Discovery and characterization of AZD6738, a potent inhibitor of ataxia telangiectasia mutated and Rad3 related (ATR) kinase with application as an anticancer agent

KM Foote, JWM Nissink, T McGuire, P Turner… - 2018 - ACS Publications
KM Foote, JWM Nissink, T McGuire, P Turner, S Guichard, JWT Yates, A Lau, K Blades…
2018ACS Publications
The kinase ataxia telangiectasia mutated and rad3 related (ATR) is a key regulator of the
DNA-damage response and the apical kinase which orchestrates the cellular processes that
repair stalled replication forks (replication stress) and associated DNA double-strand breaks.
Inhibition of repair pathways mediated by ATR in a context where alternative pathways are
less active is expected to aid clinical response by increasing replication stress. Here we
describe the development of the clinical candidate 2 (AZD6738), a potent and selective …
The kinase ataxia telangiectasia mutated and rad3 related (ATR) is a key regulator of the DNA-damage response and the apical kinase which orchestrates the cellular processes that repair stalled replication forks (replication stress) and associated DNA double-strand breaks. Inhibition of repair pathways mediated by ATR in a context where alternative pathways are less active is expected to aid clinical response by increasing replication stress. Here we describe the development of the clinical candidate 2 (AZD6738), a potent and selective sulfoximine morpholinopyrimidine ATR inhibitor with excellent preclinical physicochemical and pharmacokinetic (PK) characteristics. Compound 2 was developed improving aqueous solubility and eliminating CYP3A4 time-dependent inhibition starting from the earlier described inhibitor 1 (AZ20). The clinical candidate 2 has favorable human PK suitable for once or twice daily dosing and achieves biologically effective exposure at moderate doses. Compound 2 is currently being tested in multiple phase I/II trials as an anticancer agent.
ACS Publications