Design and Discovery of Novel Selective RET Inhibitors with High Central Nervous System Penetration, Enhanced

Xueyuan Wang1, Hang Miao1, Xinran Ye2

  • 1College of Life Science, Nanjing Normal University, No. 1 Wenyuan Road, Nanjing 210037, P.R. China.

PubMed

Insights

A novel RET kinase inhibitor, FHND5071, effectively targets RET-driven cancers. This compound shows potent inhibition, good pharmacokinetics, and significant antitumor activity, including in the central nervous system.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • The RET receptor tyrosine kinase plays a crucial role in tumor development when aberrantly activated through mutation, fusion, or overexpression.
  • Targeted inhibition of RET kinase presents a promising therapeutic strategy for RET-driven malignancies.

Purpose of the Study:

  • To design, synthesize, and evaluate novel selective RET kinase inhibitors.
  • To assess the efficacy and pharmacokinetic properties of a lead compound, FHND5071, in preclinical models.

Main Methods:

  • Design and synthesis of novel chemical entities targeting RET kinase.
  • In vitro biological evaluation of inhibitory activity against RET kinases and cancer cell lines.
  • Pharmacokinetic, pharmacodynamic, and in vivo efficacy studies, including central nervous system penetration assessment.

Main Results:

  • Compound FHND5071 demonstrated potent inhibition of various RET kinases and relevant cell lines.
  • FHND5071 exhibited favorable pharmacokinetics with targeted tissue distribution (lung, liver, brain) and enhanced CNS penetration.
  • Western blot analysis confirmed inhibition of RET phosphorylation and downstream signaling (ERK, AKT); FHND5071 showed significant in vivo antitumor efficacy, including intracranial activity.

Conclusions:

  • FHND5071 is a potent and selective RET kinase inhibitor with promising therapeutic potential for RET-driven cancers.
  • The compound's favorable pharmacokinetic profile and demonstrated efficacy in preclinical models, including CNS penetration, support its further development.