Mesaros Eugen F, Ott Gregory R, Dorsey Bruce D
Teva Branded Pharmaceutical Products R&D, Inc. , 145 Brandywine Parkway, West Chester, PA 19380 , USA +1 610 738 6168 ;
Expert Opin Ther Pat. 2014 Apr;24(4):417-42. doi: 10.1517/13543776.2014.877890. Epub 2014 Jan 30.
Anaplastic lymphoma kinase (ALK), a receptor tyrosine kinase from the insulin receptor superfamily, is implicated in the oncogenesis of numerous cancers including anaplastic large-cell lymphoma, non-small-cell lung cancer, diffuse large B-cell lymphoma, inflammatory myofibroblastic tumors, glioblastoma, as well as neuroblastoma. The root cause for these specific cancers has been identified as aberrant ALK kinase activity, which has been shown to be associated with specific gene translocations, single-point mutations, gene amplification and/or overexpression. The direct inhibition of ALK with small-molecule inhibitors represents a viable therapeutic intervention that has achieved clinical proof of concept.
Small-molecule ALK inhibitors covered in the patent literature from 2010 to September 2013 are described. Relevant peer-reviewed journal articles that describe discovery and development of the above-identified ALK inhibitors are also discussed. Keyword-based (e.g., ALK, anaplastic lymphoma kinase) literature searches were conducted in Scifinder®.
Novel ALK inhibitors continued to be discovered at a fast pace over the covered period, with many distinct chemotypes emerging. Crizotinib received FDA approval in 2011, and six additional ALK inhibitors have entered clinical trials. The focus of ALK research appears to have shifted toward inhibitors that display activity against resistant mutants unearthed in clinical studies with crizotinib.
间变性淋巴瘤激酶(ALK)是胰岛素受体超家族中的一种受体酪氨酸激酶,与多种癌症的发生有关,包括间变性大细胞淋巴瘤、非小细胞肺癌、弥漫性大B细胞淋巴瘤、炎性肌纤维母细胞瘤、胶质母细胞瘤以及神经母细胞瘤。这些特定癌症的根本原因已被确定为ALK激酶活性异常,已证明其与特定基因易位、单点突变、基因扩增和/或过表达有关。用小分子抑制剂直接抑制ALK代表了一种可行的治疗干预措施,已获得临床概念验证。
描述了2010年至2013年9月专利文献中涉及的小分子ALK抑制剂。还讨论了描述上述ALK抑制剂发现和开发的相关同行评审期刊文章。在Scifinder®中进行了基于关键词(如ALK、间变性淋巴瘤激酶)的文献检索。
在涵盖期间,新型ALK抑制剂继续以较快速度被发现,出现了许多不同的化学类型。克唑替尼于2011年获得美国食品药品监督管理局(FDA)批准,另外六种ALK抑制剂已进入临床试验。ALK研究的重点似乎已转向对在克唑替尼临床研究中发现的耐药突变体具有活性的抑制剂。