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Updated: Dec 4, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Modulating Androgen Receptor-Driven Transcription in Prostate Cancer with Selective CDK9 Inhibitors
André Richters1, Shelby K Doyle2, David B Freeman3
1David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA 02142, USA; MIT Center for Precision Cancer Medicine, Massachusetts Institute of Technology, Cambridge, MA 02142, USA; Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Abstract:
Castration-resistant prostate cancers (CRPCs) lose sensitivity to androgen-deprivation therapies but frequently remain dependent on oncogenic transcription driven by the androgen receptor (AR) and its splice variants. To discover modulators of AR-variant activity, we used a lysate-based small-molecule microarray assay and identified KI-ARv-03 as an AR-variant complex binder that reduces AR-driven transcription and proliferation in prostate cancer cells. We deduced KI-ARv-03 to be a potent, selective inhibitor of CDK9, an important cofactor for AR, MYC, and other oncogenic transcription factors. Further optimization resulted in KB-0742, an orally bioavailable, selective CDK9 inhibitor with potent anti-tumor activity in CRPC models. In 22Rv1 cells, KB-0742 rapidly downregulates nascent transcription, preferentially depleting short half-life transcripts and AR-driven oncogenic programs. In vivo, oral administration of KB-0742 significantly reduced tumor growth in CRPC, supporting CDK9 inhibition as a promising therapeutic strategy to target AR dependence in CRPC.
Insights
A new drug, KB-0742, targets CDK9 to inhibit androgen receptor (AR) activity in castration-resistant prostate cancer (CRPC). This selective CDK9 inhibitor shows potent anti-tumor effects in CRPC models, offering a promising therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Castration-resistant prostate cancer (CRPC) remains dependent on androgen receptor (AR) signaling despite resistance to standard therapies.
- AR splice variants are key drivers of CRPC, necessitating novel therapeutic targets.
Purpose of the Study:
- To identify small molecules that modulate AR-variant activity.
- To develop a selective inhibitor of CDK9, a critical cofactor for AR-driven transcription.
Main Methods:
- Utilized a small-molecule microarray assay to screen for AR-variant modulators.
- Identified and optimized KI-ARv-03, leading to the development of the selective CDK9 inhibitor KB-0742.
- Assessed the anti-tumor activity of KB-0742 in CRPC cell lines and in vivo models.
Main Results:
- KI-ARv-03 was identified as an AR-variant complex binder and CDK9 inhibitor.
- KB-0742 demonstrated potent and selective inhibition of CDK9, reducing AR-driven transcription and proliferation.
- Oral administration of KB-0742 significantly inhibited tumor growth in CRPC models.
Conclusions:
- CDK9 inhibition is a viable therapeutic strategy for targeting AR-dependent CRPC.
- KB-0742 exhibits promising anti-tumor activity and warrants further clinical investigation for CRPC treatment.
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