Showing posts with label pan-AKT Inhibitor. Show all posts
Showing posts with label pan-AKT Inhibitor. Show all posts

Tuesday, June 9, 2015

Drugs in Clinical Pipeline: AT7867

AT7867 [4-(4-(1H-pyrazol-4-yl)phenyl)-4-(4-chlorophenyl)piperidine] is an ATP-competitive small molecule inhibitor of all three AKT isoforms with nanomolar potency. The inhibition values were confirmed using isolated enzyme assays (IC50 AKT1, AKT2, AKT3 = 32, 17, 47 nM, respectively). AT7867 also displayed potent activity against the structurally related AGC kinases p70S6K (IC50 = 85 nM) and PKA (IC50 = 20 nM) but showed a clear selectivity against kinases from other kinase subfamilies (CDK2, EGFR, SRC, etc all have IC50’s greater than 1000 nM). AT7867 was discovered using fragment-based screening combined with structure-based design and was previously called compound 8a by Saxty et. al [1]. The molecule is a pyrazole, linked via the 4-position to a geminally substituted 4,4-biaryl piperidine, with the terminal aromatic group incorporating a para-chloro substituent (Fig. 1A). The compound is further distinguished by its relatively low molecular weight of 337 Da [2].

AT7867 potently inhibits both AKT and p70S6K activity at the cellular level, as measured by inhibition of GSK3β and S6 ribosomal protein phosphorylation, and also causes growth inhibition in a range of human cancer cell lines as a single agent. The novel strategy of AKT and p70S6K blockade may have therapeutic value and supports further evaluation of AT7867 as a single-agent anticancer strategy.

The activity of AT7867 is as follows:

IC50 (AKT1 enzyme assay) = 32 nM
IC50 (AKT2 enzyme assay) = 17 nM
IC50 (AKT3 enzyme assay) = 47 nM

Common Name: AT7867
Synonyms:  AT7867; AT-7867; AT 7867
IUPAC Name: 4-(4-(1H-pyrazol-4-yl)phenyl)-4-(4-chlorophenyl)piperidine
CAS Number: 857531-00-1
SMILES: -
Mechanism of Action: Kinase Inhibitor; pan-AKT Inhibitor
Indication: Various Cancers; Anti-tumor Therapy
Development Stage: Pre-Clinical
Company: Astex Therapeutics


AKT (also known as protein kinase B) is a serine/threonine kinase that lies downstream of phosphatidylinositol 3-kinase (PI3K) and plays a key role in a range of cellular functions, including cell growth, proliferation, metabolism, and survival. Three closely related isoforms of AKT with overlapping cellular functions have been identified, termed AKT1, AKT2, and AKT3.The activation of AKT is antagonized by the tumor suppressor PTEN (phosphatase and tensin homologue on chromosome 10) through the dephosphorylation of phosphatidylinositol (3,4,5)-trisphosphate. There are numerous proteins downstream of AKT which, when phosphorylated, participate in the regulation of critical cellular processes, including growth, proliferation, metabolism, and survival. Those involved in cell growth include p70 S6 kinase (p70S6K), S6 ribosomal protein (S6RP), and the mammalian target of rapamycin complex 1, whereas cell proliferation and metabolism are regulated through GSK3β phosphorylation. A number of proapoptotic proteins, including BAD, caspase-9, and the forkhead family of transcription factors, enable AKT to regulate cell survival. Importantly, negative feedback loops have been described, which link proteins downstream of AKT with those upstream or with AKT itself [2].

Aberrations along the PI3K/AKT pathway have been shown to drive a range of malignancies through mechanisms including activation of upstream receptor tyrosine kinases, PIK3CA mutations, PTEN mutations, AKT amplifications and mutations, and overexpression and hyperactivation of AKT proteins themselves. Thus, the pharmacologic ablation of AKT activity represents a rational approach to anticancer therapy. Moreover, PI3K/AKT pathway activation is a frequent hallmark of tumors resistant to treatment with chemotherapy or targeted therapies, such as growth factor inhibitors. Therefore, AKT inhibition in these tumor types may also have therapeutic value either as monotherapy or in rational combinations with other antitumor agents.

