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In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Pharmacologic characterization of fluzoparib, a novel poly(ADP-ribose) polymerase inhibitor undergoing clinical
Lei Wang1, Changyong Yang2,3,4, Chengying Xie1
1Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Abstract:
Poly(ADP-ribose) polymerase (PARP) enzymes play an important role in repairing DNA damage and maintaining genomic stability. Olaparib, the first-in-class PARP inhibitor, has shown remarkable clinical benefits in the treatment of BRCA-mutated ovarian or breast cancer. However, the undesirable hematological toxicity and pharmacokinetic properties of olaparib limit its clinical application. Here, we report the first preclinical characterization of fluzoparib (code name: SHR-3162), a novel, potent, and orally available inhibitor of PARP. Fluzoparib potently inhibited PARP1 enzyme activity and induced DNA double-strand breaks, G2 /M arrest, and apoptosis in homologous recombination repair (HR)-deficient cells. Fluzoparib preferentially inhibited the proliferation of HR-deficient cells and sensitized both HR-deficient and HR-proficient cells to cytotoxic drugs. Notably, fluzoparib showed good pharmacokinetic properties, favorable toxicity profile, and superior antitumor activity in HR-deficient xenografts models. Furthermore, fluzoparib in combination with apatinib or with apatinib plus paclitaxel elicited significantly improved antitumor responses without extra toxicity. Based on these findings, studies to evaluate the efficacy and safety of fluzoparib (phase II) and those two combinations (phase I) have been initiated. Taken together, our results implicate fluzoparib as a novel attractive PARP inhibitor.
Insights
Fluzoparib is a novel Poly(ADP-ribose) polymerase (PARP) inhibitor that shows potent antitumor activity and a favorable safety profile. This new drug is being evaluated in clinical trials for its efficacy in treating various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Poly(ADP-ribose) polymerase (PARP) enzymes are crucial for DNA repair and genomic stability.
- Olaparib, a PARP inhibitor, offers clinical benefits for BRCA-mutated cancers but has limitations in toxicity and pharmacokinetics.
- There is a need for novel PARP inhibitors with improved properties.
Purpose of the Study:
- To characterize the preclinical profile of fluzoparib (SHR-3162), a novel oral PARP inhibitor.
- To evaluate its efficacy, safety, and potential for combination therapies in cancer models.
Main Methods:
- In vitro enzyme inhibition assays for PARP1.
- Assessment of DNA damage, cell cycle arrest, and apoptosis in cancer cells.
- In vivo studies using HR-deficient xenograft models.
- Combination studies with apatinib and paclitaxel.
Main Results:
- Fluzoparib demonstrated potent inhibition of PARP1 activity.
- It induced DNA damage, G2/M arrest, and apoptosis in HR-deficient cells.
- Fluzoparib exhibited superior antitumor activity, good pharmacokinetics, and a favorable toxicity profile in preclinical models.
- Combinations of fluzoparib with apatinib or apatinib plus paclitaxel showed enhanced antitumor responses without increased toxicity.
Conclusions:
- Fluzoparib is a potent, orally available PARP inhibitor with promising preclinical efficacy and safety.
- Fluzoparib demonstrates potential as a therapeutic agent, particularly in combination therapies for cancer treatment.
- Clinical trials are underway to further evaluate fluzoparib's efficacy and safety in cancer patients.
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