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Updated: Mar 2, 2026

A Semi-High-Throughput Adaptation of the NADH-Coupled ATPase Assay for Screening Small Molecule Inhibitors
Published on: August 17, 2019
Recent progress towards clinically relevant ATP-competitive Akt inhibitors
Bayard R Huck1, Igor Mochalkin1
1Discovery Technologies, Global Research & Development, Merck KGaA, Darmstadt, Germany.
Abstract:
The frequency of PI3K/Akt/mTOR (PAM) Pathway mutations in human cancers sparked interest to determine if the pathway is druggable. The modest clinical benefit observed with mTOR rapalogs (temsirolimus and everolimus) provided further motivation to identify additional nodes of pathway inhibition that lead to improved clinical benefit. Akt is a central signaling node of the PAM pathway and could be an ideal target for improved pathway inhibition. Furthermore, inhibitors of Akt may be especially beneficial in tumors with Akt1 mutations. Recently, multiple ATP-competitive Akt inhibitors have been identified and are currently in clinical development. This review details the medicinal chemistry efforts towards identification of these molecules, highlights relevant preclinical data supporting clinical evaluation, and summarizes current clinical development plans.
Insights
The PI3K/Akt/mTOR (PAM) pathway is frequently mutated in cancers. New Akt inhibitors show promise for improved cancer treatment, with several in clinical development.
Area of Science:
- Oncology
- Molecular Biology
- Medicinal Chemistry
Background:
- The PI3K/Akt/mTOR (PAM) pathway is frequently altered in human cancers.
- Limited clinical success of mTOR inhibitors necessitates novel therapeutic strategies.
- Akt represents a key signaling node within the PAM pathway for targeted inhibition.
Purpose of the Study:
- To explore the druggability of the PAM pathway.
- To identify improved targets for PAM pathway inhibition beyond mTOR.
- To review medicinal chemistry efforts and clinical development of Akt inhibitors.
Main Methods:
- Review of medicinal chemistry literature.
- Analysis of preclinical data for Akt inhibitors.
- Summary of ongoing clinical trials for Akt-targeting agents.
Main Results:
- Identification of multiple ATP-competitive Akt inhibitors.
- Preclinical data supporting the efficacy of Akt inhibitors.
- Several Akt inhibitors are currently in clinical development.
Conclusions:
- Akt is a promising target for cancer therapy, particularly in tumors with Akt1 mutations.
- Medicinal chemistry has yielded potent Akt inhibitors.
- Ongoing clinical trials will determine the therapeutic benefit of these novel agents.
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