Discovery of a Series of 5-Azaquinazolines as Orally Efficacious IRAK4 Inhibitors Targeting MyD88L265P Mutant Diffuse Large B Cell Lymphoma

J Med Chem. 2019 Nov 14;62(21):9918-9930. doi: 10.1021/acs.jmedchem.9b01346. Epub 2019 Nov 1.

Abstract

In this article, we report the discovery of a series of 5-azaquinazolines as selective IRAK4 inhibitors. From modestly potent quinazoline 4, we introduced a 5-aza substitution to mask the 4-NH hydrogen bond donor (HBD). This allowed us to substitute the core with a 2-aminopyrazole, which showed large gains in cellular potency despite the additional formal HBD. Further optimization led to 6-cyanomethyl-5-azaquinazoline 13, a selective IRAK4 inhibitor, which proved efficacious in combination with ibrutinib, while showing very little activity as a single agent up to 100 mg/kg. This contrasted to previously reported IRAK4 inhibitors that exhibited efficacy in the same model as single agents and was attributed to the enhanced specificity of 13 toward IRAK4.

MeSH terms

  • Administration, Oral
  • Animals
  • Cell Line, Tumor
  • Drug Design
  • Female
  • Humans
  • Interleukin-1 Receptor-Associated Kinases / antagonists & inhibitors*
  • Interleukin-1 Receptor-Associated Kinases / chemistry
  • Lymphoma, Large B-Cell, Diffuse / drug therapy*
  • Lymphoma, Large B-Cell, Diffuse / genetics
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Mice
  • Models, Molecular
  • Molecular Targeted Therapy*
  • Mutation
  • Myeloid Differentiation Factor 88 / genetics*
  • Protein Conformation
  • Protein Kinase Inhibitors / administration & dosage
  • Protein Kinase Inhibitors / chemistry
  • Protein Kinase Inhibitors / pharmacokinetics
  • Protein Kinase Inhibitors / pharmacology
  • Quinazolines / administration & dosage
  • Quinazolines / chemistry*
  • Quinazolines / pharmacokinetics
  • Quinazolines / pharmacology*
  • Rats
  • Rats, Wistar
  • Structure-Activity Relationship
  • Tissue Distribution
  • Xenograft Model Antitumor Assays

Substances

  • Myeloid Differentiation Factor 88
  • Protein Kinase Inhibitors
  • Quinazolines
  • IRAK4 protein, human
  • Interleukin-1 Receptor-Associated Kinases