Ripretinib (DCC-2618) Is a Switch Control Kinase Inhibitor of a Broad Spectrum of Oncogenic and Drug-Resistant KIT and PDGFRA Variants

被引:225
作者
Smith, Bryan D. [1 ]
Kaufman, Michael D. [1 ]
Lu, Wei-Ping [1 ]
Gupta, Anu [1 ]
Leary, Cynthia B. [1 ]
Wise, Scott C. [1 ,7 ]
Rutkoski, Thomas J. [1 ]
Ahn, Yu Mi [1 ]
Al-Ani, Gada [1 ]
Bulfer, Stacie L. [1 ]
Caldwell, Timothy M. [1 ]
Chun, Lawrence [2 ]
Ensinger, Carol L. [1 ]
Hood, Molly M. [1 ]
McKinley, Arin [5 ,6 ]
Patti, William C. [1 ]
Ruiz-Soto, Rodrigo [1 ]
Su, Ying [1 ]
Telikepalli, Hanumaiah [1 ]
Town, Ajia [5 ,6 ]
Turner, Benjamin A. [1 ]
Vogeti, Lakshminarayana [1 ]
Vogeti, Subha [1 ]
Yates, Karen [1 ]
Janku, Filip [3 ]
Razak, Albiruni Ryan Abdul [4 ]
Rosen, Oliver [1 ]
Heinrich, Michael C. [5 ,6 ]
Flynn, Daniel L. [1 ]
机构
[1] Deciphera Pharmaceut Inc, Waltham, MA 02451 USA
[2] Emerald Biostruct, Bainbridge Isl, WA 98110 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Invest Canc Therapeut, Houston, TX 77030 USA
[4] Princess Margaret Canc Ctr, Canc Clin Res Unit, Toronto, ON, Canada
[5] Portland VA Med Ctr, Portland, OR 97239 USA
[6] Oregon Hlth & Sci Univ, Knight Canc Inst, Portland, OR 97239 USA
[7] MI Biores, Ann Arbor, MI 48108 USA
关键词
TYROSINE KINASE; C-KIT; MUTATIONS; ACTIVATION; IMATINIB; MASTOCYTOSIS; MECHANISMS; CELLS; AMPLIFICATION; MIDOSTAURIN;
D O I
10.1016/j.ccell.2019.04.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ripretinib (DCC-2618) was designed to inhibit the full spectrum of mutant KIT and PDGFRA kinases found in cancers and myeloproliferative neoplasms, particularly in gastrointestinal stromal tumors (GISTs), in which the heterogeneity of drug-resistant KIT mutations is a major challenge. Ripretinib is a "switch-control" kinase inhibitor that forces the activation loop (or activation "switch") into an inactive conformation. Ripretinib inhibits all tested KIT and PDGFRA mutants, and notably is a type II kinase inhibitor demonstrated to broadly inhibit activation loop mutations in KIT and PDGFRA, previously thought only achievable with type I inhibitors. Ripretinib shows efficacy in preclinical cancer models, and preliminary clinical data provide proof-of-concept that ripretinib inhibits a wide range of KIT mutants in patients with drug-resistant GISTs.
引用
收藏
页码:738 / +
页数:23
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