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Discovery of a potent small-molecule antagonist of inhibitor of apoptosis (IAP) proteins and clinical candidate for the treatment of cancer (GDC-0152)
Authors:Flygare John A  Beresini Maureen  Budha Nageshwar  Chan Helen  Chan Iris T  Cheeti Sravanthi  Cohen Frederick  Deshayes Kurt  Doerner Karl  Eckhardt S Gail  Elliott Linda O  Feng Bainian  Franklin Matthew C  Reisner Stacy Frankovitz  Gazzard Lewis  Halladay Jason  Hymowitz Sarah G  La Hank  LoRusso Patricia  Maurer Brigitte  Murray Lesley  Plise Emile  Quan Clifford  Stephan Jean-Philippe  Young Shin G  Tom Jeffrey  Tsui Vickie  Um Joanne  Varfolomeev Eugene  Vucic Domagoj  Wagner Andrew J  Wallweber Heidi J A  Wang Lan  Ware Joseph  Wen Zhaoyang  Wong Harvey  Wong Jonathan M  Wong Melisa  Wong Susan  Yu Ron  Zobel Kerry
Affiliation:Department of Discovery Chemistry, Genentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA. jflygare@gene.com
Abstract:A series of compounds were designed and synthesized as antagonists of cIAP1/2, ML-IAP, and XIAP based on the N-terminus, AVPI, of mature Smac. Compound 1 (GDC-0152) has the best profile of these compounds; it binds to the XIAP BIR3 domain, the BIR domain of ML-IAP, and the BIR3 domains of cIAP1 and cIAP2 with K(i) values of 28, 14, 17, and 43 nM, respectively. These compounds promote degradation of cIAP1, induce activation of caspase-3/7, and lead to decreased viability of breast cancer cells without affecting normal mammary epithelial cells. Compound 1 inhibits tumor growth when dosed orally in the MDA-MB-231 breast cancer xenograft model. Compound 1 was advanced to human clinical trials, and it exhibited linear pharmacokinetics over the dose range (0.049 to 1.48 mg/kg) tested. Mean plasma clearance in humans was 9 ± 3 mL/min/kg, and the volume of distribution was 0.6 ± 0.2 L/kg.
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