The inhibition of AKT2 by AT7867 was shown to be ATP-competitive with a Ki of 18 nM. Binding at the ATP site was confirmed by determining the three-dimensional structure of the AT7867-AKT2 complex using X-ray crystallography. The structure revealed that AT7867 fulfills a three-point pharmacophore required for potent binding to AKT2, forming hydrogen bonding interactions with the kinase hinge region, electrostatic interactions with the ribose site, and hydrophobic contacts with a lipophilic pocket in the glycine-rich loop [2]. Moreover, pharmacokinetic studies showed that potentially active concentrations of AT7867 could be achieved in plasma and tumor after 20 mg/kg i.p. or 90 mg/kg p.o. reflecting the relatively high oral bioavailability of AT7867.

AT7867 inhibits the proliferation of a range of human tumor cell lines. It is interesting to note that, whereas the IC50 for growth inhibition varied 12-fold (1-12 µM), the IC50 for GSK3β phosphorylation was much more consistent (2-4.5 µM) across the same cell line panel. Further detailed studies in the PTEN-deficient human glioblastoma U87MG cell line showed that AT7867 caused both a concentration-dependent and time-dependent reduction in the phosphorylation of proteins downstream of AKT, including the AKT substrate GSK3β and p70S6K target S6RP. It is an intriguing possibility that the combined effects of targeting p70S6K and AKT with this compound may serve to improve its therapeutic potential by delivering a double vertical blockade to the pathway.

References:
1.    Saxty, G.; et. al. Identification of inhibitors of protein kinase B using fragment-based lead discovery. J Med Chem 2007, 50(10), 2293-2296.
2.    Grimshaw, K. M.; et. al. AT7867 is a potent and oral inhibitor of AKT and p70 S6 kinase that induces pharmacodynamic changes and inhibits human tumor xenograft growth. Mol Cancer Ther 2010, 9(5), 1100-1110.

Tuesday, May 19, 2015

Drugs in Clinical Pipeline: MK-2206

MK-2206 [8-[4-(1-aminocyclobutyl)phenyl]-9-phenyl-1,2,4-triazolo[3,4-f] [1,6]naphthyridin-3(2H)-one] is an oral, highly selective allosteric inhibitor of AKT (protein kinase B [PKB]). MK-2206 binds at a site in the pleckstrin-homology (PH) domain, distinct from the ATP-binding pocket, resulting in a conformational change that prevents the localization of AKT to the plasma membrane and its subsequent activation. It displays nanomolar (nM) potency against all 3 AKT isoforms (AKT1, IC50 = 5 nM; AKT2, IC50 = 12 nM; AKT3, IC50 = 65 nM) [1,2].

In vitro, MK-2206 demonstrated synergy with both erlotinib and lapatinib in inhibiting proliferation and inducing apoptosis of non-small cell lung (NSCLC) cell lines, including those that were RAS mutant, and breast cancer cell lines. Treatment with erlotinib inhibited EGFR and pERK phosphorylation of the RAF-RAS-MEK pathway in the A431 cell line and mouse NCI-H292 tumor xenografts and the combination with MK-2206 resulted in decreased levels of pAKT and pRAS40. pAKT and pRAS40 levels were not affected by erlotinib singularly. The inhibition of both pathways led to more profound inhibition of pGSK3b and pS6, which are downstream signaling proteins that correlate with cell growth and survival. The combination also demonstrated significantly greater in vivo tumor growth suppression and tumor regressions over each single agent using both a 3 times per week and QW schedule of MK-2206 in the mouse tumor xenografts [3].

In vitro, MK-2206 demonstrated synergy with several conventional cytotoxics, including carboplatin and docetaxel, in inhibiting the growth of NCI-H292 and A2780 tumor cells. Carboplatin-induced apoptosis was also enhanced by MK-2206 in a sequence-dependent manner: concurrent treatment or pretreatment with carboplatin induced A2780 cell death in a dose-dependent manner, whereas pretreatment with MK-2206 did not. In vivo, MK-2206 synergised with docetaxel, carboplatin, and gemcitabine in inhibiting the growth of PC-3 prostate and NCI-H462 tumor xenografts with a similar-sequence dependent pattern as for carboplatin in vitro [3].

