Structural Optimization of Next-Generation TRK Inhibitors against Acquired Drug Resistance Mutations for the Treatment of Solid Tumors

First-generation TRK inhibitors have been effectively employed in clinical oncology treatments. However, acquired resistance frequently develops, primarily attributed to resistant TRK mutants, particularly the prevalent xDFG TRKA<sup>G667C</sup> mutation. Herein, we unveil the design of novel next-generation TRK inhibitors by leveraging a conformational restriction strategy, beginning with lead compound <b>7</b>, which was previously discovered by our team. Among them, compound <b>10o</b> exhibited superior antiproliferative activity in the Ba/F3-MPRIP-TRKA<sup>G667C</sup> cell line compared to <b>selitrectinib,</b> one of the most advanced selective next-generation TRK inhibitors, and it potently inhibited TRK kinase activity with high selectivity. Furthermore, <b>10o·HCl</b> showed promising pharmacokinetic profiles with good oral bioavailability in mice. <i>In vivo</i> treatment with <b>10o·HCl</b> led to a marked delay in tumor growth in a Ba/F3-MPRIP-TRKA<sup>G667C</sup> subcutaneous tumor model. Thus, our work offers valuable insights for the development of next-generation TRK inhibitors.

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Publication Details

Journal
Journal of Medicinal Chemistry
Published
2025-05-29
DOI
https://doi.org/10.1021/acs.jmedchem.5c00412
Citations
3
Primary Topic
Cancer Mechanisms and Therapy
Type
article
Field-Weighted Citation Impact
4.41

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article

Structural Optimization of Next-Generation TRK Inhibitors against Acquired Drug Resistance Mutations for the Treatment of Solid Tumors

Zichao Xu, Dongze Lin, Xutong Li, Meiyu Geng et al.
3 citations
Journal of Medicinal Chemistry
Cancer Mechanisms and Therapy
4.41
article

Structural Optimization of Next-Generation TRK Inhibitors against Acquired Drug Resistance Mutations for the Treatment of Solid Tumors

Zichao Xu, Dongze Lin, Xutong Li, Meiyu Geng, Yueling Liu, Chunpu Li, Mingyue Zheng, Shanyuan Chen, Hong Shu Liu, Jiawei Cheng, Jian Zhao, Zhiyang Xu, Jing Ai, Peng Xia, Yinchun Ji, Peng Wang
article en
3 citations

Abstract

First-generation TRK inhibitors have been effectively employed in clinical oncology treatments. However, acquired resistance frequently develops, primarily attributed to resistant TRK mutants, particularly the prevalent xDFG TRKA<sup>G667C</sup> mutation. Herein, we unveil the design of novel next-generation TRK inhibitors by leveraging a conformational restriction strategy, beginning with lead compound <b>7</b>, which was previously discovered by our team. Among them, compound <b>10o</b> exhibited superior antiproliferative activity in the Ba/F3-MPRIP-TRKA<sup>G667C</sup> cell line compared to <b>selitrectinib,</b> one of the most advanced selective next-generation TRK inhibitors, and it potently inhibited TRK kinase activity with high selectivity. Furthermore, <b>10o·HCl</b> showed promising pharmacokinetic profiles with good oral bioavailability in mice. <i>In vivo</i> treatment with <b>10o·HCl</b> led to a marked delay in tumor growth in a Ba/F3-MPRIP-TRKA<sup>G667C</sup> subcutaneous tumor model. Thus, our work offers valuable insights for the development of next-generation TRK inhibitors.

Journal of Medicinal ChemistryVol. 68(11)
Xinjiang Medical University (CN), China Pharmaceutical University (CN), Chinese Academy of Sciences (CN), ShanghaiTech University (CN), Shanghai Institute of Materia Medica (CN), Advanced Research Institute (US), Institute for Advanced Study (DE), University of Chinese Academy of Sciences (CN)
National Natural Science Foundation of China, Youth Innovation Promotion Association of the Chinese Academy of Sciences, National Key Research and Development Program of China, Shanghai Institute of Materia Medica, Chinese Academy of Sciences
Good health and well-being
Openalex Percentile: Top 6%
Cancer Mechanisms and Therapy
4.41
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