Significance Statement
Low-hanging drug targets have been heavily exploited and potential for target breakthroughs is rare. To further the discovery of highly promising drug candidates, we have generated Pz-1, a next-generation targeted agent that is capable of equally shutting down two cancer survival pathways. Specifically, Pz-1 is capable of equally inhibiting VEGFR2 and RET at the same therapeutic dose. Therefore, tumor vasculature is arrested in combination with the inhibition of tumor growth. Synergistic efficacy is observed at extremely small, sub-milligram per kilogram oral doses in tumor xenografts. Pz-1 was discovered with a pioneering technique called ‘Synergistic Medicinal Chemistry’, or SMC, where an agent is strategically optimized to inhibit two or more cooperating disease targets. Unlike ‘drug-repurposing’, SMC enables the successful pursuit of ‘target-repurposing’. By targeting low-hanging drug targets that display cooperation in a variety of disease states, multiple inhibition profiles can be generated for unparalleled efficacy and to preemptively overcome drug resistance.
Figure Legend
The balance of inhibitory power has been achieved by creating an inhibitor that is equally-potent on both RET and VEGFR2. In their Communication in Angewandte Chemie International Edition, B. Frett et al. report the identification of a dual RET/VEGFR2 inhibitor that has been optimized for both targets to more successfully treat malignancies. This marks the next phase of targeted therapies where multiple drivers of disease can be effectively targeted with a single agent.
Journal Reference
Eur J Med Chem. 2015 Apr 13;94:123-31.
Frett B1, McConnell N1, Smith CC2, Wang Y1, Shah NP3, Li HY4.
[expand title=”Show Affiliations”]1College of Pharmacy, Department of Pharmacology and Toxicology, The University of Arizona, Tucson, AZ 85721, USA.
2Division of Hematology/Oncology, University of California, San Francisco, CA, USA.
3Division of Hematology/Oncology, University of California, San Francisco, CA, USA; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA, USA.
4College of Pharmacy, Department of Pharmacology and Toxicology, The University of Arizona, Tucson, AZ 85721, USA; The University of Arizona Cancer Center, 1515 N Campbell Ave, Tucson, AZ 85724, USA. Electronic address: [email protected].
[/expand]Abstract
The FLT3 kinase represents an attractive target to effectively treat AML. Unfortunately, no FLT3 targeted therapeutic is currently approved. In line with our continued interests in treating kinase related disease for anti-FLT3 mutant activity, we utilized pioneering synthetic methodology in combination with computer aided drug discovery and identified low molecular weight, highly ligand efficient, FLT3 kinase inhibitors. Compounds were analyzed for biochemical inhibition, their ability to selectively inhibit cell proliferation, for FLT3 mutant activity, and preliminary aqueous solubility. Validated hits were discovered that can serve as starting platforms for lead candidates.
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