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2,7-Disubstituted-Pyrrolo[2,1-f][1,2,4]triazines
                  A New Class Anaplastic Lymphoma Kinase (ALK)
                     Inhibitors with in-vivo Anti-tumor Efficacy

                            Gregory J. Wells, Ph.D.




                                                      N
                                           R
                                                              N
                                                  N       N
                                                  H


                                                                  R'




Gregory J. Wells, Ph.D.
General

   Kinome - the set of protein kinases in an organism’s genome.

   Kinases - enzymes that catalyze phosphorylation (from ATP) of
    amino acids, which fall into several groups and families:
        • ones that phosphorylate serine and threonine;
        • ones that phosphorylate tyrosine;
        • some that phosphorylate both (eg. MAP2K and GSK families).

   Essential for control and regulation of most biochemical pathways
             • 518 known human protein kinases
             • 155 crystal structures solved
             • 160+ associated with human diseases
             • 14 small molecule inhibitors approved since 2001

    Among the most active areas of targeted drug discovery in the past decade



Gregory J. Wells, Ph.D.
ALK is a member of the TKL branch of the Protein Kinase Phylogenetic Tree




  (Reprinted with permission from Cell Signaling Technology, Inc.)


Gregory J. Wells, Ph.D.
ALK – Background


       Anaplastic Lymphoma Kinase (ALK) is a cell membrane-spanning
        receptor tyrosine kinase with MW = 180 kDa

       Most abundantly expressed in neonatal and adult brains, suggesting
        a possible role in brain and CNS development (Oncogene, 2001,
        20, 5623)

       Member of the insulin receptor (IR) family with IGF-1R, IRR, LTK
        and c-Ros

       Binds to insulin receptor substrate 1 (IRS1); activates MAPK
        signaling pathway by activating the Ras-extracellular signal
        regulated kinase (ERK) pathway




Gregory J. Wells, Ph.D.
Relation to Anaplastic Large-Cell Lymphoma (ALCL)
   ALK is implicated in the progression of certain tumors; approximately 60-70%
    of anaplastic large cell lymphomas (ALCL) are associated with a chromosome
    mutation containing a classical t (2;5) or other translocation that generates a mutant
    oncogenic fusion protein (NPM-ALK) consisting of nucleophosmin (NPM) and the
    intracellular domain of ALK

   NPM-ALK possesses a constitutively active tyrosine kinase domain responsible for
    its oncogenic property through activation of downstream effectors

   ALCL is a subset of high-grade non-Hodgkin’s lymphomas (NHLs) that typically
    presents as an aggressive systemic disease with ~50% 5-year survival rate after
    chemotherapy; predominant in children and young adults with about 2,500 new
    cases per year in US

   Aberrant expression of constitutively active ALK is directly implicated in the
    pathogenesis of ALCL and ALK inhibition can markedly impair the growth of
    ALK+ lymphoma cells

   Additionally, the EML4–ALK fusion gene has been identified in non-small-cell lung
    cancer (NSCLC) patients (Nature, 2007, 561) and represents another in a list of
    ALK fusion proteins that are promising targets for ALK inhibitor therapy.

Gregory J. Wells, Ph.D.
Competitor ALK Inhibitors

                  N
                       N                                                                                              HN
                                                                                                                                  F
                                                                                                              O
                               N                        Cl                                                        N
                                               N
                                                                                                    N         N           N   N
                                           N        N   NH O                                N                 H               H
                                           H
                                       O                       S                                     O                                O        NH
                                                                   O




                      Novartis (NVP-TAE684)                                                              GlaxoSmithKline

                           ALK IC50 = 3 nM                                                              ALK IC50 = 0.5 nM

                                                                                                                                                                H
                                                                                                                                                                N
                                                               N
  O
                                                                                                                                          Cl
                                                                       N
      N                                                                                 O       O
                                                                                                                      F                                 N
                                   H
              N                    N           CN                                   N               NH                                                      N
                                                                                    H                                         Cl          O


                                                                                                                                      H2N           N
                           O


                                                                                                         O
      Chugai Pharma.                                                   Chembridge               O
                                                                                                                                         Pfizer
                                                                                                                                      (Crizotinib)
          ALK IC50 = 2 nM                                    ALK IC50 = 0.2 µM
                                                                                                                              ALK IC50 = 2 nM



Gregory J. Wells, Ph.D.
Previously reported Cephalon ALK inhibitors


                             H                                      N                            F
                             N       O                                      O
         N     O

          HN                             N                              N                                    F

                                         N                                                       N

                        N
                                                                                            N    N
                                                                                                 H




    Wan, Cheng, Blood, 1617 (2006)                       Milkiewicz, Bioorg. Med. Chem., 4351 (2010)

             ALK IC50 = 2nM                                            ALK IC50 = 10nM
         Karpas Cell IC50 = 20nM                                   Karpas Cell IC50 = 150nM


     O                                                         O
                                                 N
                                                                        N                       Cl
         N         Cl                O               O                                  N
                                 N
                                             N
                                                                                    N       N   N
                   N         N       N                                              H           H
                   H                 H
                                                                                O                    CONH2
               O




 Mesaros, Bioorg. Med. Chem., 463 (2011)                     Ott, Med. Chem. Lett., 493 (2010)

             ALK IC50 = 4nM                                           ALK IC50 = 14nM
         Karpas Cell IC50 = 50nM                                   Karpas Cell IC50 = 45nM


Gregory J. Wells, Ph.D.
ALK Activity Is Essential for the
                                                                  Proliferation of ALK+ ALCL Cells in Culture

                                                                                                                                                          H
                                                                                                                                                          N     O
                                                                                                                                 H
                                                                                                                                 N       O                            N                                      ALK IC50
                                                                             (Me)2N                                                  O                               N
                                                                                                                                                     N
                                                                                                                                                                           Enzyme                                    3.7 nM
                                                                                                                                                                           Cellular                                  10-30 nM



                                                                                                                                     CEP-14513


                                           ―    30 100 300 (nM)                                                                  ―       30 100 300 (nM)

                                                                  p-NPM-ALK                                                                                    p-NPM-ALK

                                                                  NPM-ALK                                                                                      NPM-ALK
                                                                                                                                                                                                           120          K562 cells
                                 120                                                                                   120
                                               Karpas-299                                                                                Sup-M2




                                                                                                                                                                           R e la tiv e liv in g c e lls
                                                                                      R e la t iv e liv in g c e lls




                                                                                                                                                                                                           90
R e la t iv e liv in g c e lls




                                 90                                                                                    90

                                                                                                                                                                                                           60
                                 60                                                                                    60

                                                                                                                                                                                                           30
                                 30                                                                                    30

                                                                                                                                                                                                            0
                                  0                                                                                     0
                                                                                                                             1               10          100        1000                                         1        10         100   1000
                                       1          10        100       1000
                                                 CEP-14513 (nM)                                                                              CEP-14513 (nM)                                                              CEP-14513 (nM)




Gregory J. Wells, Ph.D.
Conceptualization of Pyrrolotriazines as Potential ALK Inhibitors




                              Cl
                      N
                                                         N

                 HN       N   NH                                 N
                                                    HN       N




Gregory J. Wells, Ph.D.
Precedents in the Medicinal Chemistry Literature

 Purine/Adenosine mimics as C-linked nucleosides                                           Quinazoline mimics as kinase inhibitors
                                                                                     NH2
                                                                                                                              H
                                                                                                                              N
                                  N                                                   N
   HO                 N                             HO                       N             HO           NH
             O                                                  O                                                                             O
                          N                                                      N
                          H           S
                                                                                                    N                                 F
                                                                                                                                          N
                                                                                                            N                                              OH
        HO       OH                                        HO       OH                                  N                                         N
                                                                                                                                              N


   Heterocycles, 569 (1992)                         Tet. Lett., 5339 (1994)                     JMC, 4059 (2004)                      JMC, 2143 (2006)

        Meijo University                      Albert Einstein College of Medicine                                   VEGFR-2 (BMS)


   Substituted Aminopyrazole hinge-binding motif                                                                    H
                                                                                                                    N     O

                                      H                                                                         O    HN
                                      N                                                         F
                              N
                                                                                                                                                         NH2
                                                                                                                                      O           N
                      HN
                                                                                                                              F
                                                                N        F                                                        N
                                          N        O
                                                                                                                                          N
                              N                                                                                                       N
                                  N                    N
                                  H                    H

                                                                                                                    BMCL, 1945 (2007)
                              JMC, 7360 (2009)                                                                          c-MET (BMS)
                               IGF-1R (BMS)



Gregory J. Wells, Ph.D.
Crystal Structure of NVP-TAE684 bound to ALK




                                                                                   Cl
                                                                          N

                                                                     HN       N    NH O
                                                                 O                        S
                                                                                              O



                                                                     N



                                                                                  NVP-TAE684
                                                                     N


                                                                     N




Gregory J. Wells, Ph.D.
Docking of a 2,7-pyrrolo[2,1-f][1,2,4]triazine analog with ALK