The activity of MK-2206 is as follows:

IC50 (AKT1 enzyme assay) = 5 nM
IC50 (AKT2 enzyme assay) = 12 nM
IC50 (AKT2 enzyme assay) = 65 nM

Common Name: MK-2206
Synonyms:  MK-2206; MK2206; MK 2206
IUPAC Name: 8-[4-(1-aminocyclobutyl)phenyl]-9-phenyl-1,2,4-triazolo[3,4-f] [1,6]naphthyridin-3(2H)-one
CAS Number: 1032349-93-1; 1032349-77-1 (hydrochloride); 1032350-13-2 (dihydrochloride)
SMILES: C1CC(C1)(C2=CC=C(C=C2)C3=C (C=C4C(=N3)C=CN5C4=NNC5=O) C6=CC=CC=C6)N
Mechanism of Action: Kinase Inhibitor; AKT Inhibitor
Indication: Various Cancers; Anti-tumor Therapy
Development Stage: Phase II
Company: Merck


References:
1. Yan, L. A potent allosteric AKT inhibitor. AACR 2009, abstract DDT01-1.
2. Molife, L. R.; et. al. Phase 1 trial of the oral AKT inhibitor MK-2206 plus carboplatin/paclitaxel, docetaxel, or erlotinib in patients with advanced solid tumors. J Hematol Oncol 2014, 7, 1.
3. Hirai, H.; et. al. MK-2206, an allosteric Akt inhibitor, enhances antitumor efficacy by standard chemotherapeutic agents or molecular targeted drugs in vitro and in vivo. Mol Cancer Ther 2010, 9(7), 1956-1967.

Thursday, May 7, 2015

Drugs in Clinical Pipeline: Afuresertib

Afuresertib [N-((S)-1-amino-3-(3-fluorophenyl)propan-2-yl)-5-chloro-4-(4-chloro-1-methyl-1H-pyrazol-5-yl)thiophene-2-carboxamide] is an orally available, ATP-competitive, pan-AKT kinase inhibitor. Cells treated with Afuresertib show decreased phosphorylation of several substrates downstream of AKT. Afuresertib has desirable pharmaceutical properties and daily oral dosing results in a sustained inhibition of AKT activity as well as inhibition of tumor growth in several mouse tumor models of various histologic origins.

Afuresertib is also time dependant and fully reversible inhibitors of the AKT kinase family with Ki of 0.08, 2 and 2.6 nM against AKT1, AKT2 and AKT3, respectively. It is in Phase I human trials.

The activity of Afuresertib is as follows:

Ki (AKT1 enzyme assay) = 0.08 nM
Ki (AKT2 enzyme assay) = 2 nM
Ki  (AKT3 enzyme assay) = 2.6 nM

Common Name: Afuresertib
Synonyms:  GSK GSK-2110183; GSK 2110183; GSK2110183; GSK-2110183B; GSK 2110183B; GSK2110183B
IUPAC Name: N-((S)-1-amino-3-(3-fluorophenyl)propan-2-yl)-5-chloro-4-(4-chloro-1-methyl-1H-pyrazol-5-yl)thiophene-2-carboxamide
CAS Number: 1047644-62-1; 1047645-82-8 (hydrochloride)
Mechanism of Action: Kinase Inhibitor; pan-AKT Inhibitors
Indication: Various Cancers; Solid Tumors
Development Stage: Phase I
Company: GlaxoSmithKline

