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