                                                                              N
                                                                                      N
                                                                         HN       N       O
                                                                     O




                                                                          N


                                                                          N




Gregory J. Wells, Ph.D.
Synthesis of a Key Intermediate
                                          2-Methylthio-7-bromo-pyrrolo[2,1-f][1,2,4]triazine


                                                                                                                                                 OEt
                                                                                                                                                                                                   O
                                                                               Benzoyl                                             N
                         Chloroamine                                 OEt       thioisocyanate                              H                                2N NaOH
                   OEt                                                                                                                      O                                                 HN
                                                                                                                  O        N       NH
     N                                             N                                 THF
                         KO-t-Bu, THF                                                                                                                                                                   N
     H                                                          O
               O                                   NH2                                                                         S                                                          S        N
                                                                                                                                                                                                   H
         1                                                 2                                                                       3
                                                                                                                                                                                                   4



                                 Cl                                                          Cl                                             Cl                                        Cl           Br
                                                                                                                                                       Br
   1. MeI, THF                                                 NBS                   N                                                                                            N
                             N
                                                                                                                           +            N
                                                                                                                                                                     +
    2. POCl3                          N                                                              N                                           N                                            N
                                                       THF- MeOH (2/1)           S           N                                                                                S       N
                         S       N                                                                                                 S        N
                                                                                                              Br                                                                                   Br
                                 5                                                                6                                              7                                         8



                                                                                                                      Br                                                 Br

                                               N                                                 N                                                     N
  1. NaBH4, IPA, 55oC
                                                           N               +                                  N
                                                                                                                                   +                             N
                                           S       N                                     S               N                                        S         N
  2. DDQ, DCM
                                                                Br                                                                                                       Br

                                                                                                         10                                                 11
                                                       9




Gregory J. Wells, Ph.D.
Targets from 2,7-Orthogonally Functionalized Intermediate

    Method A



                                Pd(OAc)2, Ph3P
                                                       N                               1. m-CPBA, DCM         N
           N                                                   N                                                      N
                                                   S       N              R2                             HN       N
                       N                                                                                                   R2
       S       N                         B(OH)2                                                    NH2
                           Br                                                          2.
                                         R2                                                 R1
                   9
                                                               12                       µW, DIPEA, NMP                13
                                                                                                         R1

                                                  (R2 = OMe, -NHSO2Me)



                                                                    1. m-CPBA, DCM
                                                                    2. K2CO3, MeI




                                                       N
                                                               N
                                                  S        N             N     SO2Me
                                                  O



                                                               14




Gregory J. Wells, Ph.D.
Targets from 2,7-Orthogonally Functionalized Intermediate

    Method B


                                      1. m-CPBA, DCM             N
                                                                                   Pd(OAc)2, PH3P            N
           N
                                                                                                                     N
                       N                                                  N                         HN           N
       S       N                      2.   R1-NH2,mW        HN       N                                                   R2
                                                                                           B(OH)2
                           Br                                                 Br                        R1
                                           DIEPA, NMP       R1

                   9                                                     15                R2                    16




                   R1 =

                                                                                            O



                                MeO              OMe
                                           OMe          N                     N       N
                                                                                                         N


                                                        O                     N       N             O




Gregory J. Wells, Ph.D.
SAR of the 2-Position with 7-Phenyl-pyrrolo[2,1-f][1,2,4]triazine

                                                                     N
                                                                 2
                                                           R1                N
                                                                 N       N
                                                                 H




                      Cpd.                             R1                        ALK IC50 (nM)a   IR IC50 (nM)a

                                                           OMe
                                             MeO
                       17                                                          212 ± 70        295 ± 95
                                             MeO




                                             O
                       18                          N                                 >2000         194 ± 45



                                             N
                       19                              N                             48 ± 8          35 ± 3



                                         O
                       20                          N
                                                                                    38 ± 11          19 ± 6



                 a
                     IC50 values ± SD reported as the average of ≥ 3 determinations



Gregory J. Wells, Ph.D.
SAR of the 2-Aryl-phenyl Group at C7

                                                 N

                                                      N
                                                                  N

                                                                          N
                                                              N       N        7    R2
                                                              H




                        Cpd.                          R2                      ALK IC50 (nM)a   IR IC50 (nM)a


                         21                          -OMe                           20 ± 2      123 ± 37



                         22                     -C(O)NH2                           726 ± 113    326 ± 102



                         23                      -SO2CH3                           883 ± 233     > 2000



                         24                    -NHSO2CH3                           260 ± 57    1874 ± 485



                         25                  -N(Me)SO2CH3                            7±2        366 ± 143

             a
                 IC50 values ± SD reported as the average of ≥ 3 determinations



Gregory J. Wells, Ph.D.
In Vitro Profiles of Early Best Analogs



                                                               Liver microsome, t1/2(min)       CYP inhibition IC50 (µM)a   KINOMEscan®    F (%)
                                                                (Mouse, Rat, Human)                           3A4           S(90) @ 1 mM   (Rat)
    N

            N
                                 N

                         N           N
                                             N                         8, 14, 40                               9.4             0.524         4
                         H                           OMe



                21
N

        N
                             N
                                         N
                     N           N               N
                     H                                SO2CH3

                                                                      30, 21, 40                              14.6              0.614        --
                25
                                                           a
                                                               CYPs (1A2, 2C9, 2C19, 2D6): IC50 all > 30 µM




                  Desired: Improved kinase selectivity and oral bioavailability



Gregory J. Wells, Ph.D.
Optimized 2,7-Disubstituted Analogs
                                                            R1
                                                                           N
                                                                                 N
                                                                       N                7
                                                                       H   2 N              R2
                                                                   O



                                                                             ALK                   Cell           IR       KINOMEScan®     F(%)
          Eg.                       R1                       R2            IC50 (nM)a            IC50 (nM)b   IC50 (nM)a    S(90) @ 1 µM   (Rat)


           26                   N                           -OCH               9±3                  100       391 ± 80         0.085        --
                                                N




                       HO
           27                           N                   -OCH               5 ± 21               100       206 ± 49         0.067        8
                                                    N




                        HO
           28                               N
                                                            -OCH               4±1                  80        160 ± 36         0.067        6
                                                        N




                        O
           29                                               -OCH               9±3                  85        357 ± 95         0.050        34
                                N

                                                    N



                            N
           30                                               -OCH               9±1                  70        266 ± 65         0.164        38
                                    N

                                                        N

      a
          IC50 values ± SD reported as the average of ≥ 3 determinations
      b
          IC50 values reported as a mean of at least two determinations

Gregory J. Wells, Ph.D.
Optimized 2,7-Disubstituted Analogs
                                                      R1
                                                                        N
                                                                                N
                                                                    N                 7
                                                                    H   2 N               R2
                                                                O




                                                                              ALK             Cell           IR       KINOMEScan®        F(%)
            Eg.                 R1                         R2               IC50 (nM)a     IC50 (nM)b    IC50 (nM)a    S(90) @ 1 µM      (Rat)


             31                N
                                                   -N(Me)SO2Me                9±2              200       934 ± 323        0.187               --
                                       N




                         HO
            32                     N               -N(Me)SO2Me               10 ± 2            60       1137 ± 398        0.187           38
                                           N




                         HO
             33                    N               -N(Me)SO2Me               15 ± 5            80       1171 ± 169        0.194           41
                                               N



                          O
             34                N                   -N(Me)SO2Me                7±2              50        809 ± 299        0.187           47

                                           N



       a
           IC50 values ± SD reported as the average of ≥ 3 determinations; b IC50 values reported as a mean of at least two determinations;
       c
           Kinase selectivity was determined using the Ambit Bioscience KINOMEscan® technology, and is expressed as S(90), the fraction
           of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases.



