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鉴定临床候选物 (),一种高效且能穿透血脑屏障的 BRAF 抑制剂,用于癌症治疗。

Identification of the Clinical Candidate (), a Highly Potent and Brain Penetrant BRAF Inhibitor for the Treatment of Cancer.

机构信息

Enliven Therapeutics, Boulder, Colorado 80301, United States.

Pfizer Boulder R&D, Boulder, Colorado 80301, United States.

出版信息

J Med Chem. 2024 Aug 8;67(15):13019-13032. doi: 10.1021/acs.jmedchem.4c00998. Epub 2024 Jul 30.

Abstract

Mutant BRAF is one of the most common oncogenic drivers in metastatic melanoma. While first generation BRAF inhibitors are capable of controlling tumors systemically, they are unable to adequately treat tumors that have metastasized to the brain due to insufficient penetration across the blood-brain barrier (BBB). Through a combination of structure-based drug design (SBDD) and the optimization of physiochemical properties to enhance BBB penetration, we herein report the discovery of the brain-penetrant BRAF inhibitor () In mice studies, proved to be highly brain-penetrant and was able to drive regressions of A375 BRAF tumors implanted both subcutaneously and intracranially. Based on compelling preclinical safety and efficacy studies, was progressed into a Phase 1 A/B clinical trial (NCT04543188).

摘要

突变 BRAF 是转移性黑色素瘤中最常见的致癌驱动基因之一。第一代 BRAF 抑制剂能够系统性地控制肿瘤,但由于血脑屏障(BBB)通透性不足,无法充分治疗转移到大脑的肿瘤。通过基于结构的药物设计(SBDD)和优化物理化学性质以增强 BBB 通透性的组合,我们在此报告发现了穿透大脑的 BRAF 抑制剂()。在小鼠研究中,证明具有很高的脑穿透性,能够驱动皮下和颅内植入的 A375 BRAF 肿瘤的消退。基于令人信服的临床前安全性和疗效研究,已将推进到 1 期 A/B 临床试验(NCT04543188)。

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