Macrocyclic Ether Solid Forms for TRK-Sparing ROS1 and ALK Inhibition

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Solution Overview

Problem

Current treatments for ROS1-positive or ALK-positive cancers, particularly in the CNS, are associated with adverse reactions such as dizziness, ataxia, paraesthesia, weight gain, and cognitive changes due to TRK inhibition, and there is a need for CNS-penetrant and TRK-sparing inhibitors to address resistance mutations. Additionally, there is a need for a scalable and efficient process to produce ROS1 and ALK inhibitors suitable for human use.

Innovation Solution

Development of crystalline and amorphous forms of heteroaromatic macrocyclic ether compounds, including free bases and salts, which serve as ROS1 and ALK inhibitors, along with methods for their preparation and pharmaceutical compositions that include these forms, to treat cancer effectively while minimizing adverse reactions.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If prior art agents are used to treat ROS1-positive or ALK-positive cancer patients, then cancer treatment is achieved, but adverse reactions occur particularly in the central nervous system

Engineering Contradiction:
Improvecancer treatment efficacyVSAvoidadverse reactions in central nervous system
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by designing the compound to have selective kinase inhibition properties - it specifically inhibits ROS1 and ALK kinases while sparing TRK kinases. This selective action allows the drug to target cancer cells expressing ROS1 or ALK fusions without affecting TRK-mediated normal physiological functions in the CNS, thereby reducing adverse reactions while maintaining cancer treatment efficacy

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent inverts the conventional approach by designing a TRK-sparing inhibitor rather than a broad-spectrum kinase inhibitor. Instead of blocking all related kinases and accepting CNS side effects, the invention selectively spares TRK kinases while inhibiting ROS1 and ALK, reversing the traditional trade-off between efficacy and safety

Inventive Principle:
Principle #13The other way round (Inversion)

2Reliability

If prior art agents are used to treat ROS1-positive or ALK-positive cancer patients, then cancer treatment is achieved, but inadequate activity against resistance mutations occurs

Engineering Contradiction:
Improvecancer treatment efficacyVSAvoidactivity against resistance mutations
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The patent applies parameter changes by optimizing the chemical structure of the compound to achieve broader kinase inhibition coverage. The specific molecular structure (Formula I) is designed to interact with multiple kinase domains including mutant forms, allowing the drug to maintain efficacy against various resistance mutations such as G2032R, D2033N, and other ROS1/ALK resistance mutations that confer resistance to prior art agents

Inventive Principle:
Principle #35Parameter changes

3Manufacturing precision

If solid forms of the compound are prepared for pharmaceutical use, then consistent API production is achieved, but manufacturing complexity increases

Engineering Contradiction:
Improveconsistent API productionVSAvoidmanufacturing process complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent applies preliminary action by pre-characterizing multiple solid forms (crystalline forms I-VI and amorphous form) of the compound with respect to their physicochemical properties, stability, and bioavailability. This preliminary characterization allows the selection of the most suitable solid form for commercial manufacturing, ensuring consistent API production while simplifying the manufacturing process by avoiding the need to develop and qualify multiple forms during production

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS12630560B2Solid forms, pharmaceutical compositions and preparation of heteroaromatic macrocyclic ether compounds
Publication Date: 2026.05.19 NUVALENT INC
  • US12630560B2 patent drawing
  • US12630560B2 patent drawing
  • US12630560B2 patent drawing

AI summary

Provided herein are solid forms comprising a compound of formula (I), or a stereoisomer, or a mixture of stereoisomers thereof, or a pharmaceutically acceptable salt thereof. Also provided herein are methods of synthesizing a compound of formula (I), pharmaceutical compositions comprising the same, and methods of treating, preventing, and managing various disorders using the compositions provided herein.