Gregory J. Wells, Ph.D.
Anti-tumor Efficacy Comparison of Best Analogs




           O
                                                                                                           10mg/kg, po, bid           30 mg/kg, po, bid         55 mg/kg, po, bid
                    N                                                                                                                     (%TGI)                    (%TGI)
                                N
                                                            N

                                                                            N
                                                        N
                                                        H
                                                                    N                   OMe            No significant effect                   60                        98
                                            O


                                                29
           HO
                        N

                                    N
                                                                    N

                                                            N
                                                            H
                                                                        N
                                                                                N
                                                                                         N    SO2CH3
                                                                                                                35% TGI                        81                        98
                                                O


                                            32
       O

                N


                            N
                                                        N

                                                    N           N
                                                                        N
                                                                                    N
                                                                                                       No significant effect                   50                        96
                                                    H                                   SO2CH3
                                        O


                                            34                                                         a
                                                                                                           TGI = tumor growth inhibition; calculated from tumor volume on final day
                                                                                                           relative to vehicle control group




Gregory J. Wells, Ph.D.
MTS Assay of 32 in ALK-positive and ALK-negative cell lines
                          HO
                               N

                                    N
                                                N

                                                        N
                                            N       N       N
                                            H                   SO2CH3
                                        O




                                                                         ALK positive lines


                                                                         ALK negative lines




                                   Compound Conc. (nM)


Gregory J. Wells, Ph.D.
In-vivo Efficacy of 32 on Tumor Volume
               in ALK positive SUP-M2 Xenografts in Scid Mice
                            HO
                                 N

                                     N
                                                 N
                                                         N
                                             N       N       N
                                             H                   SO2CH3
                                         O




Gregory J. Wells, Ph.D.
Plasma and Tumor Levels of 32 in ALK
                          Positive SUP-M2 Xenografts in Scid Mice
                               HO
                                    N

                                        N
                                                    N
                                                            N
                                                N       N       N
                                                H                   SO2CH3
                                            O




Gregory J. Wells, Ph.D.
Pharmacokinetics of Lead Compound 32

                               HO
                                    N

                                        N
                                                    N
                                                            N
                                                N       N       N
                                                H                   SO2CH3
                                            O




Gregory J. Wells, Ph.D.
Single Oral Dose PK/PD for Lead Compound 32

                           HO
                                N

                                    N
                                                N
                                                        N
                                            N       N       N
                                            H                   SO2CH3
                                        O




Gregory J. Wells, Ph.D.
In vitro ADME and Safety Pharmacology Profile
                          HO
                               N

                                   N
                                               N
                                                       N
                                           N       N       N
                                           H                   SO2CH3
                                       O




           t1/2 > 40 min (Mouse, Rat, Human liver microsomes)

           Caco-2 permeability assay: Papp (AB) = 20.3 x 10-6 cm/s; PDR < 2

           Plasma protein binding: Mouse (91%); Rat (68%); Humans (83%)

           hERG (patch clamp): IC50 = 9.1 μM

           CYP (1A2, 2C9, 2C19, 2D6, 3A): IC50 >12 μM


           Compound nominated for pre-development
                and late stage pre-clinical safety studies
                                                                        Ott, Wells; JMC 6328 (2011)


Gregory J. Wells, Ph.D.
Unusual Mass Spectral Characteristics of Pyrrolo[2,1-f][1,2,4]triazines

                                     O

                                         N


                                             N
                                                          N
                                                                  N
                                                      N       N       OMe
                                                      H
                                                 O



                                                 29

                                             (MW = 514)




                   - Infused alone                                    - Infused w/ascorbic acid

             Apparent formation of semiquinonediimine radical and quinonediimine ions
              (m/z = 514, 513, resp.) supported by their suppression with ascorbic acid
             Evidence to suspect (potentially toxic) reactive metabolite formation
             Similar observations with related pyrrolotriazine during metabolic studies


Gregory J. Wells, Ph.D.
Proposed Mechanism of Ion Formation during ES-MS of Compound 29




Gregory J. Wells, Ph.D.
UV Chromatograms from Microsomal Incubation of 32 containing GSH




                                         HO
                                              N

                                                  N
                                                                N
                                                                        N
                                                           N        N       N
                                                           H                    SO2CH3
                                                      O




                                                      (0 min)
                                                      (60 min)




Gregory J. Wells, Ph.D.
LC/MS Spectra of GSH Adduct of 32 Formed During Microsomal Incubation




                                          Proposed fragmentation pattern


                                Wells-Knecht, Wells; Chem. Res. Toxicol., 1994 (2011)


Gregory J. Wells, Ph.D.
Conflicting ADME vs. Analytical Trapping Experiments



      At this stage…
           Lead compound 32 showed good F, TGI, LMS, and acceptable safety
           pharmacology profile in several animal models.

      However…
           Bioactivation/glutathione (GSH) trapping experiments in liver microsomes with
           a subset of analogs identified apparent NADPH-mediated oxidation products of
           reactive and potentially toxic quinone diimines.

      Prompting…
           Further structural modifications on the suspected sites of oxidation to attenuate
           potential formation of toxic metabolites to produce a “cleaner” drug candidate.




Gregory J. Wells, Ph.D.
Strategies to Mitigate Bioactivation/Glutathione Formation




      Shift piperazine ring from para to meta
      to avoid formation of p-iminoquinone
                                                           Incorporate EWGs on phenyl ring
                                                           to lower oxidation potential

                          HO
                               N                                      Incorporate small groups at C5
                                   N
                                               N
                                                                      to block potentially reactive site
                                                       N
                                           N       N            N
                                           H                        SO2CH3
                                       O




         Replace heterocycle with piperidine to remove
         the p-nitrogen and lower the oxidation potential




Gregory J. Wells, Ph.D.
Syntheses of Fluorophenyl- and m-Piperazine-Containing Analogs


         R2                                                                 HO                                               HO
                                      HN                R2                        N                 R2                                 N            R2
    X                        a                                          b                                       c
                                               N                                                                                               N
                                                                                            N
   R4             NO2
                                              R4              NO2                          R4            NO2                               R4            NH2
         R5
                                                        R5                                          R5                                              R5
         35                                                                                                                                38
                                                   36                                      37


                                                                                                                                            +
         N                                                                       R2
                                      N                                     R3                                      d or e             N
         N                                                          e                       N
                                              N
                         +       HO       N              R1
                                                                            R4         N        N
                                                                                                    N                             R6       N
                                                                                                                                                N
                                                                                                                                                         R1
                                                                                                           R1
                                                                                       H
                                                                                 R5
                  NH2
         O
                                              41                                      42                                                   39
        40

              Reagents and conditions: (a) (i) for X = F (inhibitors 11 and 13), N-Boc-piperazine, K2CO3, DMF, 60 °C, 60−90%, for
              a

              X = Br (inhibitor 12), N-Boc-piperazine, Pd2(dba)3, XantPhos, Cs2CO3, 1,4-dioxane, 100 °C, 66%; (ii) TFA, DCM, rt,
              80−97%; (b) (S)-2-methyl-oxirane, MeOH, 42−82%; (c) H2, Pd/C, MeOH, 87−97%; (d) 9a (R1 = N(Me)SO2Me), DIPEA,
              1-methoxy-2-propanol, microwave, 200 °C, 8%; (e) (i) 9b, (F3CSO2)2NPh, DIPEA, DMF, 0 °C → rt; (ii) 8 or 10, 85 °C,
              30−47%.




Gregory J. Wells, Ph.D.
F- and m-Substitution on Aminophenyl Group Reduced GSH Adduct Formation
                                          R2
                                     R3
                                                   N
                                                                                     HO                         N
                                                            N                  A:         N
                                     R4        N        N                                                B:            N
                                                                     R1                       N
                                               H
                                          R5




                                                                                                   IC50 (nM)a

              Cpd               R1                 R2           R3        R4        R5     ALK                  ALK         %GSH
                                                                                          enzyme                cell       adductsb

              32         -N(Me)SO2Me               H            A         H    -OMe       10 ± 2                60           61


              43         -N(Me)SO2Me               H            A         F    -OMe       56 ± 16                --          12


              44         -N(Me)SO2Me               F            A         H    -OMe        14 ± 3               200          13


              45         -N(Me)SO2Me               F            A         H         F     91 ± 19                --          0.8


              46         -N(Me)SO2Me               B            H         H    -OMe        28 ± 8                --          3.9c


              47              -OMe                 B            H         H    -OMe       187 ± 64               --          2.3c



          IC50 values reported as the average of at least two separate determinations; standard deviations are indicated where at least
          a

          three determinations were made. bRelative to the tested compound. cDue to O-demethylation and iminoquinone formation/trapping



 Gregory J. Wells, Ph.D.
Synthesis of Piperidine Analogs

                                                                                  t-Boc                                     R7
                                                                                              N                                  N
         t-Boc                          Cl
                 N                                                 a                                             b, c, d
                     B
                         O         +
                                                   NO2
                                                                                                           NO2                                     NH2
                     O                         O
                                                                                                       O                                       O


                                                                                                                                           +

         t-Boc                                            R7
                 N                                             N                                                                                   R
                                       e, b                                                       R               e
                                                                                      N                                                N
                                       or
                                                                                              N                                                N
                             NH2       f, e                                       N       N                                      H2N       N
                     O                                                            H               Ar                                               Ar
                                                                              O




                                                                       g, b       when R, R7 = H and Ar = o-methoxyphenyl



                                                          O

                                                     R8        N

                                                                                      N
                                                                                              N
                                                                                  N       N            O
                                                                                  H
                                                                          O




     Reagents and conditions: (a) Pd(PPh3)4, KHCO3, water/1,4-dioxane, 80 °C, 97%; (b) TFA, DCM, rt, 95%; (c) for inhibitors 22, 23,
     a

     25, 27, 28, epoxide, MeOH, 42−80%; for inhibitors 31−40, BrCH2CONHMe or ICH2CONH2, Cs2CO3, MeCN, 75 °C, 71−80%; (d) H2,
     Pd/C, MeOH, > 90%; (e) (i) 20a, (F3CSO2)2NPh, DIPEA, DMF, 0 °C →rt; (ii) aniline (e.g., 19 or 21), 85 °C, 13−58%; (f) LiAlH4, THF,
     reflux, 92%; (g) N-Boc-aminoacid, EDCI, HOBt, DIPEA, DMF, 50−60%.




