Latif Muhammad, Ashraf Zaman, Basit Sulman, Ghaffar Abdul, Zafar Muhammad Sohail, Saeed Aamer, Meo Sultan Ayoub
College of Medicine, Centre for Genetics and Inherited Diseases (CGID), Taibah University Al-Madinah Al-Munawwarah Kingdom of Saudi Arabia
Department of Chemistry, Allama Iqbal Open University Islamabad 44000 Pakistan.
RSC Adv. 2018 May 4;8(30):16470-16493. doi: 10.1039/c8ra01934g. eCollection 2018 May 3.
The course of anaplastic lymphoma kinase (ALK)-rearranged non-small-cell lung cancer (NSCLC) therapy has improved impressively. The Food and Drug Administration (FDA) has approved crizotinib (Xalkori, Pfizer) as a first-in-class tyrosine kinase inhibitor (TKI) that demonstrated a substantial objective response rate (ORR) and remarkable progression-free survival (PFS). However, acquired resistance to crizotinib is still a major concern especially as the central nervous system (CNS) remains the most common sites of relapse. To combat disease resistance, limited PFS and poor CNS exposure exhibited by crizotinib (Xalkori, Pfizer) led to the discovery of numerous next generation ALK-TKIs and surprisingly most of them are 2,4-Diarylaminopyrimidine Analogues (DAAPalogues). To date, DAAPalogues have been investigated extensively to display their superior potency against numerous kinase targets especially ALK/ROS1. This review describes hit-to-drug evolution strategies, activity spectra, milestones related to medicinal chemistry discovery efforts and scalable synthetic pathways of clinically emerging DAAPalouges which are either progressing as investigational or preclinical candidates. In addition, the significance of DAAPalogues to treat the patients with ALK-NSCLC in clinical settings has been detailed. This review is beneficial for medicinal chemists and researchers contributing to discovering ALK-TKIs to overcome existing issues related to DAAPalouges in the drug discovery process.
间变性淋巴瘤激酶(ALK)重排的非小细胞肺癌(NSCLC)的治疗进程有了显著改善。美国食品药品监督管理局(FDA)已批准克唑替尼(赛可瑞,辉瑞公司)作为一类首创的酪氨酸激酶抑制剂(TKI),该药显示出较高的客观缓解率(ORR)和显著的无进展生存期(PFS)。然而,对克唑替尼产生获得性耐药仍然是一个主要问题,尤其是中枢神经系统(CNS)仍是最常见的复发部位。为了对抗疾病耐药性,克唑替尼(赛可瑞,辉瑞公司)表现出的有限的无进展生存期和较差的中枢神经系统暴露促使人们发现了众多下一代ALK-TKI,令人惊讶的是,其中大多数是2,4-二芳基氨基嘧啶类似物(DAAPalogues)。迄今为止,DAAPalogues已被广泛研究,以显示其对众多激酶靶点尤其是ALK/ROS1的卓越效力。本综述描述了从苗头化合物到药物的研发策略、活性谱、与药物化学发现工作相关的里程碑以及临床上正在出现的DAAPalouges的可扩展合成途径,这些DAAPalouges要么作为研究性候选药物,要么作为临床前候选药物正在取得进展。此外,还详细阐述了DAAPalogues在临床环境中治疗ALK-NSCLC患者的意义。本综述对致力于发现ALK-TKI以克服药物发现过程中与DAAPalogues相关的现有问题的药物化学家及研究人员有益。