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PARP-1 Inhibitors in Oncology The Discovery and Development of CEP-9722, an Orally Active Prodrug for the Treatment of Cancer
Rationale for PARP-1 Inhibitors in Oncology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARP-1 - Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994)  TIBS   19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP
Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994)  TIBS   19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP DNA damage repaired
Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994)  TIBS   19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP DNA damage repaired Healthy cell
Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994)  TIBS   19 , 172 PARP Inhibitor DNA damage persists DNA Damage ADP-ribose PARP Activation NAD + ATP Damage repaired, Healthy cell
Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994)  TIBS   19 , 172 PARP Inhibitor DNA damage persists DNA Damage ADP-ribose PARP Activation NAD + ATP Damage repaired, Healthy cell Apoptosis, Cell death
PARP activity, NAD + , and ATP levels are interdependent Ha, H. C.;  Neurobiology of Disease  7,  225–239 (2000)
Clinical Path Forward ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],PARP-1 inhibitors based on NAD +  substrate 4-ANI 3-AB Ki = 4  M Ki ~ 150nM
Earlier Competitor PARP-1 Scaffolds
o inc. radiation sensitivity of Chinese hamster V79 cells o Radiat Res; 126(3), 367 (1991) o potentiates TMZ and TP growth inhib. in human tumor cell lines o Clin Cancer Res; 6, 2860 (2000 ) Proof of Concept o Clinical trials candidate
o Potentiates TMZ, Cisplatin, radiation in syngeneic and xenograft tumor models o Clin Cancer Res; 13, 2728 (2007) o Completing Phase 2 trials w/TMZ o Irreversible inhibitor o Excellent Phase 2 results o First PARP inhibitor in Phase 3 trials o Failed primary endpoint o Cancelled Phase 3 trials for breast cancer o Commencing Phase 3 for ovarian cancer o Phase 1 trial for various cancers o Well tolerated o Commencing Phase 2 for Mantle Cell Lymphoma In the Clinic
Early CEP Library Screening Hit - Pyrrolocarbazole Imide ,[object Object],[object Object],[object Object],[object Object],[object Object]
4-ANI PARP-1 Modeling ,[object Object],[object Object],[object Object],[object Object]
 
Modeling of CEP-3499 with PARP-CF Wells, Bihovsky;  BMCL,  16, 1151 (2006)
PARP Inhibitor Discovery Flow In Vitro  Cytotoxicity Assays (PARP inhibitors + Chemotherx.) In Vivo  Chemo-Potentiation Studies GBMs /TMZ, HT-29/Irinotecan Significant shift in tumor versus normal cell kill  versus chemotherx. alone In Vivo PAR Accumulation Assay No enhanced  human myelotoxicity in vitro   Biochemical efficacy in vivo Cmpd Scale-Up Significant potentiation of  anti-tumor efficacy versus  chemotherx. alone; acceptable systemic tolerability. Go/No Go Decision PK and Tolerability in Rodents rh PARP Inhibition Assay PC12 cells/H 2 O 2  insult Assay for Inhibition of NAD+ Depletion In vitro and in vivo  evaluation on normal  tissues; clinical chemistry and histopathology IC 50  < 50 nM 50% recovery @  <  1 uM > 90% max. recovery Criteria
General Route to Pyrrolocarbazoles
