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Updated: Feb 26, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Synthesis and evaluation of osimertinib derivatives as potent EGFR inhibitors
Hongying Gao1, Zimo Yang2, Xinglin Yang2
1Tsinghua University-Peking University Joint Center for Life Sciences, Beijing 100084, PR China; MOE Key Laboratory of Protein Sciences, School of Life Sciences, Tsinghua University, Beijing 100084, PR China.
Abstract:
Osimertinib has been identified as a promising therapeutic drug targeting for EGFR T790M mutant non-small cell lung cancer (NSCLC). A new series of N-oxidized and fluorinated osimertinib derivatives were designed and synthesized. The cellular anti-proliferative activity, kinase inhibitory activity and the activation of EGFR signaling pathways of 1-6 in vitro were determined against L858R/T790M and wild-type EGFR, the antitumor efficacy in NCI-H1975 xenografts in vivo were further studied. Compound 2, the newly synthesized N-oxide metabolite in N,N,N'-trimethylethylenediamine side chain of osimertinib, showed a comparable kinase selectivity in vitro and a slightly better antitumor efficacy in vivo to osimertinib, making it valuable and suitable for the potential lung cancer therapy.
Insights
A novel N-oxide osimertinib derivative demonstrated comparable kinase selectivity and improved antitumor efficacy in preclinical models, offering potential for non-small cell lung cancer therapy.
Area of Science:
- Medicinal Chemistry
- Oncology
- Pharmacology
Background:
- Osimertinib is a key therapeutic for EGFR T790M mutant non-small cell lung cancer (NSCLC).
- Developing novel derivatives with improved efficacy and selectivity is crucial for advancing lung cancer treatment.
Purpose of the Study:
- To design and synthesize novel N-oxidized and fluorinated osimertinib derivatives.
- To evaluate the in vitro and in vivo anti-cancer activities of these derivatives.
- To identify potential new drug candidates for EGFR-mutated NSCLC.
Main Methods:
- Synthesis of N-oxidized and fluorinated osimertinib derivatives.
- In vitro assessment of cellular anti-proliferative and kinase inhibitory activity against EGFR variants.
- In vivo evaluation of antitumor efficacy using NCI-H1975 xenograft models.
Main Results:
- Compound 2, an N-oxide metabolite, exhibited comparable kinase selectivity to osimertinib in vitro.
- Compound 2 demonstrated slightly enhanced antitumor efficacy in vivo compared to osimertinib.
- The synthesized derivatives were evaluated for their potential as lung cancer therapeutics.
Conclusions:
- The novel N-oxide derivative (Compound 2) shows promise as a potential therapeutic agent for non-small cell lung cancer.
- Compound 2's comparable in vitro activity and improved in vivo efficacy warrant further investigation for clinical application.
- This study contributes to the development of next-generation EGFR inhibitors for NSCLC treatment.
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