Gregory J. Wells, Ph.D.
Piperidine Analogs – Potency and Liver Microsome Stability

                                                    R7
                                                         N

                                                                           N
                                                                                   N
                                                                       N       N          R1
                                                                       H
                                                                O




                                                                 ALK IC50 (nM)a                Liver microsome t1/2 (min)b


                  Cmpd            R1                R7       Enzyme            Cellular        M     R       Mo         H

                                               HO
                   48       -N(Me)SO2Me                       6±1                  60     > 40       21      <5        <5


                                              HO
                   49       -N(Me)SO2Me                       6±2                  70     > 40       11      <5        <5



                   50       -N(Me)SO2Me             H         10 ± 4               40     > 40       22      <5         7


                                               HO

                   51            -OMe                        3.4 ± 0.9             100    > 40      > 40     21        >4



              a
                  IC50 values reported as the average of at least two separate determinations; standard deviations
                  are indicated where at least three determinations were made. b Relative to the tested compound.


Gregory J. Wells, Ph.D.
Piperidine Analogs – Potencies, Selectivity, and Rat PK
                                                             R7
                                                                  N

                                                                                      N
                                                                                              N
                                                                                  N       N
                                                                                  H               Ar
                                                                              O




                                                          IC50 (nM)a                                                       Rat PK iv data

                Cmpd            R7       Ar         ALK                ALK              IR             S(90)b   T1/2 (h)        CL          Rat F%
                                                   Enzyme             Cellular        Enzyme                                (mL/min/kg)
                                              O
                 52            Me-                  6±2                 70            222 ± 84         0.10       1.4           29            3

                          HO
                 53                           O     3±1                 80            149 ± 55         0.09       1.4           62            16
                           F


                          HO                  O     3±1                 30            164 ± 42         0.06        2            39            15
                 54
                          HO

                                     O        O     7±2                 150       579 ± 194            0.09       2.6           25            13
                 55       H2N



                                     O        O     11 ± 5              200           335 ± 87           --       2.5           32            15
                           H
                 56        N


                                              O
                           H                        10 ± 4              100           161 ± 47         0.04        --            --           --
                           N
                 57
                                O

                         H2N
                                              O
                                                    6±2                 100           222 ± 81         0.03       3.4           12            43
                 58
                                O



            a
                IC50 values are reported as the average of at least two separate determinations; standard deviations are indicated where at least
                three determinations were made. b Kinase selectivity was determined using the Ambit Bioscience KINOMEscan technology, and is
                expressed as S(90), the fraction of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases.


Gregory J. Wells, Ph.D.
Piperidine Analogs – Potencies, Selectivity, and Rat PK (cont.)
                                                              R7
                                                                   N

                                                                                           N
                                                                                                   N
                                                                                       N       N
                                                                                       H               Ar
                                                                                  O




                                                              IC50 (nM)a                                                        Rat PK iv data

         Cmpd            R7           Ar             ALK                ALK              IR                 S(90)b   T1/2 (h)        CL          Rat F%
                                                    Enzyme             Cellular        Enzyme                                    (mL/min/kg)
                   H2N                     O
             58                                      6±2                 100           222 ± 81             0.03       3.4           12            43
                         O
                                           O

             59    H2N                               12 ± 4              500          2967 ± 184              --        --            --           --
                         O                 O


             60    H2N                     CN        19 ± 6              250          747 ± 274               --        --            --           --
                         O
                                           O
             61    H2N                             1060 ± 460             --           > 10,000               --        --            --           --
                                  N
                         O

             62    H2N                     O         9±4                 150          410 ± 141             0.06        --            --           --
                         O
                                       N
                                               O
                   H2N
             63                        N       S     15 ± 4              80            552 ± 62             0.13        --            --           --
                                               O
                         O


         a
          IC50 values are reported as the average of at least two separate determinations; standard deviations are indicated where at least
         three
          determinations were made. bKinase selectivity was determined using the Ambit Bioscience KINOMEscan technology, and is
          expressed as S(90), the fraction of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases.


Gregory J. Wells, Ph.D.
Piperidine Analogs – Potency and Rat PK for 5-Substituted Analogs

                                           H2N
                                                     N                               R
                                                 O                                       5
                                                                        N
                                                                                N               O
                                                                    N       N                N S
                                                                    H
                                                                O
                                                                                               O




                                           IC50 (nM)a                       Liver microsome t1/2 (min)b


              Cmpd        R      ALK enzyme          ALK Cell        M               R          Mo        H    Rat F%


                64        H         15 ± 4               80         29              <5          <5        <5     --


                65       OH         11 ± 1               --         <5              <5          <5        <5     --


                66       Me          6±2                 70         > 40            31          6         18     24


                67       Cl          5±1                 70         > 40            > 40        15        37     41


             IC50 values are reported as the average of at least two separate determinations; standard deviations are
             indicated where at least three determinations were made. bM = mouse; R = rat; Mo = monkey; H = human.



                                                                                             Mesaros, Thieu, Wells; JMC, 2012, 115



Gregory J. Wells, Ph.D.
Pharmacokinetic Parameters of 58 in S-D Rats and Scid Mice
                            H2N
                                      N
                                  O
                                                  N
                                                          N
                                              N       N       O
                                              H
                                          O




Gregory J. Wells, Ph.D.
PK/PD for 58 in Sup-M2 Xenografts in Scid Mice

                                  H2N
                                            N
                                        O
                                                        N
                                                                N
                                                    N       N       O
                                                    H
                                                O




           Inhibition of NPM-ALK, single dose                           Compound levels in plasma and tumor
                30mg/kg sol's in PEG400




Gregory J. Wells, Ph.D.
Antitumor Efficacy of 58 in Scid Mice

                                                  H2N
                                                            N
                                                        O
                                                                        N
                                                                                N
                                                                    N       N       O
                                                                    H
                                                                O




Gregory J. Wells, Ph.D.
Pharmacological Milestones in the Development
                                   of Pyrrolotriazines as ALK Inhibitors

                                                                                         Efficacy   Metabolic
                                                                 Potency   Selectivity
                                                                                          (TGI)     Stability

                  N
                          N
                                          N


                                                                                            ?           ?
                                                  N
                                      N
                                      H
                                              N
                                                                              
   HO
              N
                      N
                                      N


                              O
                                  N
                                  H
                                          N
                                              N
                                                      N SO CH
                                                          2  3
                                                                                                    
    H2N
              N
          O

                                  N
                                      N

                                          N
                                              N
                                                       O
                                                                                                    
                                  H
                              O




Gregory J. Wells, Ph.D.
Acknowledgements

         Chemistry                      Biology            Oncology

Henry Breslin        Jay Theroff        Lisa Aimone       Hong Chang
James Diebold        Gregory Ott        Mark Albom        Mangeng Cheng
Arup Ghose           Jonathan Parrish   Thelma Angeles    Lihui Lu
Diane Gingrich       Rabi Tripathy      Laura Gwinn       Matt Quail
Robert Hudkins       Ted Underiner      Beverly Holskin   Wendy Wan
Joseph Lisko         Jason Wagner       Zeqi Huang        Ashley Wohler
Robert McHugh        Linda Weinberg     Kristen Murray    Bruce Ruggeri
Eugen Mesaros        Gregory Wells      Damaris Steele
Karen Milkiewicz     Craig Zificsak     Kelli Zeigler     DDS/Analytical
Tho Thieu            Bruce Dorsey       Sherri Meyer
                                        Mark Ator         Joe Herman
                                                          Deborah Luciani
                                                          Kevin Wells-Knecht
                                                          Mehran Yazdanian




Gregory J. Wells, Ph.D.
Supplementary slides




Gregory J. Wells, Ph.D.
ERK Pathway




                                        Orton, Biochem J. 2005, v.392(Pt. 2), 249.




