Pan-EGFR inhibitor targeting EGFR 19del, L858R/T790M and C797S triple-mutations: Design, synthesis, and

Luhong Wang1, Fei Xie2, Shujing Li3

  • 1Faculty of Medicine, Dalian University of Technology, Liaoning Province Key Laboratory of Protein Modification and Disease, Dalian 116024, China; School of Pharmaceutical Engineering, Key Laboratory of Structure-Based Drug Design & Discovery (Ministry of Education), Shenyang Pharmaceutical University, Shenyang 110016, China.

Bioorganic Chemistry
|August 28, 2025
PubMed

Insights

A novel compound, D10, effectively inhibits multiple epidermal growth factor receptor (EGFR) mutations, including the C797S resistance mutation in non-small cell lung cancer (NSCLC). This pan-mutant inhibitor shows potent activity and low toxicity, offering a promising new therapeutic strategy for NSCLC patients.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Molecular Biology

Background:

  • Acquired resistance via EGFR C797S mutation is a major challenge in non-small cell lung cancer (NSCLC) treatment.
  • Third-generation EGFR inhibitors are less effective against T790M-containing mutations.

Purpose of the Study:

  • To identify and characterize novel pan-mutant EGFR tyrosine kinase inhibitors.
  • To evaluate the efficacy and safety of a novel compound, D10, against various EGFR mutations.

Main Methods:

  • Synthesis and characterization of 2,4-diarylamino pyrimidine derivatives.
  • In vitro enzyme inhibition assays and cell proliferation assays.
  • Molecular docking, molecular dynamics simulations, and in vivo xenograft studies.

Main Results:

  • Compound D10 potently inhibited EGFR C797S, T790M, and other mutants (IC50 as low as 1.19 nM).
  • D10 demonstrated over 100-fold selectivity for mutant over wild-type EGFR with low toxicity.
  • In vivo studies confirmed D10's antitumor efficacy in NSCLC xenograft models with good pharmacokinetics.

Conclusions:

  • Novel 2,4-diarylamino pyrimidine derivative D10 is a potent pan-mutant EGFR inhibitor.
  • D10 effectively targets EGFR mutations, including C797S, offering a potential new treatment for NSCLC.
  • D10 exhibits favorable preclinical efficacy and safety profiles.