Synthesis, and evaluation of novel low nanomolar isoindigo-based RET kinase inhibitors

Mazen Al Sulaibi1, Hamdi Nsairat1, Jalal Zahra2

  • 1Pharmacological and Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University Amman 19328 Jordan h.alnseirat@ammanu.edu.jo.

RSC Advances
|April 27, 2026
PubMed

Insights

A new isoindigo-based compound, 4c, shows potent inhibition against rearranged during transfection (RET) kinase. It effectively targets wild-type RET and the V804L gatekeeper mutation, offering a promising strategy for overcoming drug resistance in cancer therapy.

Area of Science:

  • Medicinal Chemistry
  • Oncology
  • Drug Discovery

Background:

  • Acquired resistance to kinase inhibitors is a major hurdle in targeted cancer therapy.
  • On-target mutations, like the V804L gatekeeper variant in rearranged during transfection (RET) kinase, often cause resistance to existing inhibitors.
  • Developing novel inhibitors that overcome these resistance mechanisms is crucial.

Purpose of the Study:

  • To design, synthesize, and evaluate a novel series of isoindigo-based compounds for RET kinase inhibitory activity.
  • To identify compounds effective against both wild-type RET and clinically relevant resistant mutants.
  • To explore the potential of isoindigo derivatives as next-generation RET inhibitors.

Main Methods:

  • Synthesis of a novel series of isoindigo-based compounds.
  • Biochemical (enzymatic) assays to determine inhibitory activity (IC50 values) against wild-type RET and RET V804L mutant.
  • Kinase selectivity profiling to assess off-target activity.
  • Molecular modelling to understand the structural basis of inhibition.

Main Results:

  • Compound 4c demonstrated potent low-nanomolar inhibition of wild-type RET kinase (IC50 = 13.7 nM).
  • Compound 4c retained and even enhanced potency against the RET V804L gatekeeper mutant (IC50 = 5.2 nM).
  • 4c exhibited favorable selectivity, with negligible activity against c-KIT, and molecular modelling provided a structural rationale for its enhanced potency against the V804L mutant.

Conclusions:

  • Compound 4c is identified as an early lead isoindigo-based RET inhibitor with promising biochemical potency.
  • The compound shows potential for overcoming resistance mediated by the RET V804L gatekeeper mutation.
  • Further cell-based validation is necessary to confirm the translational potential of compound 4c in cancer therapy.