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BRD-810 is a highly selective MCL1 inhibitor with optimized in vivo clearance and robust efficacy in solid and hematological tumor models

  • Ulrike Rauh,
  • Guo Wei,
  • Michael Serrano-Wu,
  • Georgios Kosmidis,
  • Stefan Kaulfuss,
  • Franziska Siegel,
  • Kai Thede,
  • James McFarland,
  • Christopher T. Lemke,
  • Nicolas Werbeck,
  • Katrin Nowak-Reppel,
  • Sabine Pilari,
  • Stephan Menz,
  • Matthias Ocker,
  • Weiqun Zhang,
  • Kyle Davis,
  • Guillaume Poncet-Montange,
  • Jennifer Roth,
  • Douglas Daniels,
  • Virendar K. Kaushik,
  • Brian Hubbard,
  • Karl Ziegelbauer,
  • Todd R. Golub

摘要

The MCL1 gene is frequently amplified in cancer and codes for the antiapoptotic protein myeloid cell leukemia 1 (MCL1), which confers resistance to the current standard of care. Therefore, MCL1 is an attractive anticancer target. Here we describe BRD-810 as a potent and selective MCL1 inhibitor and its key design principle of rapid systemic clearance to potentially minimize area under the curve-driven toxicities associated with MCL1 inhibition. BRD-810 induced rapid cell killing within 4 h in vitro but, in the same 4-h window, had no impact on cell viability or troponin I release in human induced pluripotent stem cell-derived cardiomyocytes, even at suprapharmacologic concentrations. In vivo BRD-810 induced efficacy in xenograft hematological and solid tumor models despite the short residence time of BRD-810 in plasma. In totality, our data support the hypothesis that short-term inhibition of MCL1 with BRD-810 can induce apoptosis in tumor cells while maintaining an acceptable safety profile. We, therefore, intend to advance BRD-810 to clinical trials.