Damage Incorporated: Discovery of the Potent, Highly Selective, Orally Available ATR Inhibitor BAY 1895344 with Favorable Pharmacokinetic Properties and Promising Efficacy in Monotherapy and in Combination Treatments in Preclinical Tumor Models

J Med Chem. 2020 Jul 9;63(13):7293-7325. doi: 10.1021/acs.jmedchem.0c00369. Epub 2020 Jun 28.

Abstract

The ATR kinase plays a key role in the DNA damage response by activating essential signaling pathways of DNA damage repair, especially in response to replication stress. Because DNA damage and replication stress are major sources of genomic instability, selective ATR inhibition has been recognized as a promising new approach in cancer therapy. We now report the identification and preclinical evaluation of the novel, clinical ATR inhibitor BAY 1895344. Starting from quinoline 2 with weak ATR inhibitory activity, lead optimization efforts focusing on potency, selectivity, and oral bioavailability led to the discovery of the potent, highly selective, orally available ATR inhibitor BAY 1895344, which exhibited strong monotherapy efficacy in cancer xenograft models that carry certain DNA damage repair deficiencies. Moreover, combination treatment of BAY 1895344 with certain DNA damage inducing chemotherapy resulted in synergistic antitumor activity. BAY 1895344 is currently under clinical investigation in patients with advanced solid tumors and lymphomas (NCT03188965).

MeSH terms

  • Administration, Oral
  • Animals
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / pharmacokinetics*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology
  • Ataxia Telangiectasia Mutated Proteins / antagonists & inhibitors*
  • Ataxia Telangiectasia Mutated Proteins / chemistry
  • Ataxia Telangiectasia Mutated Proteins / metabolism
  • Biological Availability
  • Carboplatin / administration & dosage
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Crystallography, X-Ray
  • Cytochrome P-450 CYP2C8 Inhibitors / chemistry
  • Cytochrome P-450 CYP2C8 Inhibitors / pharmacology
  • DNA Repair / drug effects
  • Dogs
  • Drug Discovery
  • Drug Screening Assays, Antitumor
  • Drug Stability
  • Female
  • Humans
  • Mice, SCID
  • Microsomes, Liver / drug effects
  • Morpholines / administration & dosage*
  • Morpholines / chemistry
  • Morpholines / pharmacokinetics*
  • Pyrazoles / administration & dosage*
  • Pyrazoles / chemistry
  • Pyrazoles / pharmacokinetics*
  • Rats, Wistar
  • Structure-Activity Relationship
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • BAY 1895344
  • Cytochrome P-450 CYP2C8 Inhibitors
  • Morpholines
  • Pyrazoles
  • Carboplatin
  • ATM protein, human
  • ATR protein, human
  • Ataxia Telangiectasia Mutated Proteins

Associated data

  • ClinicalTrials.gov/NCT03188965