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J Med Chem ; 61(9): 3823-3841, 2018 05 10.
Article in English | MEDLINE | ID: mdl-29683659

ABSTRACT

ATM inhibitors, such as 7, have demonstrated the antitumor potential of ATM inhibition when combined with DNA double-strand break-inducing agents in mouse xenograft models. However, the properties of 7 result in a relatively high predicted clinically efficacious dose. In an attempt to minimize attrition during clinical development, we sought to identify ATM inhibitors with a low predicted clinical dose (<50 mg) and focused on strategies to increase both ATM potency and predicted human pharmacokinetic half-life (predominantly through the increase of volume of distribution). These efforts resulted in the discovery of 64 (AZD0156), an exceptionally potent and selective inhibitor of ATM based on an imidazo[4,5- c]quinolin-2-one core. 64 has good preclinical phamacokinetics, a low predicted clinical dose, and a high maximum absorbable dose. 64 has been shown to potentiate the efficacy of the approved drugs irinotecan and olaparib in disease relevant mouse models and is currently undergoing clinical evaluation with these agents.


Subject(s)
Ataxia Telangiectasia Mutated Proteins/antagonists & inhibitors , Drug Design , Pyridines/pharmacokinetics , Quinolines/pharmacokinetics , Quinolones/pharmacology , Quinolones/pharmacokinetics , Administration, Oral , Ataxia Telangiectasia Mutated Proteins/chemistry , Ataxia Telangiectasia Mutated Proteins/metabolism , Biological Availability , Humans , Inhibitory Concentration 50 , Models, Molecular , Protein Conformation , Protein Kinase Inhibitors , Pyridines/administration & dosage , Pyridines/chemistry , Quinolines/administration & dosage , Quinolines/chemistry , Quinolones/administration & dosage , Quinolones/chemistry , Structure-Activity Relationship , Substrate Specificity
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