- Rho, Jin Kyung;
- Lee, In Yong;
- Choi, Yun Jung;
- Choi, Chang-Min;
- Hur, Jae-Young;
- Koh, Jong Sung;
- Lee, Jaekyoo;
- Suh, Byung-Chul;
- Song, Ho-Juhn;
- Salgaonkar, Paresh;
- Lee, Jungmi;
- Lee, Jaesang;
- Jung, Dong Sik;
- Kim, Sang-Yeob;
- Woo, Dong-Cheol;
- Baek, In-Jeoung;
- Lee, Joo-Yong;
- Ha, Chang Hoon;
- Sung, Young Hoon;
- Kim, Jeong Kon;
- Kim, Woo Sung;
- Song, Joon Seon;
- Kim, Cheol Hyeon;
- Bivona, Trever G;
- Lee, Jae Cheol
The clinical utility of approved EGFR small-molecule kinase inhibitors is plagued both by toxicity against wild-type EGFR and by metastatic progression in the central nervous system, a disease sanctuary site. Here, we report the discovery and preclinical efficacy of GNS-1486 and GNS-1481, two novel small-molecule EGFR kinase inhibitors that are selective for T790M-mutant isoforms of EGFR. Both agents were effective in multiple mouse xenograft models of human lung adenocarcinoma (T790M-positive or -negative), exhibiting less activity against wild-type EGFR than existing approved EGFR kinase inhibitors (including osimertinib). In addition, GNS-1486 showed superior potency against intracranial metastasis of EGFR-mutant lung adenocarcinoma. Our results offer a preclinical proof of concept for new EGFR kinase inhibitors with the potential to improve therapeutic index and efficacy against brain metastases in patients. Cancer Res; 77(5); 1200-11. ©2017 AACR.