Discovery of novel indazole derivatives as second-generation TRK inhibitors

Qiaohua Qin1, Shuyu Lu1, Zhiqiang Guo1

  • 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

New indazole TRK inhibitors combat cancer by targeting NTRK gene fusions. Compound B31 shows potent activity against resistant mutations, offering a promising therapeutic strategy for NTRK fusion-positive cancers.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Molecular Biology

Background:

  • NTRK gene fusions are oncogenic drivers in various cancers.
  • First-generation TRK inhibitors (larotrectinib, entrectinib) face resistance.
  • Development of next-generation TRK inhibitors is crucial.

Purpose of the Study:

  • Design and synthesize novel indazole TRK inhibitors.
  • Evaluate antiproliferative activities against resistant cell lines.
  • Assess compound B31's efficacy and pharmacokinetic properties.

Main Methods:

  • Molecular hybridization strategy for inhibitor design.
  • Synthesis of novel indazole TRK inhibitors.
  • In vitro antiproliferative assays and in vivo pharmacokinetic studies.

Main Results:

  • Compound B31 demonstrated potent activity against Km-12, Ba/F3-TRKAG595R, and Ba/F3-TRKAG667C cell lines (IC50: 0.3, 4.7, 9.9 nM).
  • B31 showed superior inhibition against TRKAG667C compared to selitrectinib.
  • Compound B31 exhibited moderate kinase selectivity and excellent plasma stability (t1/2 > 480 min).

Conclusions:

  • Novel indazole TRK inhibitors were successfully designed and synthesized.
  • Compound B31 is a promising candidate for treating NTRK fusion-positive cancers, including those with resistance mutations.
  • B31 displays favorable in vitro and in vivo pharmacokinetic profiles.

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