Discovery and Biological Evaluation of Novel, Potent, and Orally Available CBLB Inhibitors

Fanye Meng1, Zhongying Cao1, Jinxin Liu1

  • 1Insilico Medicine Shanghai Ltd, Suite 902, Tower C, Changtai Plaza, 2889 Jinke Road, Pudong New District, Shanghai 201203, China.

PubMed

Insights

Casitas B-lineage lymphoma-b (CBLB) is a key target in cancer immunotherapy. A novel CBLB inhibitor, compound 10, shows potent antitumor effects and enhances anti-PD-1 therapy by improving T-cell activation.

Area of Science:

  • Immunology
  • Pharmacology
  • Drug Discovery

Background:

  • Casitas B-lineage lymphoma-b (CBLB) plays a crucial role in T-cell activation and immune tolerance, making it a significant target for cancer immunotherapy.
  • Modulating CBLB activity offers a potential strategy to overcome immune suppression in the tumor microenvironment.

Purpose of the Study:

  • To identify and optimize novel inhibitors of CBLB using a structure-guided drug discovery approach.
  • To evaluate the in vivo efficacy and therapeutic potential of a lead CBLB inhibitor in combination with existing cancer therapies.

Main Methods:

  • Utilized a structure-guided drug discovery strategy based on the cocrystal structure of CBLB.
  • Conducted iterative structure-activity relationship (SAR) studies to optimize compound properties.
  • Performed in vivo studies in syngeneic mouse models to assess antitumor efficacy and combination effects.
  • Carried out pharmacokinetic/pharmacodynamic (PK/PD) analyses to understand target engagement and biomarker modulation.

Main Results:

  • Identified compound 10, a potent, orally bioavailable CBLB inhibitor with favorable ADME properties.
  • Demonstrated significant antitumor efficacy of compound 10 in syngeneic mouse models.
  • Showcased strong synergy between compound 10 and anti-PD-1 therapy, leading to enhanced tumor regression.
  • Observed induction of durable immune memory and dose-dependent modulation of downstream biomarkers.

Conclusions:

  • Compound 10 represents a promising therapeutic candidate for cancer immunotherapy, effectively inhibiting CBLB and enhancing anti-PD-1 treatment.
  • The detailed SAR elucidation provides a valuable framework for the future development of optimized CBLB inhibitors.
  • Targeting CBLB holds significant potential for improving cancer treatment outcomes by restoring T-cell function and overcoming immune tolerance.