120th General Meeting of the KCS

Type Poster Presentation
Area Medicinal Chemistry
Room No. Exhibition Hall 2+3
Time 10월 19일 (목요일) 11:00~12:30
Code MEDI.P-323
Subject EGFR Allosteric Inhibitors for Lung Cancer
Authors SEO YOUNG LEE, Gildon Choi1, Chong Hak Chae2, Inji Shin3, Kwangho Lee2,*
Medicinal Chemistry, University of Science and Technology(KRICT), Korea
1Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Korea
2Korea Research Institute of Chemical Technology, Korea
3Center for Medicinal Chemistry, Korea Research Institute of Chemical Technology, Korea
Abstract Erlotinib (Tarceva) & Gefitinib (Iressa) are currently in clinic use as epidermal growth factor receptor (EGFR) kinase inhibitors for non-small-cell lung cancer (NSCLC). However, their clinical efficacy is limited by both their mechanism-based toxicity and the development of drug-resistance mutations, including the gatekeeper T790M mutation. Afatinib, a quinazoline-based irreversible pan-EGFR inhibitor dubbed as second generation EGFR TKI, is limited in wide clinical use due to unwanted adverse effect such as severe rash and diarrhea. Osimertinib is a pyrimidine-based irreversible third generation EGFR-TKI and features selective EGFR T790M inhibition while sparing wild-type EGFR activity. However, during osimertinib clinical study, various acquired resistances were reported. In particular, polar nucleophilic cysteine mutation into polar non-nucleophilic serine at EGFR 797 position was detected in resistant patients. To address newly identified EGFR T790M/C797S mutants, new strategic approach is attempted. Unlike conventional catalytic site inhibitors, allosteric site inhibitors may provide novel inhibitors for EGFR T790M/C797S mutants and bring different mutational profiles for combination therapy with current EGFR-TKIs. In this presentation, strategy for EGFR allosteric inhibitors and current research progress will be discussed.
E-mail se2k@naver.com