The AKTs are a family of serine-threonine kinases and an integral component in the signaling cascade downstream of PI3K and PTEN which work to catalyze the formation of PIP3 membrane lipids from PIP2 and back, respectively. PIP3 lipids tether the AKT kinases to the membrane via their plextrin homology domain which enables activation by phosphorylation on Thr308 by PDK1 and Ser473 by the mTORC2 complex. Activated AKT phosphorylates a variety of proteins (e.g. FOXO, TSC1/2, PRAS40, GSK3β) involved in cell survival, growth and proliferation. Given the importance of this pathway in various cancers, a number of small molecules targeting PI3K with and without mTOR inhibition are being evaluated in patients. Several AKT inhibitors have also entered clinical development; however some of them block activation of AKT rather than inhibiting kinase activity.Activation of the PI3K-AKT pathway is common in many human malignancies leading to an increase in cell survival, growth and proliferation; all necessary hallmarks of a cancer cell. This pathway is up-regulated in cancer cells as a result of a variety of genetic alterations including over-expression of or activating mutations in receptor tyrosine kinases (e.g. ERBB2 or MET), activating mutations in PI3K subunits, loss or promoter methylation of PTEN and over-expression of or mutations in the AKTs.

Afuresertib inhibit the kinase activity of the E17K AKT 1 mutant protein in a standard kinase assay with EC50 of 0.2 nM. Afuresertib was tested against a diverse panel of kinase assays at GlaxoSmithKline and Millipore. Initially, the compounds were tested at 0.5 and 10 µM in all available kinase assays and were followed up with full IC50 curves against a subset of enzymes that showed strong inhibition against 0.5 µM, for which in-house assay were not available. Kinase selectivity was evaluated at 0.5 and 10 µM compound concentration against a panel of 261 different kinase assays, including more than 225 unique kinases together with some mutant forms and some orthologs from mouse, rat or yeast origin. The majority of the enzymes tested (~90%) showed more than 50% inhibition at 0.5 µM of both compounds. Most of the enzymes that were inhibited greater than 50% at 0.5 µM belonged to the AGC family including PKA, PKC, and PKG isoforms. IC50 values were generated for some enzymes (PKA, PKCβ1, PKCβ2, PKG1α, PKG1β = 1.3, 430, greater than 1000, 0.9, 4.0 nM, respectively) [1]. 

Oral administration of Afuresertib to mice delays the growth of various human tumor xenografts in a dose-dependent manner. Afuresertib potently inhibits cell proliferation of various cell lines derived from hematologic malignancies, as tested in a 3-day proliferation assay. The frequency of sensitivity was particularly high in T-cell acute lymphoblastic leukemia (T-ALL; 19 of 20), B-cell ALL (B-ALL; 9 of 13), chronic lymphocytic leukemia (CLL; 6 of 7), and non-Hodgkin lymphoma (NHL; 8 of 11) cell lines (with median effective concentration greater than 1 uM) [2].

Phase I Study

An open-label phase 1 study to evaluate the maximum tolerated dose (MTD), safety, pharmacokinetics, and clinical activity of afuresertib-an oral AKT inhibitor-in patients with advanced hematologic malignancies is reported [2]. 

Methodology

Seventy-three patients were treated at doses ranging from 25 to 150 mg per day. The MTD was established at 125 mg per day because of 2 dose-limiting toxicities in the 150-mg cohort (liver function test abnormalities). The most frequent adverse events were nausea (35.6%), diarrhea (32.9%), and dyspepsia (24.7%). Maximum plasma concentrations and area under the plasma concentration-time curves from time 0 to 24 hours were generally dose proportional at greater than 75-mg doses; the median time to peak plasma concentrations was 1.5 to 2.5 hours post dose, with a half-life of approximately 1.7 days. Three multiple myeloma patients attained partial responses; an additional 3 attained minimal responses. Clinical activity was also observed in non-Hodgkin lymphoma, Langerhan's cell histiocytosis, and Hodgkin disease. 

Results

Single-agent afuresertib showed a favorable safety profile and demonstrated clinical activity against hematologic malignancies, including multiple myeloma.


Phase I Study in Combination with Trametinib

To identify the maximum tolerated dose (MTD) and recommended Phase II dose of MEK/AKT inhibitor combination of trametinib and afuresertib [6].

