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Tropomyosin receptor kinase inhibitors: an updated patent review for 2010-2016 - Part II
Justin J Bailey1, Ralf Schirrmacher1, Kristen Farrell1
1a Faculty of Medicine & Dentistry, Department of Oncology , University of Alberta , Edmonton , Canada.
Introduction:
TrkA/B/C receptor activation supports growth, survival, and differentiation of discrete neuronal populations during development, adult life, and ageing but also plays numerous roles in human disease onset and progression. Trk-specific inhibitors have therapeutic applications in cancer and pain and thus constitute a growing area of interest in oncology and neurology. There has been substantial growth in the number of structural classes of Trk inhibitors and the number of industrial entrants to the Trk inhibitor field over the past six years. Areas covered: In Part II of this two-part review, the discussion of recent patent literature covering Trk family inhibitors is continued from Part I and clinical research with Trk inhibitors is considered. Expert opinion: Trk has been molecularly targeted for over a decade resulting in the progressive evolution of structurally diversified Trk inhibitors arising from scaffold hopping and HTS efforts. Correspondingly, there have been a growing number of clinical investigations utilizing Trk inhibitors in recent years, with a particular focus on the treatment of NTRK-fusion positive cancers and chronic pain. The observed potential of Trk inhibitors to cause adverse CNS side effects however suggests the need for a more rigorous consideration of BBB permeation capabilities during drug development.
Insights
Trk inhibitors show promise for treating cancers and chronic pain, with ongoing research into new drug classes. Careful consideration of blood-brain barrier penetration is crucial to mitigate potential central nervous system side effects.
Area of Science:
- Neuroscience
- Oncology
- Pharmacology
Background:
- Tropomyosin receptor kinase (Trk) receptor activation is vital for neuronal development and function.
- Dysregulation of Trk signaling is implicated in various human diseases, including cancer and chronic pain.
- Trk inhibitors are emerging as a significant therapeutic strategy in oncology and neurology.
Purpose of the Study:
- To review recent patent literature and clinical research on Trk family inhibitors.
- To discuss the evolution of structurally diverse Trk inhibitors.
- To highlight the therapeutic potential and challenges of Trk inhibitors in clinical applications.
Main Methods:
- Review of patent literature concerning Trk inhibitors.
- Analysis of clinical research data for Trk inhibitors.
- Discussion of drug development strategies, including scaffold hopping and high-throughput screening (HTS).
Main Results:
- Substantial growth in the number of structural classes and industrial entrants for Trk inhibitors over the past six years.
- Increasing clinical investigations of Trk inhibitors, particularly for NTRK-fusion positive cancers and chronic pain.
- Identification of Trk inhibitors' potential for adverse central nervous system (CNS) side effects.
Conclusions:
- Trk inhibitors have evolved significantly, offering diverse structural classes for therapeutic targeting.
- Clinical applications are expanding, especially in oncology and pain management.
- Future drug development must rigorously consider blood-brain barrier (BBB) permeation to optimize safety and efficacy.
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