Discovery of the Clinical Candidate YY2201 as a Highly Potent and Selective ATR Inhibitor
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Updated: May 1, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Meng Wu1, Xiaofang Chen2, Haoran Wang3
1Center for Drug Research and Evaluation, National Infrastructures for Translational Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, P. R. China.
Abstract:
ATR is one of the key DNA damage response (DDR) regulatory factors to maintain genome stability. ATR inhibition induces DNA damage accumulation and apoptosis in DDR kinase mutation or deficiency cancer cells through synthetic lethality, making it a promising target for treatment of cancers with DDR defects. Herein, we describe the discovery and preclinical evaluation of YY2201, a highly potent and selective novel ATR inhibitor, with favorable ADME, safety pharmacology, and pharmacokinetics profiles. YY2201 efficiently inhibits tumor progression in broad-spectrum cancer types, both in vitro and in vivo. YY2201 shows superior in vivo anticancer efficacy and a better therapeutic index compared to AZD6738 in a lung cancer xenograft model. YY2201 also exhibits potent cancer suppression effects in combination with chemotherapy in vivo. Currently, the investigational new drug application of YY2201 has been approved by the FDA for further clinical investigation.
Insights
YY2201 is a novel ATR inhibitor that effectively targets cancers with DNA damage response defects. This potent compound shows promising preclinical results, inhibiting tumor progression and demonstrating superior efficacy in lung cancer models.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- ATR is crucial for maintaining genome stability via the DNA damage response (DDR).
- ATR inhibition offers a synthetic lethality approach for treating cancers with DDR mutations or deficiencies.
- Targeting ATR presents a promising therapeutic strategy for specific cancer types.
Purpose of the Study:
- To discover and characterize YY2201, a novel and potent ATR inhibitor.
- To evaluate the preclinical efficacy and safety profile of YY2201.
- To assess YY2201's potential as a cancer therapeutic agent, both as a monotherapy and in combination therapy.
Main Methods:
- Discovery and preclinical evaluation of YY2201, a novel ATR inhibitor.
- Assessment of in vitro and in vivo anti-cancer activity across various cancer types.
- Comparative efficacy study of YY2201 versus AZD6738 in a lung cancer xenograft model.
- Evaluation of YY2201 in combination with chemotherapy in vivo.
Main Results:
- YY2201 demonstrated high potency and selectivity as an ATR inhibitor with favorable ADME, safety, and pharmacokinetic profiles.
- YY2201 effectively inhibited tumor progression in vitro and in vivo across a broad spectrum of cancers.
- YY2201 exhibited superior in vivo anticancer efficacy and a better therapeutic index than AZD6738 in a lung cancer model.
- YY2201 showed potent cancer suppression effects when combined with chemotherapy in vivo.
Conclusions:
- YY2201 is a potent and selective ATR inhibitor with promising preclinical anti-cancer activity.
- YY2201 demonstrates superior efficacy and a favorable therapeutic index compared to existing agents in preclinical models.
- YY2201 warrants further clinical investigation for the treatment of cancers with DDR defects, as evidenced by FDA approval for an IND application.
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