Methodology

Eligibility criteria were advanced solid tumors, 18 years or older, Eastern Cooperative Oncology Group performance status 0 or 1, and adequate organ function. Exclusion criteria included Type 1 diabetes, active GI disease, leptomeningeal disease, or current evidence/risk of retinal venous occlusion/central serous retinopathy. Twenty patients were enrolled. Dose-limiting toxicities (Grade 2 esophagitis; Grade 3 aspartate aminotransferase increased, mucosal inflammation and hypokalemia) were reported at starting dose (1.5 mg trametinib/50 mg afuresertib once daily continuously), exceeding the MTD. Subsequent de-escalation cohorts (1.5 mg/25 mg or 1.0 mg/50 mg trametinib/afuresertib) were defined as MTDs for continuous dosing. Intermittent dosing schedule [1.5 mg trametinib (continuous)/50 mg afuresertib (Days 1-10 every 28 days)] was evaluated and considered tolerable. No patients were enrolled in Phase II.

Results

The most common adverse events reported (=10 % of all patients) included: diarrhea (60 %), dermatitis acneiform (55 %), maculo-papular rash (45 %), fatigue (30 %), dry skin (25 %), nausea (25 %), dyspnea (20 %), and vomiting (20 %). Continuous daily dosing of trametinib/afuresertib combination was poorly tolerated. Evaluation of intermittent dose schedule showed greater tolerability.

References:
1. Dumble, M.; et. al. Discovery of novel AKT inhibitors with enhanced anti-tumor effects in combination with the MEK inhibitor. PLoS One 2014, 9(6), e100880.
2. Spencer, A.; et. al. The novel AKT inhibitor afuresertib shows favorable safety, pharmacokinetics, and clinical activity in multiple myeloma. Blood 2014, 124(14), 2190-2195.
3. ClinicalTrials.gov Repeat Dose Safety Study for Compound to Treat Hematologic Cancer. NCT00881946 (retrieved 05-05-2015)
4. ClinicalTrials.gov A Study of the Safety and Activity of the MEK Inhibitor Given Together With the AKT Inhibitor to Patients With Multiple Myeloma or Solid Tumor Cancers. NCT01476137 (retrieved 05-05-2015)
5. ClinicalTrials.gov Ph 1b Study to Evaluate GSK2110183 in Combination With Bortezomib and Dexamethasone in Subjects With Multiple Myeloma (PKB115125). NCT01428492 (retrieved 05-05-2015)
6. Tolcher, A. W.; et. al. Phase I study of the MEK inhibitor trametinib in combination with the AKT inhibitor afuresertib in patients with solid tumors and multiple myeloma. Cancer Chemother Pharmacol 2015, 75(1), 183-189.

Wednesday, May 6, 2015

Drugs in Clinical Pipeline: Uprosertib

Uprosertib [N-((S)-1-amino-3-(3,4-difluorophenyl)propan-2-yl)-5-chloro-4-(4-chloro-1-methyl-1H-pyrazol-5-yl)furan-2-carboxamide] is an orally available, ATP-competitive, pan-AKT kinase inhibitor (IC50 AKT1, AKT2, AKT3 = 180, 328, 38 nM). Cells treated with Uprosertib show decreased phosphorylation of several substrates downstream of AKT. Uprosertib has desirable pharmaceutical properties and daily oral dosing results in a sustained inhibition of AKT activity as well as inhibition of tumor growth in several mouse tumor models of various histologic origins. Improved kinase selectivity was associated with reduced effects on glucose homeostasis as compared to previously reported ATP-competitive AKT kinase inhibitors [1,2].

Uprosertib is also time dependant and fully reversible inhibitors of the AKT kinase family with Ki of 0.066, 1.4 and 1.5 nM against AKT1, AKT2 and AKT3, respectively. It is in Phase I human trials [2].

The activity of Uprosertib is as follows:

IC50 (AKT1 enzyme assay) = 180 nM; Ki = 0.066 nM
IC50 (AKT2 enzyme assay) = 328 nM; Ki = 1.4 nM
IC50 (AKT3 enzyme assay) = 38 nM; Ki = 1.5 nM

Common Name: Uprosertib
Synonyms:  GSK-2141795; GSK2141795; GSK 2141795; GSK795; GSK-795; GSK 795
IUPAC Name: N-((S)-1-amino-3-(3,4-difluorophenyl)propan-2-yl)-5-chloro-4-(4-chloro-1-methyl-1H-pyrazol-5-yl)furan-2-carboxamide
CAS Number: 1047634-65-0; 1047635-80-2 (hydrochloride)
Mechanism of Action: Kinase Inhibitor; pan-AKT Inhibitors
Indication: Various Cancers; Solid Tumors
Development Stage: Phase I
Company: GlaxoSmithKline

