The approved anti-cancer drug
ibrutinib is a poster child for covalent modifiers, with projected 2018 sales
of more than $1.2 billion. The molecule reacts with a cysteine residue in the
kinase BTK as well as several other kinases, forming an irreversible bond.
However, it is also a potent noncovalent
inhibitor of multiple kinases, leading to various side effects. This is because
the so-called “hinge-binding” moiety is quite promiscuous. To find a more
selective and potentially safer molecule, researchers at EMD Serono,
Constellation Pharmaceuticals, and Hoffmann-La Roche turned to fragments, and
describe their results in two recent Bioorg.
Med. Chem. Lett. papers.
In the first, Richard Caldwell
and collaborators disclose Fragment A. Although no details are provided as to
how this was discovered, the researchers were able to determine a crystal
structure of the fragment bound to BTK, revealing that the carboxamide forms
interactions with the hinge region. The binding mode also suggested how an
acrylamide warhead could be positioned to react with the nearby cysteine
residue, and indeed compound A7 turned out to be a nanomolar inhibitor. Further
fragment growing ultimately led to compound A17, with subnanomolar biochemical
activity and nanomolar cell activity. Unfortunately, this compound had poor
oral bioavailability in mice.
The second paper, by Hui Qiu and
collaborators, picks up the story. Hypothesizing that the number of nitrogen
atoms in compound A17 could be deleterious, the researchers swapped the added
portion of the molecule with the phenoxyphenyl moiety present in ibrutinib.
Compound B7 did indeed show good permeability, albeit at a cost in potency.
However, a crystal structure of this molecule bound to BTK revealed the
potential for improving hydrophobic interactions.
The best molecule reported, B16,
has picomolar activity in a biochemical assay and nanomolar activity in cells.
Moreover, it is orally bioavailable in rats. While ibrutinib inhibits 35/270
kinases at 1 µM, compound B16 only inhibits 4. However, the compound does
inhibit hERG, which can cause cardiac complications, so more work needs to be
done. A crystal structure reveals that B16 (gray) binds in a similar manner to the
initial Fragment A (cyan).
We have previously described
examples of covalent fragments being used to target kinases, but these new
papers are a useful reminder that it is also possible to start with ordinary non-covalent
fragments and introduce a warhead later. Or not – as we highlighted in 2015
regarding a noncovalent BTK inhibitor from Takeda. The possibilities are
limited only by your creativity.