Gregory J. Wells, Ph.D.
MAPK/ERK Pathway (alternate view)




Gregory J. Wells, Ph.D.
Comparison of Crystal Structure of NVP-TAE684 and
                  Docking of a 2,7-pyrrolo[2,1-f][1,2,4]triazine analog




                                Cl
                       N
                                                                 N
                  HN       N    NH O
                                                                         N
             O                         S                    HN       N       O
                                           O
                                                        O


                  N

                                                             N
                               NVP-TAE684
                  N
                                                             N

                  N




Gregory J. Wells, Ph.D.
Structure-Activity of Select Fused Pyrrolocarbazole Derivatives
                                          H
                                          N
                                              O


                             R2                    N
                                                   N
                                    N
                                     R1



                                                        ALK IC50 (nM)
                  CEP      R1                 R2       Enzyme      Cell
                 11719     iBu            HOCH2CC-       1.1     10 to 30
                 11834     iBu            HON=C-         3.1     10 to 30
                 14083     nPr      Ph(Me)NC(O)NH-       1.6     10 to 30


                 14513     iBu                           3.7     10 to 30



                 11673    CH2cPr                         428      >3000


                 11988      Et       iBuON=C(Me)-       21838    >30000



Gregory J. Wells, Ph.D.
ALK Activity Is Essential for the
                                                                   Proliferation of ALK+ ALCL Cells in Culture
                                                                                                                     H
                                                                                                                     N   O

                                                                                                     H
                                                                                                     N       O                                                         N

                                                                                                         O                                                         N
                                                                                      (Me)2N
                                                                                                                 N




                                                                      ―   30     100 300                                                                                                 ―    30      100 300
                                                                     (nM)                                                                                                                (nM)
                                            120                                            p-NPM-ALK                                                             120
                                                                                                                                                                                                            p-NPM-ALK
                                                      Sudhl-1
                                                                                                                                                                           Sup-M2
                                                                                           NPM-ALK
     R e la tiv e liv in g c e lls




                                                                                                                         R e la t iv e liv in g c e lls
                                             90                                                                                                                  90                                         NPM-ALK

                                             60                                                                                                                  60


                                             30                                                                                                                  30


                                             0                                                                                                                    0
                                                  1     10          100        1000                                                                                    1    10          100        1000
                                                        CEP-14513 (nM)                                                                                                      CEP-14513 (nM)

                                                                           ―    30    100 300
                                                                           (nM)
                                                                                               p-NPM-ALK
                                            120
                                                                                                                                                                 120       K562 cells
                                                      Karpas-299
                                                                                               NPM-ALK




                                                                                                                                 R e la tiv e liv in g c e lls
           R e la t iv e liv in g c e lls




                                             90                                                                                                                   90


                                             60                                                                                                                   60


                                             30                                                                                                                   30


                                              0                                                                                                                    0
                                                  1      10          100       1000                                                                                    1     10          100         1000
                                                        CEP-14513 (nM)                                                                                                       CEP-14513 (nM)



Gregory J. Wells, Ph.D.

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2,7-Disubstituted Pyrrolo2,1-f1,2,4triazines: A New Class of ALK Inhibitors