The AKTs are a family of serine-threonine kinases and an integral component in the signaling cascade downstream of PI3K and PTEN which work to catalyze the formation of PIP3 membrane lipids from PIP2 and back, respectively. PIP3 lipids tether the AKT kinases to the membrane via their plextrin homology domain which enables activation by phosphorylation on Thr308 by PDK1 and Ser473 by the mTORC2 complex. Activated AKT phosphorylates a variety of proteins (e.g. FOXO, TSC1/2, PRAS40, GSK3ß) involved in cell survival, growth and proliferation. Given the importance of this pathway in various cancers, a number of small molecules targeting PI3K with and without mTOR inhibition are being evaluated in patients. Several AKT inhibitors have also entered clinical development; however some of them block activation of AKT rather than inhibiting kinase activity.Activation of the PI3K-AKT pathway is common in many human malignancies leading to an increase in cell survival, growth and proliferation; all necessary hallmarks of a cancer cell. This pathway is up-regulated in cancer cells as a result of a variety of genetic alterations including over-expression of or activating mutations in receptor tyrosine kinases (e.g. ERBB2 or MET), activating mutations in PI3K subunits, loss or promoter methylation of PTEN and over-expression of or mutations in the AKTs.

Uprosertib inhibit the kinase activity of the E17K AKT 1 mutant protein in a standard kinase assay with EC50 of 0.2 nM. Uprosertib was tested against a diverse panel of kinase assays at GlaxoSmithKline and Millipore. Initially, the compounds were tested at 0.5 and 10 µM in all available kinase assays and were followed up with full IC50 curves against a subset of enzymes that showed strong inhibition against 0.5 µM, for which in-house assay were not available. Kinase selectivity was evaluated at 0.5 and 10 µM compound concentration against a panel of 261 different kinase assays, including more than 225 unique kinases together with some mutant forms and some orthologs from mouse, rat or yeast origin. The majority of the enzymes tested (~90%) showed more than 50% inhibition at 0.5 µM of both compounds. Most of the enzymes that were inhibited greater than 50% at 0.5 µM belonged to the AGC family including PKA, PKC, and PKG isoforms. IC50 values were generated for some enzymes (PKA, PKCβ1, PKCβ2, PKG1α, PKG1β = 2.0, 56, 86, less than 1, less than 1 nM, respectively).

In a diverse cell line proliferation screen, Uprosertib showed increased potency in cell lines with an activated AKT pathway (via PI3K/PTEN mutation or loss) while cell lines with activating mutations in the MAPK pathway (KRAS/BRAF) were less sensitive to AKT inhibition. Further investigation in mouse models of KRAS driven pancreatic cancer confirmed that combining the AKT inhibitor, Uprosertib with a MEK inhibitor (GSK2110212; trametinib) resulted in an enhanced anti-tumor effect accompanied with greater reduction in phospho-S6 levels. Taken together these results support clinical evaluation of the AKT inhibitors in cancer, especially in combination with MEK inhibitor [2].


References:
1. Pachl, F.; et. al. Characterization of a chemical affinity probe targeting Akt kinases. J Proteome Res 2013, 12(8), 3792-3800.
2. Dumble, M.; et. al. Discovery of novel AKT inhibitors with enhanced anti-tumor effects in combination with the MEK inhibitor. PLoS One 2014, 9(6), e100880.
3. ClinicalTrials.gov A Phase I, Open-Label, First-Time-In-Human Study of the Oral AKT Inhibitor GSK2141795. NCT00920257 (retrieved 05-05-2015)
4. ClinicalTrials.gov GSK2141795, Dabrafenib, and Trametinib in Treating Patients With Stage IIIC-IV Cancer. NCT01902173 (retrieved 05-05-2015)
5. ClinicalTrials.gov GSK1120212+GSK2141795 for Cervical Cancer. NCT01958112 (retrieved 05-05-2015)