Discovery of a Novel Mutant-Selective Epidermal Growth Factor Receptor Inhibitor Using an In Silico Enabled Drug

Hideyuki Igawa1, Zef A Konst1, Eric Therrien1

  • 1Schrödinger Inc., New York, New York 10036, United States.

PubMed

Insights

New imidazo[3.2-b]pyrazoles target resistant EGFR mutations in lung cancer. These compounds overcome T790M and C797S resistance, offering a potential new treatment for non-small cell lung cancer.

Area of Science:

  • Medicinal Chemistry
  • Pharmacology
  • Oncology

Background:

  • First, second, and third-generation EGFR TKIs are effective for NSCLC with classical mutations.
  • Acquired resistance via T790M and C797S mutations limits TKI efficacy.
  • Novel therapeutic strategies are needed to overcome resistance in EGFR-mutated NSCLC.

Purpose of the Study:

  • To identify novel, wild-type-sparing EGFR TKIs targeting classical mutations with T790M and C797S resistance.
  • To elucidate the bioactivation mechanism and mitigate time-dependent inhibition (TDI) by CYP3A4/5.
  • To evaluate the efficacy of identified compounds in preclinical models.

Main Methods:

  • Physics-based computational approaches for lead identification.
  • Synthesis and profiling of imidazo[3.2-b]pyrazoles.
  • Biochemical and cellular assays to assess EGFR inhibition.
  • Pharmacokinetic and efficacy studies in preclinical models.

Main Results:

  • Structurally unique imidazo[3.2-b]pyrazoles were identified as potent EGFR inhibitors.
  • Compound 31 demonstrated high affinity (K_i = 2.1 nM) for EGFR L858R/T790M/C797S.
  • Compound 31 (IC50 = 56.9 nM) and its deuterated analog 38 showed significant tumor growth inhibition in a preclinical model.

Conclusions:

  • Imidazo[3.2-b]pyrazoles represent a promising class of reversible, wild-type-sparing EGFR inhibitors.
  • Key modifications successfully mitigated CYP3A4/5 time-dependent inhibition.
  • Compound 38 demonstrated significant in vivo efficacy, warranting further development for NSCLC treatment.