1. Academic Validation
  2. Discovery of Mcl-1-specific inhibitor AZD5991 and preclinical activity in multiple myeloma and acute myeloid leukemia

Discovery of Mcl-1-specific inhibitor AZD5991 and preclinical activity in multiple myeloma and acute myeloid leukemia

  • Nat Commun. 2018 Dec 17;9(1):5341. doi: 10.1038/s41467-018-07551-w.
Adriana E Tron 1 Matthew A Belmonte 1 2 Ammar Adam 1 3 Brian M Aquila 1 4 Lawrence H Boise 5 6 Elisabetta Chiarparin 7 Justin Cidado 1 Kevin J Embrey 8 Eric Gangl 1 Francis D Gibbons 1 Gareth P Gregory 9 10 David Hargreaves 8 J Adam Hendricks 11 Jeffrey W Johannes 1 Ricky W Johnstone 10 12 Steven L Kazmirski 11 13 Jason G Kettle 7 Michelle L Lamb 1 Shannon M Matulis 5 6 Ajay K Nooka 5 6 Martin J Packer 14 Bo Peng 1 Philip B Rawlins 8 Daniel W Robbins 1 15 Alwin G Schuller 1 Nancy Su 11 Wenzhan Yang 16 Qing Ye 1 Xiaolan Zheng 1 J Paul Secrist 1 2 Edwin A Clark 1 David M Wilson 7 Stephen E Fawell 1 Alexander W Hird 17
Affiliations

Affiliations

  • 1 Oncology, IMED Biotech Unit, AstraZeneca, Waltham, MA, 02451, USA.
  • 2 LifeMine Therapeutics, Cambridge, MA, USA.
  • 3 Surface Oncology, Cambridge, MA, USA.
  • 4 Alkermes, Inc., Waltham, MA, USA.
  • 5 Department of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, 30322, USA.
  • 6 Winship Cancer Institute of Emory University, Atlanta, GA, 30322, USA.
  • 7 Oncology, IMED Biotech Unit, AstraZeneca, Cambridge, CB4 0WG, UK.
  • 8 Discovery Sciences, IMED Biotech Unit, AstraZeneca, Cambridge, CB4 0WG, UK.
  • 9 School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, 3800, Australia.
  • 10 Peter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia.
  • 11 Discovery Sciences, IMED Biotech Unit, AstraZeneca, Waltham, MA, 02451, USA.
  • 12 The Sir Peter MacCallum Center, Department of Oncology, University of Melbourne, Parkville, VIC, 3000, Australia.
  • 13 Fulcrum Therapeutics, Cambridge, MA, USA.
  • 14 Oncology, IMED Biotech Unit, AstraZeneca, Alderley Park, SK10 4TG, UK.
  • 15 Nurix, Inc., San Francisco, CA, USA.
  • 16 Pharmaceutical Sciences, IMED Biotech Unit, AstraZeneca, Waltham, MA, 02451, USA.
  • 17 Oncology, IMED Biotech Unit, AstraZeneca, Waltham, MA, 02451, USA. alexander.hird@astrazeneca.com.
Abstract

Mcl-1 is a member of the Bcl-2 Family of proteins that promotes cell survival by preventing induction of Apoptosis in many cancers. High expression of Mcl-1 causes tumorigenesis and resistance to Anticancer therapies highlighting the potential of Mcl-1 inhibitors as Anticancer drugs. Here, we describe AZD5991, a rationally designed macrocyclic molecule with high selectivity and affinity for Mcl-1 currently in clinical development. Our studies demonstrate that AZD5991 binds directly to Mcl-1 and induces rapid Apoptosis in Cancer cells, most notably myeloma and acute myeloid leukemia, by activating the Bak-dependent mitochondrial apoptotic pathway. AZD5991 shows potent antitumor activity in vivo with complete tumor regression in several models of multiple myeloma and acute myeloid leukemia after a single tolerated dose as monotherapy or in combination with bortezomib or venetoclax. Based on these promising data, a Phase I clinical trial has been launched for evaluation of AZD5991 in patients with hematological malignancies (NCT03218683).

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