PARP-1 Activity of Pyrrolocarbazole Lactam Isomers ,[object Object],[object Object],[object Object],35 Imide  (CEP-3498) ~10, 000 5-oxo (CEP-3500) 90 7-oxo (CEP-3499) PARP IC 50  (nM) Structure CEP
Pyrrolocarbazole Right-Hand Modifications ,[object Object],~ 10,000 5848 > 10,000 2520 ~10,000 5558 35 3498 PARP IC 50  (nM) R1, R2 CEP
PARP-1 Inhibition of Pyrrolocarbazoles ,[object Object],Tao, Wells;  BMCL ; 16, 938 (2006) 35 -CH 2 CH 2 CH 2 - 3498 ~2000 Methyl H 5729 > 10,000 Propyl Ethyl 5706 5000 H Methyl 5674 700 Methyl Methyl 5653 ~ 10, 000 H H 1526 PARP IC 50  (nM) R2 R1 CEP
PARP-1 Inhibition of Benzofuran/Benzothiophene Analogs ,[object Object],[object Object],35 NH 3498 O S X > 10, 000 6373 > 10, 000 6297 PARP  IC 50  (nM) CEP
PARP-1 Inhibition of Truncated Analogs ,[object Object],[object Object],750 2220 40 PARP IC 50  (nM) 5775 6011 6012 Structure CEP
Indole-Cyclopentyl Series Tao, Wells; BMCL; 16, 938 (2006) ,[object Object],[object Object]
SAR of Methoxy Analogs ,[object Object],[object Object],[object Object],[object Object]
3-Aminoalkyl-1-Carba-Series ,[object Object],[object Object],[object Object]
3-Alkoxy-1-Carba-Series ,[object Object],[object Object],[object Object]
3-Carbamate and Amide Derivatives Wells, Bihovsky;  BMCL,  16, 1151 (2006) ,[object Object],[object Object]
General Synthesis of Alkoxy Analogs
Summary SAR
PARP-1 model for 1-Aza analog of CEP-8983 ,[object Object]
Synthetic Approach to Aza-analog CEP-8315 CEP-8315 (IC 50 = 3 nM) ,[object Object],[object Object]
Proposed 1-Aza-4-Alkoxy Series ,[object Object],[object Object],[object Object]
1-Aza-4-Alkoxy Synthetic Challenges o Expen$ive o Limited supply ,[object Object],[object Object]
1-Aza-4-Alkoxy Series Synthetic Challenges ,[object Object]
1-Aza-4-Alkoxy Series Synthetic Challenges
Diene Problem “Solved” ,[object Object]
SAR of 1-Aza analogs ,[object Object],[object Object]
SAR of 1-Aza-4-Subst’d- analogs ,[object Object],[object Object],[object Object]
Synthetic Process for Drug Candidate CEP-8983
Synthetic Process for CEP-8983 (cont.)
Synthetic of Prodrug CEP-9722 ,[object Object],[object Object]
Solubility and Aqueous Stability  of N-Methylpiperazinyl Aminal Prodrug Analogs ,[object Object],[object Object]
Stable, Soluble Mannich Base Gluconates ,[object Object],[object Object],[object Object]
Single Crystal Structure of CEP-9722 ,[object Object]
hERG Structure-Activity Relationships: 4-Alkoxy SAR ,[object Object],[object Object]
Dose Escalation  Study  with CEP-9722/8983 in Rats ,[object Object],[object Object]
The Effects of CEP-8983 and CEP-9397 on Temozolomide Mediated Toxicity in U251MG Cells ,[object Object],[object Object]
* p≤0.5,   **   p≤0.01-TMZ alone as compared to TMZ + 0.3  µM CEP-8983; *   p≤0.5   **   p≤0.01,  ****   p≤0.0001- p≤0.01-TMZ alone as compared to TMZ + 1.0 µM CEP-8983;  ***   p≤0.001  ****   p≤0.0001- p≤0.01-TMZ alone as compared to TMZ + 3.0 µM CEP-8983;  ** p≤0.01 **** p≤0.0001-TMZ alone as compared to TMZ + 10.0 µM CEP-8983 by Mann-Whitney Rank Sum Test or t-test where appropriate. *p≤0.5,   **   p≤0.01-TMZ alone as compared to TMZ + 0.1 µM CEP-9397   * p≤0.5,   **   p≤0.01-TMZ alone as compared to TMZ + 0.3  µM CEP-9397;  *   p≤0.5   **   p≤0.01,   ***  p≤0.001- p≤0.01-TMZ alone as compared to TMZ + 1.0 µM CEP-9397;  **  p≤0.01   ***  p≤0.001  ****   p≤0.0001- p≤0.01-TMZ alone as compared to TMZ + 3.0 µM CEP-9397;  ** p≤0.01,  *** p≤0.001,   **** p≤0.0001-TMZ alone as compared to TMZ + 10.0 µM CEP-9397 by Mann-Whitney Rank Sum Test or t-test where appropriate. The Effects of CEP-8983 and CEP-9397 on Temozolomide Mediated Toxicity in NB1691 Cells ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CEP-9722 Advanced to Clinical Trials
