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Pharmaceutical application of third-generation EGFR inhibitor

A technology of inhibitors and uses, applied in the field of clinical medicine, can solve problems such as insurmountable drug resistance and limited application

Pending Publication Date: 2020-01-07
SHANGHAI HANSOH BIOMEDICAL +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, in clinical application, the second-generation EGFR TKI as monotherapy cannot overcome the drug resistance mediated by EGFR T790M in patients
Although it has shown potent inhibitory effect on EGFR T790M in preclinical experiments, its clinical application is limited by non-selective inhibition of wild-type EGFR leading to dose-limiting toxicity
[0005] Therefore, it is an unmet medical need to develop a new generation of highly selective small-molecule inhibitors against EGFR T790M mutants to reduce the toxic and side effects caused by EGFR wild-type inhibition

Method used

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  • Pharmaceutical application of third-generation EGFR inhibitor
  • Pharmaceutical application of third-generation EGFR inhibitor
  • Pharmaceutical application of third-generation EGFR inhibitor

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0041] Example 1 EGFR enzymatic experimental study

[0042] 1. EGFR mutant enzymology experiment:

[0043] Preparation: Compounds were dissolved in DMSO, and the highest concentration of compounds detected was 100 nM, 3-fold dilution, a total of ten concentrations.

[0044] Methods: In this experiment, fluorescence resonance energy transfer (TR-FRET) method was used to test the inhibitory effect of compounds on T790M, Del, L858R, T790M / Del19 and T790M / L858R mutant EGFR enzymes, and half of the compounds' activity on the enzyme was obtained. Inhibitory concentration IC 50 .

[0045] 1) Add 1-5 μL of EGFR mutant enzyme solution to the 384-well plate, and the final concentration of the enzyme is 0.1-1 nM.

[0046] 2) Add 1-5 μL of the compound solution diluted in gradient.

[0047] 3) Incubate at room temperature for 10 minutes.

[0048] 4) Add 1-5 μL of the substrate mixture containing the final concentration of substrate polypeptide of 5-50 nM and the final concentration of ...

Embodiment 2

[0070] Example 2 Study on the inhibitory effect of the compound on the proliferation of mutant and wild-type cells

[0071] Preparation: Compounds were dissolved in DMSO, and the highest concentration of compounds detected was 1000 nM, 3-fold dilution, a total of 9 concentrations.

[0072] Methods: In this experiment, the method of CellTiter-Glo was used to test compounds against HCC827 (Del19), PC9 (Del19), NCI-H1975 (T790M / L858R), PC9-GR (T790M / Del19) and wild-type human epidermal cell carcinoma cell line A431 Inhibitory effect of cell proliferation, and obtain the half inhibitory concentration IC of compound inhibiting cell proliferation activity 50 .

[0073] 1) Inoculate 90 μL of cell suspension in a 96-well cell culture plate at a density of 1 to 5×10 3 cells / ml, the culture plate was cultured in an incubator for 16-24 hours (37°C, 5% CO2).

[0074] 2) Add the solution of the compound to be tested at different concentrations diluted by gradient to the cells of the cul...

Embodiment 3

[0082] Example 3 Animal Model Clinical Trials

[0083] In a nude mouse tumor model, the compounds of formula I potently inhibited tumor growth in EGFR T790M-mutated NSCLC H1975 and LU1868 cell lines, and also inhibited tumor growth in EGFR-sensitive mutant NSCLC HCC827 cell lines.

[0084] In the high-dose 20 mg / kg group, the compound of formula I or a pharmaceutically acceptable salt thereof caused almost complete regression of EGFR-mutated tumors. The compound of formula I has weak inhibitory effect on the WT EGFR A431 cell line, suggesting that the compound of formula I has better safety than other EGFR inhibitors (data not shown). The compound of formula I potently and specifically inhibits the resistance mutation of EGFR T790 but has a weak effect on WT EGFR, which fully reflects the characteristics of a new generation of EGFR inhibitors.

[0085] Purpose:

[0086] The in vivo pharmacodynamic experiments confirmed that the compound has a good therapeutic effect on local...

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Abstract

The invention relates to pharmaceutical application of a third-generation EGFR inhibitor, and particularly provides a compound as a formula I (please see the specifications for the formula I) or application of a pharmaceutical salt of the compound to preparation of a drug for treating locally advanced or metastatic non-small-cell lung cancer. The compound as the formula I or the pharmaceutical salt of the compound has the good curative effect on locally advanced or metastatic non-small-cell lung cancer.

Description

technical field [0001] The invention relates to the field of clinical medicine and the field of pharmacy; in particular, it relates to the use of a third-generation EGFR inhibitor for preparing a drug for treating non-small cell lung cancer. Background technique [0002] As first-generation tyrosine kinase inhibitors (TKIs), gefitinib and erlotinib are most effective in selected patients with advanced non-small cell lung cancer (NSCLC). These patients have recurrent somatic activating mutations in exons encoding the epidermal growth factor receptor (EGFR) domain. Tumor patients with these activating mutations (EGFRm+) represent approximately 10% to 17% in Western populations and 30% to 50% in Asian populations. EGFRm+ patients usually show good initial responses to first-generation TKIs. However, most patients develop acquired resistance (AR) after 9-14 months of treatment, leading to disease progression. Furthermore, these first-generation TKIs were associated with side ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61K31/506A61P35/00
CPCA61K31/506A61P35/00
Inventor 孙长安杨勇史先胜王生斌
Owner SHANGHAI HANSOH BIOMEDICAL