Discovery of an Orally Bioavailable and Selective PKMYT1 Inhibitor, RP-6306

Janek Szychowski1, Robert Papp1, Evelyne Dietrich1

  • 1Repare Therapeutics, Inc., 7210 Frederick-Banting, Ville St-Laurent, QC H4S 2A1, Canada.

Insights

Researchers developed RP-6306, a potent and selective PKMYT1 inhibitor, to target cancers with CCNE1 amplification. This first-in-class drug candidate shows promise in preclinical models and is now in Phase 1 clinical trials.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Pharmacology

Background:

  • Protein kinase mutated intolyl 1 (PKMYT1) regulates CDK1 phosphorylation, presenting a therapeutic target in DNA damage response cancers.
  • A synthetic lethal relationship exists between PKMYT1 and CCNE1 amplification, a common event in various solid tumors.

Purpose of the Study:

  • To develop selective PKMYT1 inhibitors for therapeutic intervention.
  • To investigate the pharmacological role of PKMYT1 in cancer treatment.

Main Methods:

  • Structure-based drug design was employed to optimize PKMYT1 inhibitors.
  • Atropisomers of dimethylphenol analogs were separated and profiled as single enantiomers.
  • ADME properties were optimized to identify potent and selective drug candidates.

Main Results:

  • Compound 1 was identified as an initial weak PKMYT1 inhibitor, with potency enhanced by dimethylphenol introduction.
  • Potent and selective PKMYT1 inhibitors were successfully developed, including the clinical candidate RP-6306.
  • RP-6306 demonstrated inhibition of CCNE1-amplified tumor cell growth in preclinical xenograft models.

Conclusions:

  • RP-6306 is a first-in-class PKMYT1 inhibitor with demonstrated efficacy in preclinical models of CCNE1-amplified cancers.
  • RP-6306 is currently undergoing Phase 1 clinical trials for the treatment of various solid tumors, highlighting its therapeutic potential.

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