Oncology Candace Burns Jennifer Grobelny Kathryn Hunter Sonya Pritchard Hugh Zhao  Susan Jones-Bolin Bruce Ruggeri Acknowledgements   Chung Ho Park Dandu Reddy Sankar Chatterjee Ron Bihovsky Gregory Wells Chemistry Mary Birchler Laura Gwinn Jean Husten Bruce Jones Biochemistry Seetha Murthy Damaris Rolon-Steele Kelli Zeigler Lisa Aimone Mark Ator Jim Diebold Ming Tao  Derek Dunn Allison Zulli Bob Hudkins Fox Chase Cancer Center Andres Klein-Szanto
Extra slides
TMZ – Hydrolysis gives active form Temozolomide is not directly active but undergoes rapid nonenzymatic conversion at physiologic pH to the reactive compound 5-(3-methyltriazen-1-yl)-imidazole-4-carboxamide (MTIC). The cytotoxicity of MTIC is thought to be primarily due to alkylation of DNA. Alkylation (methylation) occurs mainly at the O 6  and N 7  positions of guanine.
29th Annual J.P. Morgan Healthcare Conference January 10-12, 2011 Cephalon Oncology Pipeline
 
Wang; Am J Cancer Res; 1(3):301-327 (2011)
Wang; Am J Cancer Res; 1(3):301-327 (2011)

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PARP-1 Inhibitors In Oncology

  • 1. PARP-1 Inhibitors in Oncology The Discovery and Development of CEP-9722, an Orally Active Prodrug for the Treatment of Cancer
  • 2.
  • 3.
  • 4. Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994) TIBS 19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP
  • 5. Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994) TIBS 19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP DNA damage repaired
  • 6. Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994) TIBS 19 , 172 DNA Damage ADP-ribose PARP Activation NAD + ATP DNA damage repaired Healthy cell
  • 7. Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994) TIBS 19 , 172 PARP Inhibitor DNA damage persists DNA Damage ADP-ribose PARP Activation NAD + ATP Damage repaired, Healthy cell
  • 8. Role of PARP-1 in DNA Repair N C N C A. de Murcia & M. de Murcia (1994) TIBS 19 , 172 PARP Inhibitor DNA damage persists DNA Damage ADP-ribose PARP Activation NAD + ATP Damage repaired, Healthy cell Apoptosis, Cell death
  • 9. PARP activity, NAD + , and ATP levels are interdependent Ha, H. C.; Neurobiology of Disease 7, 225–239 (2000)
  • 10.
  • 11.
  • 13. o inc. radiation sensitivity of Chinese hamster V79 cells o Radiat Res; 126(3), 367 (1991) o potentiates TMZ and TP growth inhib. in human tumor cell lines o Clin Cancer Res; 6, 2860 (2000 ) Proof of Concept o Clinical trials candidate
  • 14. o Potentiates TMZ, Cisplatin, radiation in syngeneic and xenograft tumor models o Clin Cancer Res; 13, 2728 (2007) o Completing Phase 2 trials w/TMZ o Irreversible inhibitor o Excellent Phase 2 results o First PARP inhibitor in Phase 3 trials o Failed primary endpoint o Cancelled Phase 3 trials for breast cancer o Commencing Phase 3 for ovarian cancer o Phase 1 trial for various cancers o Well tolerated o Commencing Phase 2 for Mantle Cell Lymphoma In the Clinic
  • 15.
