Rational design, synthesis and biological evaluation of pyrimidine-4, 6-diamine derivatives as type-II inhibitors of FLT3 selective against c-KIT

JB Bharate, N McConnell, G Naresh, L Zhang… - Scientific reports, 2018 - nature.com
JB Bharate, N McConnell, G Naresh, L Zhang, NR Lakkaniga, L Ding, NP Shah, B Frett, H Li
Scientific reports, 2018nature.com
Abstract FMS-like Tyrosine Kinase 3 (FLT3) is a clinically validated target for acute myeloid
leukemia (AML). Inhibitors targeting FLT3 have been evaluated in clinical studies and have
exhibited potential to treat FLT3-driven AML. A frequent, clinical limitation is FLT3 selectivity,
as concomitant inhibition of FLT3 and c-KIT is thought to cause dose-limiting
myelosuppression. Through a rational design approach, novel FLT3 inhibitors were
synthesized employing a pyridine/pyrimidine warhead. The most potent compound identified …
Abstract
FMS-like Tyrosine Kinase 3 (FLT3) is a clinically validated target for acute myeloid leukemia (AML). Inhibitors targeting FLT3 have been evaluated in clinical studies and have exhibited potential to treat FLT3-driven AML. A frequent, clinical limitation is FLT3 selectivity, as concomitant inhibition of FLT3 and c-KIT is thought to cause dose-limiting myelosuppression. Through a rational design approach, novel FLT3 inhibitors were synthesized employing a pyridine/pyrimidine warhead. The most potent compound identified from the studies is compound 13a, which exhibited an IC50 value of 13.9 ± 6.5 nM against the FLT3 kinase with high selectivity over c-KIT. Mechanism of action studies suggested that 13a is a Type-II kinase inhibitor, which was also supported through computer aided drug discovery (CADD) efforts. Cell-based assays identified that 13a was potent on a variety of FLT3-driven cell lines with clinical relevance. We report herein the discovery and therapeutic evaluation of 4,6-diamino pyrimidine-based Type-II FLT3 inhibitors, which can serve as a FLT3-selective scaffold for further clinical development.
nature.com
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