  • 1. 2,7-Disubstituted-Pyrrolo[2,1-f][1,2,4]triazines A New Class Anaplastic Lymphoma Kinase (ALK) Inhibitors with in-vivo Anti-tumor Efficacy Gregory J. Wells, Ph.D. N R N N N H R' Gregory J. Wells, Ph.D.
  • 2. General  Kinome - the set of protein kinases in an organism’s genome.  Kinases - enzymes that catalyze phosphorylation (from ATP) of amino acids, which fall into several groups and families: • ones that phosphorylate serine and threonine; • ones that phosphorylate tyrosine; • some that phosphorylate both (eg. MAP2K and GSK families).  Essential for control and regulation of most biochemical pathways • 518 known human protein kinases • 155 crystal structures solved • 160+ associated with human diseases • 14 small molecule inhibitors approved since 2001  Among the most active areas of targeted drug discovery in the past decade Gregory J. Wells, Ph.D.
  • 3. ALK is a member of the TKL branch of the Protein Kinase Phylogenetic Tree (Reprinted with permission from Cell Signaling Technology, Inc.) Gregory J. Wells, Ph.D.
  • 4. ALK – Background  Anaplastic Lymphoma Kinase (ALK) is a cell membrane-spanning receptor tyrosine kinase with MW = 180 kDa  Most abundantly expressed in neonatal and adult brains, suggesting a possible role in brain and CNS development (Oncogene, 2001, 20, 5623)  Member of the insulin receptor (IR) family with IGF-1R, IRR, LTK and c-Ros  Binds to insulin receptor substrate 1 (IRS1); activates MAPK signaling pathway by activating the Ras-extracellular signal regulated kinase (ERK) pathway Gregory J. Wells, Ph.D.
  • 5. Relation to Anaplastic Large-Cell Lymphoma (ALCL)  ALK is implicated in the progression of certain tumors; approximately 60-70% of anaplastic large cell lymphomas (ALCL) are associated with a chromosome mutation containing a classical t (2;5) or other translocation that generates a mutant oncogenic fusion protein (NPM-ALK) consisting of nucleophosmin (NPM) and the intracellular domain of ALK  NPM-ALK possesses a constitutively active tyrosine kinase domain responsible for its oncogenic property through activation of downstream effectors  ALCL is a subset of high-grade non-Hodgkin’s lymphomas (NHLs) that typically presents as an aggressive systemic disease with ~50% 5-year survival rate after chemotherapy; predominant in children and young adults with about 2,500 new cases per year in US  Aberrant expression of constitutively active ALK is directly implicated in the pathogenesis of ALCL and ALK inhibition can markedly impair the growth of ALK+ lymphoma cells  Additionally, the EML4–ALK fusion gene has been identified in non-small-cell lung cancer (NSCLC) patients (Nature, 2007, 561) and represents another in a list of ALK fusion proteins that are promising targets for ALK inhibitor therapy. Gregory J. Wells, Ph.D.
  • 6. Competitor ALK Inhibitors N N HN F O N Cl N N N N N N N N NH O N H H H O S O O NH O Novartis (NVP-TAE684) GlaxoSmithKline ALK IC50 = 3 nM ALK IC50 = 0.5 nM H N N O Cl N N O O F N H N N CN N NH N H Cl O H2N N O O Chugai Pharma. Chembridge O Pfizer (Crizotinib) ALK IC50 = 2 nM ALK IC50 = 0.2 µM ALK IC50 = 2 nM Gregory J. Wells, Ph.D.
  • 7. Previously reported Cephalon ALK inhibitors H N F N O O N O HN N N F N N N N N H Wan, Cheng, Blood, 1617 (2006) Milkiewicz, Bioorg. Med. Chem., 4351 (2010) ALK IC50 = 2nM ALK IC50 = 10nM Karpas Cell IC50 = 20nM Karpas Cell IC50 = 150nM O O N N Cl N Cl O O N N N N N N N N N H H H H O CONH2 O Mesaros, Bioorg. Med. Chem., 463 (2011) Ott, Med. Chem. Lett., 493 (2010) ALK IC50 = 4nM ALK IC50 = 14nM Karpas Cell IC50 = 50nM Karpas Cell IC50 = 45nM Gregory J. Wells, Ph.D.
  • 8. ALK Activity Is Essential for the Proliferation of ALK+ ALCL Cells in Culture H N O H N O N ALK IC50 (Me)2N O N N Enzyme 3.7 nM Cellular 10-30 nM CEP-14513 ― 30 100 300 (nM) ― 30 100 300 (nM) p-NPM-ALK p-NPM-ALK NPM-ALK NPM-ALK 120 K562 cells 120 120 Karpas-299 Sup-M2 R e la tiv e liv in g c e lls R e la t iv e liv in g c e lls 90 R e la t iv e liv in g c e lls 90 90 60 60 60 30 30 30 0 0 0 1 10 100 1000 1 10 100 1000 1 10 100 1000 CEP-14513 (nM) CEP-14513 (nM) CEP-14513 (nM) Gregory J. Wells, Ph.D.
  • 9. Conceptualization of Pyrrolotriazines as Potential ALK Inhibitors Cl N N HN N NH N HN N Gregory J. Wells, Ph.D.
  • 10. Precedents in the Medicinal Chemistry Literature Purine/Adenosine mimics as C-linked nucleosides Quinazoline mimics as kinase inhibitors NH2 H N N N HO N HO N HO NH O O O N N H S N F N N OH HO OH HO OH N N N Heterocycles, 569 (1992) Tet. Lett., 5339 (1994) JMC, 4059 (2004) JMC, 2143 (2006) Meijo University Albert Einstein College of Medicine VEGFR-2 (BMS) Substituted Aminopyrazole hinge-binding motif H N O H O HN N F N NH2 O N HN F N F N N O N N N N N H H BMCL, 1945 (2007) JMC, 7360 (2009) c-MET (BMS) IGF-1R (BMS) Gregory J. Wells, Ph.D.
  • 11. Crystal Structure of NVP-TAE684 bound to ALK Cl N HN N NH O O S O N NVP-TAE684 N N Gregory J. Wells, Ph.D.
  • 12. Docking of a 2,7-pyrrolo[2,1-f][1,2,4]triazine analog with ALK N N HN N O O N N Gregory J. Wells, Ph.D.
  • 13. Synthesis of a Key Intermediate 2-Methylthio-7-bromo-pyrrolo[2,1-f][1,2,4]triazine OEt O Benzoyl N Chloroamine OEt thioisocyanate H 2N NaOH OEt O HN O N NH N N THF KO-t-Bu, THF N H O O NH2 S S N H 1 2 3 4 Cl Cl Cl Cl Br Br 1. MeI, THF NBS N N N + N + 2. POCl3 N N N N THF- MeOH (2/1) S N S N S N S N Br Br 5 6 7 8 Br Br N N N 1. NaBH4, IPA, 55oC N + N + N S N S N S N 2. DDQ, DCM Br Br 10 11 9 Gregory J. Wells, Ph.D.
  • 14. Targets from 2,7-Orthogonally Functionalized Intermediate Method A Pd(OAc)2, Ph3P N 1. m-CPBA, DCM N N N N S N R2 HN N N R2 S N B(OH)2 NH2 Br 2. R2 R1 9 12 µW, DIPEA, NMP 13 R1 (R2 = OMe, -NHSO2Me) 1. m-CPBA, DCM 2. K2CO3, MeI N N S N N SO2Me O 14 Gregory J. Wells, Ph.D.
  • 15. Targets from 2,7-Orthogonally Functionalized Intermediate Method B 1. m-CPBA, DCM N Pd(OAc)2, PH3P N N N N N HN N S N 2. R1-NH2,mW HN N R2 B(OH)2 Br Br R1 DIEPA, NMP R1 9 15 R2 16 R1 = O MeO OMe OMe N N N N O N N O Gregory J. Wells, Ph.D.
  • 16. SAR of the 2-Position with 7-Phenyl-pyrrolo[2,1-f][1,2,4]triazine N 2 R1 N N N H Cpd. R1 ALK IC50 (nM)a IR IC50 (nM)a OMe MeO 17 212 ± 70 295 ± 95 MeO O 18 N >2000 194 ± 45 N 19 N 48 ± 8 35 ± 3 O 20 N 38 ± 11 19 ± 6 a IC50 values ± SD reported as the average of ≥ 3 determinations Gregory J. Wells, Ph.D.
  • 17. SAR of the 2-Aryl-phenyl Group at C7 N N N N N N 7 R2 H Cpd. R2 ALK IC50 (nM)a IR IC50 (nM)a 21 -OMe 20 ± 2 123 ± 37 22 -C(O)NH2 726 ± 113 326 ± 102 23 -SO2CH3 883 ± 233 > 2000 24 -NHSO2CH3 260 ± 57 1874 ± 485 25 -N(Me)SO2CH3 7±2 366 ± 143 a IC50 values ± SD reported as the average of ≥ 3 determinations Gregory J. Wells, Ph.D.
  • 18. In Vitro Profiles of Early Best Analogs Liver microsome, t1/2(min) CYP inhibition IC50 (µM)a KINOMEscan® F (%) (Mouse, Rat, Human) 3A4 S(90) @ 1 mM (Rat) N N N N N N 8, 14, 40 9.4 0.524 4 H OMe 21 N N N N N N N H SO2CH3 30, 21, 40 14.6 0.614 -- 25 a CYPs (1A2, 2C9, 2C19, 2D6): IC50 all > 30 µM  Desired: Improved kinase selectivity and oral bioavailability Gregory J. Wells, Ph.D.
  • 19. Optimized 2,7-Disubstituted Analogs R1 N N N 7 H 2 N R2 O ALK Cell IR KINOMEScan® F(%) Eg. R1 R2 IC50 (nM)a IC50 (nM)b IC50 (nM)a S(90) @ 1 µM (Rat) 26 N -OCH 9±3 100 391 ± 80 0.085 -- N HO 27 N -OCH 5 ± 21 100 206 ± 49 0.067 8 N HO 28 N -OCH 4±1 80 160 ± 36 0.067 6 N O 29 -OCH 9±3 85 357 ± 95 0.050 34 N N N 30 -OCH 9±1 70 266 ± 65 0.164 38 N N a IC50 values ± SD reported as the average of ≥ 3 determinations b IC50 values reported as a mean of at least two determinations Gregory J. Wells, Ph.D.
  • 20. Optimized 2,7-Disubstituted Analogs R1 N N N 7 H 2 N R2 O ALK Cell IR KINOMEScan® F(%) Eg. R1 R2 IC50 (nM)a IC50 (nM)b IC50 (nM)a S(90) @ 1 µM (Rat) 31 N -N(Me)SO2Me 9±2 200 934 ± 323 0.187 -- N HO 32 N -N(Me)SO2Me 10 ± 2 60 1137 ± 398 0.187 38 N HO 33 N -N(Me)SO2Me 15 ± 5 80 1171 ± 169 0.194 41 N O 34 N -N(Me)SO2Me 7±2 50 809 ± 299 0.187 47 N a IC50 values ± SD reported as the average of ≥ 3 determinations; b IC50 values reported as a mean of at least two determinations; c Kinase selectivity was determined using the Ambit Bioscience KINOMEscan® technology, and is expressed as S(90), the fraction of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases. Gregory J. Wells, Ph.D.
  • 21. Anti-tumor Efficacy Comparison of Best Analogs O 10mg/kg, po, bid 30 mg/kg, po, bid 55 mg/kg, po, bid N (%TGI) (%TGI) N N N N H N OMe No significant effect 60 98 O 29 HO N N N N H N N N SO2CH3 35% TGI 81 98 O 32 O N N N N N N N No significant effect 50 96 H SO2CH3 O 34 a TGI = tumor growth inhibition; calculated from tumor volume on final day relative to vehicle control group Gregory J. Wells, Ph.D.
  • 22. MTS Assay of 32 in ALK-positive and ALK-negative cell lines HO N N N N N N N H SO2CH3 O ALK positive lines ALK negative lines Compound Conc. (nM) Gregory J. Wells, Ph.D.
  • 23. In-vivo Efficacy of 32 on Tumor Volume in ALK positive SUP-M2 Xenografts in Scid Mice HO N N N N N N N H SO2CH3 O Gregory J. Wells, Ph.D.
  • 24. Plasma and Tumor Levels of 32 in ALK Positive SUP-M2 Xenografts in Scid Mice HO N N N N N N N H SO2CH3 O Gregory J. Wells, Ph.D.
  • 25. Pharmacokinetics of Lead Compound 32 HO N N N N N N N H SO2CH3 O Gregory J. Wells, Ph.D.
  • 26. Single Oral Dose PK/PD for Lead Compound 32 HO N N N N N N N H SO2CH3 O Gregory J. Wells, Ph.D.
  • 27. In vitro ADME and Safety Pharmacology Profile HO N N N N N N N H SO2CH3 O  t1/2 > 40 min (Mouse, Rat, Human liver microsomes)  Caco-2 permeability assay: Papp (AB) = 20.3 x 10-6 cm/s; PDR < 2  Plasma protein binding: Mouse (91%); Rat (68%); Humans (83%)  hERG (patch clamp): IC50 = 9.1 μM  CYP (1A2, 2C9, 2C19, 2D6, 3A): IC50 >12 μM  Compound nominated for pre-development and late stage pre-clinical safety studies Ott, Wells; JMC 6328 (2011) Gregory J. Wells, Ph.D.