  • 16.
  • 17.  
  • 18. Modeling of CEP-3499 with PARP-CF Wells, Bihovsky; BMCL, 16, 1151 (2006)
  • 19. PARP Inhibitor Discovery Flow In Vitro Cytotoxicity Assays (PARP inhibitors + Chemotherx.) In Vivo Chemo-Potentiation Studies GBMs /TMZ, HT-29/Irinotecan Significant shift in tumor versus normal cell kill versus chemotherx. alone In Vivo PAR Accumulation Assay No enhanced human myelotoxicity in vitro Biochemical efficacy in vivo Cmpd Scale-Up Significant potentiation of anti-tumor efficacy versus chemotherx. alone; acceptable systemic tolerability. Go/No Go Decision PK and Tolerability in Rodents rh PARP Inhibition Assay PC12 cells/H 2 O 2 insult Assay for Inhibition of NAD+ Depletion In vitro and in vivo evaluation on normal tissues; clinical chemistry and histopathology IC 50 < 50 nM 50% recovery @ < 1 uM > 90% max. recovery Criteria
  • 20. General Route to Pyrrolocarbazoles
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. General Synthesis of Alkoxy Analogs
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 39.
  • 40.
  • 41.
  • 42. Synthetic Process for Drug Candidate CEP-8983
  • 43. Synthetic Process for CEP-8983 (cont.)
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53. Oncology Candace Burns Jennifer Grobelny Kathryn Hunter Sonya Pritchard Hugh Zhao Susan Jones-Bolin Bruce Ruggeri Acknowledgements Chung Ho Park Dandu Reddy Sankar Chatterjee Ron Bihovsky Gregory Wells Chemistry Mary Birchler Laura Gwinn Jean Husten Bruce Jones Biochemistry Seetha Murthy Damaris Rolon-Steele Kelli Zeigler Lisa Aimone Mark Ator Jim Diebold Ming Tao Derek Dunn Allison Zulli Bob Hudkins Fox Chase Cancer Center Andres Klein-Szanto
  • 55. TMZ – Hydrolysis gives active form Temozolomide is not directly active but undergoes rapid nonenzymatic conversion at physiologic pH to the reactive compound 5-(3-methyltriazen-1-yl)-imidazole-4-carboxamide (MTIC). The cytotoxicity of MTIC is thought to be primarily due to alkylation of DNA. Alkylation (methylation) occurs mainly at the O 6 and N 7 positions of guanine.
  • 56. 29th Annual J.P. Morgan Healthcare Conference January 10-12, 2011 Cephalon Oncology Pipeline
  • 57.  
  • 58. Wang; Am J Cancer Res; 1(3):301-327 (2011)
  • 59. Wang; Am J Cancer Res; 1(3):301-327 (2011)

Notas del editor

  1. A small-molecule prodrug of CEP-8983, a novel 4-methoxy-carbazole inhibitor of the nuclear enzymes poly(ADP-ribose) polymerase (PARP) 1 and 2, with potential antineoplastic activity. Upon administration and conversion from CEP-9722, CEP-8983 selectively binds to PARP 1 and 2, preventing repair of damaged DNA via base excision repair (BER). This agent enhances the accumulation of DNA strand breaks and promotes genomic instability and apoptosis. CEP-8983 may potentiate the cytotoxicity of DNA-damaging agents and reverse tumor cell chemo- and radioresistance. PARP catalyzes post-translational ADP-ribosylation of nuclear proteins that signal and recruit other proteins to repair damaged DNA and can be activated by single strand breaks in DNA.
  2. Inhibitors of PARP-1 have potential therapeutic utility in oncology through potentiation of the anti-tumor activity of radiation or chemotherapeutic DNA damaging agents. Until more recently, the potentiation observed in-vitro and in-vivo could not be unequivocally linked to inhibition of PARP due to limitations with respect to potency, selectivity, toxicity, and deliverability of compounds.
