop resistance through various pathways.
- Targeting multiple kinases simultaneously can overcome resistance mechanisms.
- MET, TIE2, and VEGFR2 kinases are crucial in tumor initiation, progression, and angiogenesis.
Purpose of the Study:
- To design and characterize altiratinib, a multi-kinase inhibitor.
- To evaluate altiratinib's efficacy against tumor initiation, progression, and drug resistance.
- To assess altiratinib's potential for treating brain cancers due to its blood-brain barrier penetration.
Main Methods:
- Kinase inhibition profiling of altiratinib against MET, TIE2, and VEGFR2.
- In vitro and in vivo studies to assess MET inhibition in wild-type and mutated forms.
- Evaluation of altiratinib's impact on tumor invasion, metastasis, and angiogenesis pathways.
Main Results:
- Altiratinib demonstrated balanced inhibition of MET, TIE2, and VEGFR2 kinases by inducing type II inactive conformations.
- Durable inhibition of both wild-type and mutated MET was observed in vitro and in vivo.
- Altiratinib effectively inhibited HGF, ANG, and VEGF pathways, blocking tumor invasion and metastasis.
Conclusions:
- Altiratinib is a promising single therapeutic agent targeting multiple cancer hallmarks.
- Its multi-kinase inhibition profile offers a strategy to overcome tumor resistance and metastasis.
- Altiratinib's oral bioavailability and blood-brain barrier penetration suggest potential for treating brain malignancies.
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