The present invention relates to the use of a pyrido[3,4-d]pyrimidin-8-one derivative in preventing, ameliorating or treating
lung cancer. Specifically, the present invention is not limited to a specific
KRAS mutation (G12C), and exhibited potent
cell proliferation inhibitory activity at nM levels in a wide range of RAS / RAF-driven tumor
cell lines, such as
KRAS G12V, G12S, and Q61H mutations and an NRAS Q61K
mutation. Therefore, the pan-RAF inhibitory mechanism of the present invention can effectively block various RAS / RAF downstream signaling pathways, thereby providing excellent anticancer
efficacy against a wide range of
KRAS / NRAS
mutant cancers. In addition, the present invention demonstrated superior
efficacy in overcoming complex
acquired resistance mechanisms that arise
after treatment with a KRAS G12C inhibitor (G12Ci), in the following two aspects. Specifically, the present invention exhibited significantly superior inhibitory
efficacy than existing G12C inhibitors (G12Ci) in a KRAS G12C-Y96D model including a secondary
mutation at a
drug-
binding site. In addition, the present invention exhibited superior or similar anticancer activity as compared to G12C inhibitors (G12Ci) in
signal bypass models, such as CCDC6-RET fusion. These results indicate that the simultaneous inhibitory activity of DDRs by PHI-501 neutralizes
acquired resistance by blocking bypass-activated signaling pathways, thereby overcoming
acquired resistance to existing G12C inhibitor (G12Ci) therapeutic agents. In addition, the present invention demonstrated the simultaneous
blockade of two pathways critical to the survival of KRAS-driven
cancer cells, that is, the MAPK pathway and the PI3K / AKT bypass pathway, at the
molecular level. Thus, the
phosphorylation of p-ERK (a marker for MAPK activity), p-AKT (a marker for PI3K / AKT activity), and pDDR1 was significantly and simultaneously reduced in both in-vitro and in-vivo models, demonstrating that the
dual mechanism of action functions effect