  3. Poly (ADP-ribose) polymerase 1 (PARP-1) is a nuclear enzyme that catalyzes the synthesis of poly-ADP-ribose chains from NAD+ as part of the DNA repair process.
  4. Poly (ADP-ribose) polymerase 1 (PARP-1) is a nuclear enzyme that catalyzes the synthesis of poly-ADP-ribose chains from NAD+ as part of the DNA repair process.
  5. Poly (ADP-ribose) polymerase 1 (PARP-1) is a nuclear enzyme that catalyzes the synthesis of poly-ADP-ribose chains from NAD+ as part of the DNA repair process.
  6. Poly (ADP-ribose) polymerase 1 (PARP-1) is a nuclear enzyme that catalyzes the synthesis of poly-ADP-ribose chains from NAD+ as part of the DNA repair process.
  7. Poly (ADP-ribose) polymerase 1 (PARP-1) is a nuclear enzyme that catalyzes the synthesis of poly-ADP-ribose chains from NAD+ as part of the DNA repair process.
  8. A model of PARP overactivation-mediated cytotoxicity. Reactive oxygen species (ROS) such as nitric oxide (NO z ), superoxide anion (O2--), peroxynitrite (ONOO2), or hydroxyl radical (OH z ) are generated during inflammation or ischemia–reperfusion. These ROS damage cellular molecules like proteins, lipids, and DNA. DNA damage activates PARP , synthesizing poly(ADP-ribose) polymer from its substrate b-nicotinamide adenine dinucleotide (NAD1). Limited amounts of DNA damage can be repaired by cellular DNA repair enzymes, and PARP, in this case, acts as a sensor for DNA damage, modulating the repair process. In apoptotic cell death, activated caspases cleave PARP protein to inhibit a futile DNA repair process and preserve cellular ATP, which is essential for the apoptotic process. Extensive DNA damage can lead to overactivation of PARP . With excessive activation of PARP, NAD1 is depleted, and in efforts to resynthesize NAD1, ATP is also depleted. Hence, necrotic cell death involves energy loss. Depletion of ATP can transform an ongoing apoptotic process into necrosis with intracellular ATP levels regulating the mode of cell death.
  9. - Colorectal Carcinoma with Irinotecan #2 choice HNSCC with radiotherapy #3 choice
  10. More recent competition?
  11. Screening of Cephalon’s internal library identified pyrrolocarbazole CEP-3498 as a potent inhibitor of PARP-1 with an IC50 value of 35 nM, although with poor cellular permeability and solubility. The chemistry objective was to improve the enzyme and cell potency, and the physical-chemical properties to allow either oral or i.v. delivery in the clinic.
  12. Key H-bond interactions between imide C=O and N-H groups with backbone N-H and C=O of Gly863 ; H-bond between indole-NH and C=O of Glu988 side-chain; aromatic pi-stacking of aryl rings of Tyr896 and Tyr907 with B and D rings of the carbazole, resp.; cyclopentyl ring fits closely into fold formed by Lys861 side-chain, Ala898, Trp861, and Asn987; open pocket around 3- and 4-positions of the inhibitor provided opportunity for SAR development.
  13. Key H-bond interactions between lactam C=O and N-H groups with backbone N-H and C=O of Gly863 ; H-bond between indole-NH and C=O of Glu988 side-chain; aromatic pi-stacking of aryl rings of Tyr896 and Tyr907 with B and D rings of the carbazole, resp.; cyclopentyl ring fits closely into fold formed by Lys861 side-chain, Ala898, Trp861, and Asn987; open pocket around 3- and 4-positions of the inhibitor provided opportunity for SAR development.
  14. But with limited opportunity elsewhere on the core template, the aryl group was retained for further SAR development.
  15. 1-Aza analog CEP-9397 modeled with PARP-1 active site, postulated as more potent due to an additional H-bond between the 1-aza group and the amine side chain of Met890.
  16. Need reference!