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Discovery of BBO-8520, a First-In-Class Direct and Covalent Dual Inhibitor of GTP-Bound (ON) and GDP-Bound (OFF)
Anna E Maciag1, James P Stice2, Bin Wang2
1NCI RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, Maryland.
Abstract:
Approved inhibitors of KRASG12C prevent oncogenic activation by sequestering the inactive, GDP-bound (OFF) form rather than directly binding and inhibiting the active, GTP-bound (ON) form. This approach provides no direct target coverage of the active protein. Expectedly, adaptive resistance to KRASG12C (OFF)-only inhibitors is observed in association with increased expression and activity of KRASG12C(ON). To provide optimal KRASG12C target coverage, we have developed BBO-8520, a first-in-class, direct dual inhibitor of KRASG12C(ON) and (OFF) forms. BBO-8520 binds in the Switch-II/Helix3 pocket, covalently modifies the target cysteine, and disables effector binding to KRASG12C(ON). BBO-8520 exhibits potent signaling inhibition in growth factor-activated states, in which current (OFF)-only inhibitors demonstrate little measurable activity. In vivo, BBO-8520 demonstrates rapid target engagement and inhibition of signaling, resulting in durable tumor regression in multiple models, including those resistant to KRASG12C(OFF)-only inhibitors. BBO-8520 is in phase 1 clinical trials in patients with KRASG12C non-small cell lung cancer. Significance: BBO-8520 is a first-in-class direct, small molecule covalent dual inhibitor that engages KRASG12C in the active (ON) and inactive (OFF) conformations. BBO-8520 represents a novel mechanism of action that allows for optimal target coverage and delays the emergence of adaptive resistance seen with (OFF)-only inhibitors in the clinic. See related commentary by Zhou and Westover, p. 455.
Insights
A new dual inhibitor, BBO-8520, targets both active and inactive forms of KRASG12C. This approach overcomes resistance seen with current inhibitors and shows promise in preclinical models for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Approved KRASG12C inhibitors target the inactive (OFF) form, leaving the active (ON) form unaddressed.
- Resistance to (OFF)-only inhibitors emerges due to increased KRASG12C(ON) activity.
- There is a need for inhibitors that provide comprehensive KRASG12C target coverage.
Purpose of the Study:
- To develop a novel inhibitor targeting both active and inactive KRASG12C conformations.
- To evaluate the efficacy of this dual inhibitor in preclinical cancer models.
- To assess its potential to overcome adaptive resistance mechanisms.
Main Methods:
- Development of BBO-8520, a covalent dual inhibitor targeting KRASG12C(ON) and (OFF) forms.
- In vitro assessment of signaling inhibition in growth factor-activated states.
- In vivo studies in multiple tumor models, including those resistant to (OFF)-only inhibitors.
Main Results:
- BBO-8520 effectively inhibits signaling in growth factor-activated states where (OFF)-only inhibitors are less active.
- In vivo studies demonstrated rapid target engagement and significant tumor regression.
- BBO-8520 showed efficacy in models resistant to existing KRASG12C inhibitors.
Conclusions:
- BBO-8520 is a first-in-class covalent dual inhibitor of KRASG12C, engaging both active and inactive states.
- This novel mechanism offers optimal target coverage and delays adaptive resistance.
- BBO-8520 is currently in Phase 1 clinical trials for KRASG12C-mutated non-small cell lung cancer.
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