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Assessing Cellular Target Engagement by SHP2 PTPN11 Phosphatase Inhibitors
Published on: July 17, 2020
JAB-3312, a Potent Allosteric SHP2 Inhibitor That Enhances the Efficacy of RTK/RAS/MAPK and PD-1 Blockade Therapies
Di Kang1, Yanping Wang1, Yiwei Lin2
1Department of Pharmacology, Jacobio Pharmaceuticals Co., Ltd., Beijing, China.
Purpose:
Recent advances have seen the development of targeted therapeutics against the receptor tyrosine kinase (RTK)/RAS/MAPK pathway, which, when aberrantly activated, drives the malignant transformation of many cancer indications. However, the efficacy of inhibitors targeting single molecules is dampened by pathway feedback activation and acquired drug resistance. We seek to evaluate the application of JAB-3312 (sitneprotafib), a potent inhibitor of SHP2, in RTK/RAS/MAPK pathway-targeted combination therapies. Furthermore, SHP2 plays a vital role in PD-1-mediated immunosuppression. The rational combination of JAB-3312 with PD-1 blocking therapies is also explored.
Experimental Design:
Biochemical and cellular assays were applied to evaluate the potency of JAB-3312 in SHP2 inhibition. Tumor cell lines and cell line- and patient-derived xenografts were used to test different combinations of JAB-3312 with KRASG12C, MEK, EGFR, and PD-1 inhibitors.
Results:
JAB-3312 produced potent in vitro inhibition of SHP2 activity and downstream ERK phosphorylation, with IC50 values of 1.44 nmol/L and 0.68 to 4.84 nmol/L, respectively. When used in combination, JAB-3312 significantly increased the antitumor activity of the KRASG12C inhibitor glecirasib in naïve and resistant models. The combination of JAB-3312 with MEK inhibitors significantly delayed RTK signaling reactivation and enhanced tumor growth inhibition in KRAS-mutated cancer models. The JAB-3312-osimertinib combination exhibited great efficacy in osimertinib-resistant non-small cell lung cancer models. Additionally, JAB-3312 enhanced the efficacy of PD-1 blockade therapies by promoting an antitumor microenvironment. Representative cases of patients who responded to the combination therapies from two ongoing clinical trials (NCT05288205 and NCT04720976) were reported.
Conclusions:
JAB-3312 in combination with RTK/RAS/MAPK or PD-1 blockade therapies is a promising strategy that warrants further clinical investigation.
Insights
JAB-3312, a SHP2 inhibitor, shows promise in combination cancer therapies. It enhances anti-tumor activity with RTK/RAS/MAPK and PD-1 inhibitors, overcoming resistance and improving outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Immunotherapy
Background:
- Aberrant activation of the RTK/RAS/MAPK pathway drives cancer development.
- Targeted therapies face challenges due to pathway feedback and drug resistance.
- SHP2 is crucial in RTK/RAS/MAPK signaling and PD-1-mediated immunosuppression.
Purpose of the Study:
- Evaluate JAB-3312 (Sitneprotafib), a SHP2 inhibitor, in combination cancer therapies.
- Assess JAB-3312's role in overcoming resistance to RTK/RAS/MAPK pathway inhibitors.
- Explore JAB-3312's combination with PD-1 blockade for enhanced anti-tumor immunity.
Main Methods:
- Biochemical and cellular assays to determine JAB-3312 potency.
- In vitro and in vivo studies using cell lines and xenografts.
- Combination testing with KRASG12C, MEK, EGFR, and PD-1 inhibitors.
Main Results:
- JAB-3312 potently inhibits SHP2 activity and downstream signaling (ERK phosphorylation).
- Combination with JAB-3312 significantly enhanced anti-tumor activity of KRASG12C and MEK inhibitors.
- JAB-3312 improved efficacy in drug-resistant models and enhanced PD-1 blockade therapy.
Conclusions:
- JAB-3312 combined with RTK/RAS/MAPK inhibitors shows significant anti-tumor effects.
- Combining JAB-3312 with PD-1 blockade enhances anti-tumor immune response.
- JAB-3312-based combination therapies warrant further clinical investigation.
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