Discovery of KB-0742, a Potent, Selective, Orally Bioavailable Small Molecule Inhibitor of CDK9 for MYC-Dependent
David B Freeman1,2, Tamara D Hopkins1,2, Peter J Mikochik1,2
1Kronos Bio, Inc., 301 Binney Street, 2nd Floor East, Cambridge, Massachusetts 02142, United States.
Abstract:
Transcriptional deregulation is a hallmark of many cancers and is exemplified by genomic amplifications of the MYC family of oncogenes, which occur in at least 20% of all solid tumors in adults. Targeting of transcriptional cofactors and the transcriptional cyclin-dependent kinase (CDK9) has emerged as a therapeutic strategy to interdict deregulated transcriptional activity including oncogenic MYC. Here, we report the structural optimization of a small molecule microarray hit, prioritizing maintenance of CDK9 selectivity while improving on-target potency and overall physicochemical and pharmacokinetic (PK) properties. This led to the discovery of the potent, selective, orally bioavailable CDK9 inhibitor 28 (KB-0742). Compound 28 exhibits in vivo antitumor activity in mouse xenograft models and a projected human PK profile anticipated to enable efficacious oral dosing. Notably, 28 is currently being investigated in a phase 1/2 dose escalation and expansion clinical trial in patients with relapsed or refractory solid tumors.
Insights
Researchers optimized a molecule to create a potent and selective CDK9 inhibitor, KB-0742. This drug shows promise for treating solid tumors and is now in clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Transcriptional deregulation, driven by oncogenes like MYC, is common in cancers.
- Targeting transcriptional cofactors and cyclin-dependent kinase 9 (CDK9) is a therapeutic strategy.
Purpose of the Study:
- To structurally optimize a CDK9 inhibitor for improved potency, selectivity, and pharmacokinetic properties.
- To discover a drug candidate for treating cancers with deregulated transcription.
Main Methods:
- Structure-based drug design and medicinal chemistry.
- In vitro assays for potency and selectivity.
- In vivo studies in mouse xenograft models.
- Pharmacokinetic profiling.
Main Results:
- Discovery of compound 28 (KB-0742), a potent and selective oral CDK9 inhibitor.
- Demonstrated in vivo antitumor activity in preclinical models.
- Projected favorable human pharmacokinetic profile for oral administration.
Conclusions:
- KB-0742 is a promising drug candidate for treating solid tumors with MYC amplification.
- The compound is currently undergoing Phase 1/2 clinical trials for safety and efficacy.
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