Discovery of selective and noncovalent diaminopyrimidine-based inhibitors of epidermal growth factor receptor containing the T790M resistance mutation

J Med Chem. 2014 Dec 11;57(23):10176-91. doi: 10.1021/jm501578n. Epub 2014 Nov 20.

Abstract

Activating mutations within the epidermal growth factor receptor (EGFR) kinase domain, commonly L858R or deletions within exon 19, increase EGFR-driven cell proliferation and survival and are correlated with impressive responses to the EGFR inhibitors erlotinib and gefitinib in nonsmall cell lung cancer patients. Approximately 60% of acquired resistance to these agents is driven by a single secondary mutation within the EGFR kinase domain, specifically substitution of the gatekeeper residue threonine-790 with methionine (T790M). Due to dose-limiting toxicities associated with inhibition of wild-type EGFR (wtEGFR), we sought inhibitors of T790M-containing EGFR mutants with selectivity over wtEGFR. We describe the evolution of HTS hits derived from Jak2/Tyk2 inhibitors into selective EGFR inhibitors. X-ray crystal structures revealed two distinct binding modes and enabled the design of a selective series of novel diaminopyrimidine-based inhibitors with good potency against T790M-containing mutants of EGFR, high selectivity over wtEGFR, broad kinase selectivity, and desirable physicochemical properties.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Amino Acid Substitution
  • Aminopyridines / chemical synthesis*
  • Aminopyridines / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Crystallography, X-Ray
  • Drug Resistance, Neoplasm*
  • ErbB Receptors / antagonists & inhibitors*
  • ErbB Receptors / genetics
  • High-Throughput Screening Assays
  • Humans
  • Lung Neoplasms / drug therapy
  • Methionine / genetics
  • Mutation
  • Protein Kinase Inhibitors / chemical synthesis*
  • Protein Kinase Inhibitors / therapeutic use
  • Threonine / genetics

Substances

  • Aminopyridines
  • Protein Kinase Inhibitors
  • Threonine
  • Methionine
  • ErbB Receptors

Associated data

  • PDB/4RJ3
  • PDB/4RJ4
  • PDB/4RJ5
  • PDB/4RJ6
  • PDB/4RJ7
  • PDB/4RJ8
  • PDB/CDK2