Design, synthesis and biological evaluation of novel indolin-2-one derivatives as potent second-generation TRKs

Qiaohua Qin1, Qinglin Fu1, Xin Wang1

  • 1Key Laboratory of Structure-Based Drug Design and Discovery, Ministry of Education, School of Pharmaceutical Engineering, Shenyang Pharmaceutical University, 103 Wenhua Road, Shenhe District, Shenyang, 110016, PR China.

Insights

A new TRK inhibitor, compound 24b, effectively targets TRK mutations that cause resistance to current therapies. This orally bioavailable drug shows promise for overcoming acquired resistance in cancer treatment.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Molecular Biology

Background:

  • Tropomyosin receptor kinases (TRKs) are key targets in anti-cancer drug discovery.
  • First-generation TRK inhibitors like larotrectinib and entrectinib show clinical efficacy but face acquired resistance due to TRK mutations.
  • There is a critical need for novel TRK inhibitors effective against resistant mutants.

Purpose of the Study:

  • To design and characterize a novel, potent, and orally bioavailable TRK inhibitor.
  • To evaluate the efficacy of the new inhibitor against TRK mutations conferring resistance.
  • To assess the in vitro stability and pharmacokinetic properties of the novel inhibitor.

Main Methods:

  • Molecular hybridization strategy was employed to design compound 24b.
  • Biochemical and cellular assays were used to determine inhibitory potency against TRK and its mutants.
  • In vitro stability (plasma and liver microsomes) and pharmacokinetic studies (oral bioavailability) were conducted.
  • Apoptosis induction in TRK-mutant cell lines was assessed.

Main Results:

  • Compound 24b demonstrated significant inhibitory potency against multiple TRK mutants.
  • It effectively induced apoptosis in Ba/F3-TRKAG595R and Ba/F3-TRKAG667C cells.
  • Compound 24b exhibited excellent plasma stability and moderate liver microsomal stability.
  • Pharmacokinetic studies confirmed good oral bioavailability (116.07%).

Conclusions:

  • Compound 24b is a potent, orally bioavailable TRK inhibitor effective against resistant TRK mutants.
  • It possesses favorable in vitro stability and pharmacokinetic profiles.
  • Compound 24b serves as a promising lead molecule for developing next-generation TRK-targeted cancer therapies.