  • 28. Unusual Mass Spectral Characteristics of Pyrrolo[2,1-f][1,2,4]triazines O N N N N N N OMe H O 29 (MW = 514) - Infused alone - Infused w/ascorbic acid  Apparent formation of semiquinonediimine radical and quinonediimine ions (m/z = 514, 513, resp.) supported by their suppression with ascorbic acid  Evidence to suspect (potentially toxic) reactive metabolite formation  Similar observations with related pyrrolotriazine during metabolic studies Gregory J. Wells, Ph.D.
  • 29. Proposed Mechanism of Ion Formation during ES-MS of Compound 29 Gregory J. Wells, Ph.D.
  • 30. UV Chromatograms from Microsomal Incubation of 32 containing GSH HO N N N N N N N H SO2CH3 O (0 min) (60 min) Gregory J. Wells, Ph.D.
  • 31. LC/MS Spectra of GSH Adduct of 32 Formed During Microsomal Incubation Proposed fragmentation pattern Wells-Knecht, Wells; Chem. Res. Toxicol., 1994 (2011) Gregory J. Wells, Ph.D.
  • 32. Conflicting ADME vs. Analytical Trapping Experiments  At this stage… Lead compound 32 showed good F, TGI, LMS, and acceptable safety pharmacology profile in several animal models.  However… Bioactivation/glutathione (GSH) trapping experiments in liver microsomes with a subset of analogs identified apparent NADPH-mediated oxidation products of reactive and potentially toxic quinone diimines.  Prompting… Further structural modifications on the suspected sites of oxidation to attenuate potential formation of toxic metabolites to produce a “cleaner” drug candidate. Gregory J. Wells, Ph.D.
  • 33. Strategies to Mitigate Bioactivation/Glutathione Formation Shift piperazine ring from para to meta to avoid formation of p-iminoquinone Incorporate EWGs on phenyl ring to lower oxidation potential HO N Incorporate small groups at C5 N N to block potentially reactive site N N N N H SO2CH3 O Replace heterocycle with piperidine to remove the p-nitrogen and lower the oxidation potential Gregory J. Wells, Ph.D.
  • 34. Syntheses of Fluorophenyl- and m-Piperazine-Containing Analogs R2 HO HO HN R2 N R2 N R2 X a b c N N N R4 NO2 R4 NO2 R4 NO2 R4 NH2 R5 R5 R5 R5 35 38 36 37 + N R2 N R3 d or e N N e N N + HO N R1 R4 N N N R6 N N R1 R1 H R5 NH2 O 41 42 39 40 Reagents and conditions: (a) (i) for X = F (inhibitors 11 and 13), N-Boc-piperazine, K2CO3, DMF, 60 °C, 60−90%, for a X = Br (inhibitor 12), N-Boc-piperazine, Pd2(dba)3, XantPhos, Cs2CO3, 1,4-dioxane, 100 °C, 66%; (ii) TFA, DCM, rt, 80−97%; (b) (S)-2-methyl-oxirane, MeOH, 42−82%; (c) H2, Pd/C, MeOH, 87−97%; (d) 9a (R1 = N(Me)SO2Me), DIPEA, 1-methoxy-2-propanol, microwave, 200 °C, 8%; (e) (i) 9b, (F3CSO2)2NPh, DIPEA, DMF, 0 °C → rt; (ii) 8 or 10, 85 °C, 30−47%. Gregory J. Wells, Ph.D.
  • 35. F- and m-Substitution on Aminophenyl Group Reduced GSH Adduct Formation R2 R3 N HO N N A: N R4 N N B: N R1 N H R5 IC50 (nM)a Cpd R1 R2 R3 R4 R5 ALK ALK %GSH enzyme cell adductsb 32 -N(Me)SO2Me H A H -OMe 10 ± 2 60 61 43 -N(Me)SO2Me H A F -OMe 56 ± 16 -- 12 44 -N(Me)SO2Me F A H -OMe 14 ± 3 200 13 45 -N(Me)SO2Me F A H F 91 ± 19 -- 0.8 46 -N(Me)SO2Me B H H -OMe 28 ± 8 -- 3.9c 47 -OMe B H H -OMe 187 ± 64 -- 2.3c IC50 values reported as the average of at least two separate determinations; standard deviations are indicated where at least a three determinations were made. bRelative to the tested compound. cDue to O-demethylation and iminoquinone formation/trapping Gregory J. Wells, Ph.D.
  • 36. Synthesis of Piperidine Analogs t-Boc R7 N N t-Boc Cl N a b, c, d B O + NO2 NO2 NH2 O O O O + t-Boc R7 N N R e, b R e N N or N N NH2 f, e N N H2N N O H Ar Ar O g, b when R, R7 = H and Ar = o-methoxyphenyl O R8 N N N N N O H O Reagents and conditions: (a) Pd(PPh3)4, KHCO3, water/1,4-dioxane, 80 °C, 97%; (b) TFA, DCM, rt, 95%; (c) for inhibitors 22, 23, a 25, 27, 28, epoxide, MeOH, 42−80%; for inhibitors 31−40, BrCH2CONHMe or ICH2CONH2, Cs2CO3, MeCN, 75 °C, 71−80%; (d) H2, Pd/C, MeOH, > 90%; (e) (i) 20a, (F3CSO2)2NPh, DIPEA, DMF, 0 °C →rt; (ii) aniline (e.g., 19 or 21), 85 °C, 13−58%; (f) LiAlH4, THF, reflux, 92%; (g) N-Boc-aminoacid, EDCI, HOBt, DIPEA, DMF, 50−60%. Gregory J. Wells, Ph.D.
  • 37. Piperidine Analogs – Potency and Liver Microsome Stability R7 N N N N N R1 H O ALK IC50 (nM)a Liver microsome t1/2 (min)b Cmpd R1 R7 Enzyme Cellular M R Mo H HO 48 -N(Me)SO2Me 6±1 60 > 40 21 <5 <5 HO 49 -N(Me)SO2Me 6±2 70 > 40 11 <5 <5 50 -N(Me)SO2Me H 10 ± 4 40 > 40 22 <5 7 HO 51 -OMe 3.4 ± 0.9 100 > 40 > 40 21 >4 a IC50 values reported as the average of at least two separate determinations; standard deviations are indicated where at least three determinations were made. b Relative to the tested compound. Gregory J. Wells, Ph.D.
  • 38. Piperidine Analogs – Potencies, Selectivity, and Rat PK R7 N N N N N H Ar O IC50 (nM)a Rat PK iv data Cmpd R7 Ar ALK ALK IR S(90)b T1/2 (h) CL Rat F% Enzyme Cellular Enzyme (mL/min/kg) O 52 Me- 6±2 70 222 ± 84 0.10 1.4 29 3 HO 53 O 3±1 80 149 ± 55 0.09 1.4 62 16 F HO O 3±1 30 164 ± 42 0.06 2 39 15 54 HO O O 7±2 150 579 ± 194 0.09 2.6 25 13 55 H2N O O 11 ± 5 200 335 ± 87 -- 2.5 32 15 H 56 N O H 10 ± 4 100 161 ± 47 0.04 -- -- -- N 57 O H2N O 6±2 100 222 ± 81 0.03 3.4 12 43 58 O a IC50 values are reported as the average of at least two separate determinations; standard deviations are indicated where at least three determinations were made. b Kinase selectivity was determined using the Ambit Bioscience KINOMEscan technology, and is expressed as S(90), the fraction of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases. Gregory J. Wells, Ph.D.
  • 39. Piperidine Analogs – Potencies, Selectivity, and Rat PK (cont.) R7 N N N N N H Ar O IC50 (nM)a Rat PK iv data Cmpd R7 Ar ALK ALK IR S(90)b T1/2 (h) CL Rat F% Enzyme Cellular Enzyme (mL/min/kg) H2N O 58 6±2 100 222 ± 81 0.03 3.4 12 43 O O 59 H2N 12 ± 4 500 2967 ± 184 -- -- -- -- O O 60 H2N CN 19 ± 6 250 747 ± 274 -- -- -- -- O O 61 H2N 1060 ± 460 -- > 10,000 -- -- -- -- N O 62 H2N O 9±4 150 410 ± 141 0.06 -- -- -- O N O H2N 63 N S 15 ± 4 80 552 ± 62 0.13 -- -- -- O O a IC50 values are reported as the average of at least two separate determinations; standard deviations are indicated where at least three determinations were made. bKinase selectivity was determined using the Ambit Bioscience KINOMEscan technology, and is expressed as S(90), the fraction of kinases inhibited >90% when screened at 1 μM across a panel of 256 kinases. Gregory J. Wells, Ph.D.
  • 40. Piperidine Analogs – Potency and Rat PK for 5-Substituted Analogs H2N N R O 5 N N O N N N S H O O IC50 (nM)a Liver microsome t1/2 (min)b Cmpd R ALK enzyme ALK Cell M R Mo H Rat F% 64 H 15 ± 4 80 29 <5 <5 <5 -- 65 OH 11 ± 1 -- <5 <5 <5 <5 -- 66 Me 6±2 70 > 40 31 6 18 24 67 Cl 5±1 70 > 40 > 40 15 37 41 IC50 values are reported as the average of at least two separate determinations; standard deviations are indicated where at least three determinations were made. bM = mouse; R = rat; Mo = monkey; H = human. Mesaros, Thieu, Wells; JMC, 2012, 115 Gregory J. Wells, Ph.D.
  • 41. Pharmacokinetic Parameters of 58 in S-D Rats and Scid Mice H2N N O N N N N O H O Gregory J. Wells, Ph.D.
  • 42. PK/PD for 58 in Sup-M2 Xenografts in Scid Mice H2N N O N N N N O H O Inhibition of NPM-ALK, single dose Compound levels in plasma and tumor 30mg/kg sol's in PEG400 Gregory J. Wells, Ph.D.
  • 43. Antitumor Efficacy of 58 in Scid Mice H2N N O N N N N O H O Gregory J. Wells, Ph.D.
  • 44. Pharmacological Milestones in the Development of Pyrrolotriazines as ALK Inhibitors Efficacy Metabolic Potency Selectivity (TGI) Stability N N N ? ? N N H N   HO N N N O N H N N N SO CH 2 3     H2N N O N N N N O     H O Gregory J. Wells, Ph.D.
  • 45. Acknowledgements Chemistry Biology Oncology Henry Breslin Jay Theroff Lisa Aimone Hong Chang James Diebold Gregory Ott Mark Albom Mangeng Cheng Arup Ghose Jonathan Parrish Thelma Angeles Lihui Lu Diane Gingrich Rabi Tripathy Laura Gwinn Matt Quail Robert Hudkins Ted Underiner Beverly Holskin Wendy Wan Joseph Lisko Jason Wagner Zeqi Huang Ashley Wohler Robert McHugh Linda Weinberg Kristen Murray Bruce Ruggeri Eugen Mesaros Gregory Wells Damaris Steele Karen Milkiewicz Craig Zificsak Kelli Zeigler DDS/Analytical Tho Thieu Bruce Dorsey Sherri Meyer Mark Ator Joe Herman Deborah Luciani Kevin Wells-Knecht Mehran Yazdanian Gregory J. Wells, Ph.D.
  • 47. ERK Pathway Orton, Biochem J. 2005, v.392(Pt. 2), 249. Gregory J. Wells, Ph.D.
  • 48. MAPK/ERK Pathway (alternate view) Gregory J. Wells, Ph.D.
  • 49. Comparison of Crystal Structure of NVP-TAE684 and Docking of a 2,7-pyrrolo[2,1-f][1,2,4]triazine analog Cl N N HN N NH O N O S HN N O O O N N NVP-TAE684 N N N Gregory J. Wells, Ph.D.
  • 50. Structure-Activity of Select Fused Pyrrolocarbazole Derivatives H N O R2 N N N R1 ALK IC50 (nM) CEP R1 R2 Enzyme Cell 11719 iBu HOCH2CC- 1.1 10 to 30 11834 iBu HON=C- 3.1 10 to 30 14083 nPr Ph(Me)NC(O)NH- 1.6 10 to 30 14513 iBu 3.7 10 to 30 11673 CH2cPr 428 >3000 11988 Et iBuON=C(Me)- 21838 >30000 Gregory J. Wells, Ph.D.
  • 51. ALK Activity Is Essential for the Proliferation of ALK+ ALCL Cells in Culture H N O H N O N O N (Me)2N N ― 30 100 300 ― 30 100 300 (nM) (nM) 120 p-NPM-ALK 120 p-NPM-ALK Sudhl-1 Sup-M2 NPM-ALK R e la tiv e liv in g c e lls R e la t iv e liv in g c e lls 90 90 NPM-ALK 60 60 30 30 0 0 1 10 100 1000 1 10 100 1000 CEP-14513 (nM) CEP-14513 (nM) ― 30 100 300 (nM) p-NPM-ALK 120 120 K562 cells Karpas-299 NPM-ALK R e la tiv e liv in g c e lls R e la t iv e liv in g c e lls 90 90 60 60 30 30 0 0 1 10 100 1000 1 10 100 1000 CEP-14513 (nM) CEP-14513 (nM) Gregory J. Wells, Ph.D.

Notes de l'éditeur

  1. Protein kinase phylogenetic tree. Relationships between members of the protein kinase superfamily (kinome dendrogram reprinted with permission from Cell Signaling Technology , Inc. and Manning et al. (20)) are shown. Group names are: AGC , containing cAMP-dependent protein kinase ( PKA ), cGMP-dependent protein kinase ( PKG ), and protein kinase C ( PKC ); CAMK , calcium/calmodulin-dependent protein kinase; CK1 , casein kinase 1; CMGC , containing CDK, mitogen-activated protein kinase ( MAPK ), glycogen synthase kinase 3 (GSK3), and CDC-like kinase (CLK) families; STE , homologs of the yeast Sterile kinases; TK , tyrosine kinase; TKL , tyrosine kinase-like. Insets highlight several atypical and mouse-specific kinases in the AfCS collection. The murine orthologs of all kinases highlighted red are represented in the AfCS plasmid database and are available through the ATCC (see Supplemental Table 4 for clone IDs).
  2. The  MAPK/ERK pathway  is a chain of  proteins  in the cell that communicates a signal from a receptor on the surface of the cell to the DNA in the nucleus of the cell. The signal starts when a signaling molecule binds to the receptor on the cell surface and ends when the DNA in the nucleus expresses a protein and produces some change in the cell, such as cell division. The pathway includes many proteins, including MAPK (originally called ERK), which communicate by adding phosphate groups to a neighboring protein, which acts as an &quot;on&quot; or &quot;off&quot; switch. When one of the proteins in the pathway is mutated, it can be stuck in the &quot;on&quot; or &quot;off&quot; position, which is a necessary step in the development of many cancers. Components of the MAPK/ERK pathway were discovered when they were found in cancer cells. Drugs that reverse the &quot;on&quot; or &quot;off&quot; switch are being investigated as cancer treatments. http://en.wikipedia.org/wiki/MAPK/ERK_pathway http://www.ncbi.nlm.nih.gov/pubmed/16293107 (see suppl. Slides)
  3. Other classes include tetrahydro-pyrrolo[3,4-c]pyrazole, diaminotriazole, and 5H-benzo[b]carbazole. Crizotinib (Xalkori, 1 Pfizer ), is an ALK ( anaplastic lymphoma kinase ) and ROS1 ( c-ros oncogene1, receptor tyrosine kinase ) inhibitor, approved for treatment of some non-small cell lung carcinoma (NSCLC) in the US and some other countries, and undergoing clinical trials testing its safety and efficacy in anaplastic large cell lymphoma , neuroblastoma , and other advanced solid tumors in both adults and children. The recent development of targeted protein kinase inhibitors has provided opportunities in cancer treatment. However, certain factors limit the efficacy of cancer therapies, such as a narrow therapeutic index caused by inhibition of multiple kinases, and the emergence of resistant mutants. CH5424802 has been demonstrated to be an ALK inhibitor with high selective properties, and potential antitumor activity against the gatekeeper mutant L1196M in EML4-ALK, which was clinically confirmed in tumor cells isolated from a patient with NSCLC who was refractory to the c-MET/ALK inhibitor, PF-02341066 (Crizotinib). Potent ALK inhibitors effective against the gatekeeper mutants may offer clinical advantages in cancer treatment for patients with ALK-driven tumors.
  4. CYP inhibition v favorable; Rat PK modest; Metabolic stability reasonable; -OMe analog has IC50 = 100nM for inhibition of NPM-ALK phosphorylation in Karpas-299 cell; Need better kinome selectivity and oral bioavail.
  5. The CellTiter 96® AQueous Non-Radioactive Cell Proliferation Assay is a colorimetric method for determining the number of viable cells in proliferation or chemosensitivity assays. The CellTiter 96® AQueous Assay is composed of solutions of a novel tetrazolium compound (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt; MTS ) and an electron coupling reagent (phenazine methosulfate; PMS). MTS is bioreduced by cells into a formazan product that is soluble in tissue culture medium. The absorbance of the formazan at 490nm can be measured directly from 96-well assay plates without additional processing. The conversion of MTS into aqueous, soluble formazan is accomplished by dehydrogenase enzymes found in metabolically active cells. The quantity of formazan product as measured by the amount of 490nm absorbance is directly proportional to the number of living cells in culture. https://www.promega.com/resources/protocols/technical-bulletins/0/celltiter-96-aqueous-nonradioactive-cell-proliferation-assay-protocol/ MTS assay, procedure: Cells were cultured at a density of 5x104 cells per well in flat bottomed 96-well plates and supplemented with various combinations of growth factors as indicated (20ng/mL IL-7, 10ng/mL Flt3L, and 100ng/mL SCF). After 3 days, CellTiter 96® Aqueous One Solution Reagent (Promega, Madison, WI) was added to each well according to the manufacturer’s instructions. After 4 hours in culture the cell viability was determined by measuring the absorbance at 490nm using a 550 BioRad plate-reader (Bio-Rad, Hertfordshire, UK).
  6. Conditions: Waters Synapt G2 Q-TOF mass spectrometer using positive ion electrospray onto a Waters Acquity UPLC system using a Waters HSS T3 column (2.1 mm x 100 mm, 1.8  icrometers).
  7. The formation of the quinonediimine could potentially form by additional one-electron oxidation semiquinonediimine radical or via disproportionation of two molecules of the semiquinonediimine radical. The addition of ascorbic acid allows for one-electron reduction of the semiquinonediimine and quinonediimine species.
  8. (300-400 nm)
  9. The  MAPK/ERK pathway  is a chain of proteins in the cell that communicates a signal from a receptor on the surface of the cell to the DNA in the nucleus of the cell. The signal starts when a signaling molecule binds to the receptor on the cell surface and ends when the DNA in the nucleus expresses a protein and produces some change in the cell, such as cell division. The pathway includes many proteins, including MAPK (originally called ERK), which communicate by adding phosphate groups to a neighboring protein, which acts as an &quot;on&quot; or &quot;off&quot; switch. When one of the proteins in the pathway is mutated, it can be stuck in the &quot;on&quot; or &quot;off&quot; position, which is a necessary step in the development of many cancers. Components of the MAPK/ERK pathway were discovered when they were found in cancer cells. Drugs that reverse the &quot;on&quot; or &quot;off&quot; switch are being investigated as cancer treatments. http://en.wikipedia.org/wiki/MAPK/ERK_pathway