Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor

Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) improve overall survival rate in patients with EGFR mutated non-small cell lung cancers (NSCLC). However, treatment with third-generation EGFR TKIs (osimertinib) develops C797S resistance in 20–30 % of the patients. To date, t...

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Main Authors: Krishna Babu Duggirala, Hyeonjeong Choe, Byeong Uk Jeon, Chaewon Park, Jiyeun Yoon, Hwan Kim, Myoung Eun Jung, Gildon Choi, Chong Hak Chae, Byoung Chul Cho, Kwangho Lee
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Results in Chemistry
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211715625003893
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author Krishna Babu Duggirala
Hyeonjeong Choe
Byeong Uk Jeon
Chaewon Park
Jiyeun Yoon
Hwan Kim
Myoung Eun Jung
Gildon Choi
Chong Hak Chae
Byoung Chul Cho
Kwangho Lee
author_facet Krishna Babu Duggirala
Hyeonjeong Choe
Byeong Uk Jeon
Chaewon Park
Jiyeun Yoon
Hwan Kim
Myoung Eun Jung
Gildon Choi
Chong Hak Chae
Byoung Chul Cho
Kwangho Lee
author_sort Krishna Babu Duggirala
collection DOAJ
description Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) improve overall survival rate in patients with EGFR mutated non-small cell lung cancers (NSCLC). However, treatment with third-generation EGFR TKIs (osimertinib) develops C797S resistance in 20–30 % of the patients. To date, there is no approved drug for third-generation resistant EGFR-mutant NSCLC patients. There is an urgent unmet medical need to develop fourth-generation EGFR TKIs targeting C797S containing mutations. Extensive structure–activity relationship (SAR) studies led to the discovery of BBT-176 as a “first-in-class” reversible fourth-generation EGFR TKI. BBT-176 shows promising results of potent anti-cancer efficacy in osimertinib-resistant cell lines. In patient-derived cell (PDC) models, BBT-176 exhibits tumor regression once-daily oral 100 mg/kg dose as a single agent in day 25.
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issn 2211-7156
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publishDate 2025-07-01
publisher Elsevier
record_format Article
series Results in Chemistry
spelling doaj-art-9e6d9d26b7294e02b8f7e3dbe502d4ec2025-08-20T03:01:46ZengElsevierResults in Chemistry2211-71562025-07-011610240610.1016/j.rechem.2025.102406Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitorKrishna Babu Duggirala0Hyeonjeong Choe1Byeong Uk Jeon2Chaewon Park3Jiyeun Yoon4Hwan Kim5Myoung Eun Jung6Gildon Choi7Chong Hak Chae8Byoung Chul Cho9Kwangho Lee10Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South KoreaBio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South KoreaBio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South KoreaYonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, South KoreaYonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, South KoreaYonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, South KoreaBio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South KoreaBio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South Korea; Medicinal Chemistry & Pharmacology, Korea National University of Science & Technology, Daejeon 34113, South Korea; Corresponding author at: Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South Korea.Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South Korea; Corresponding authors.Yonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, South Korea; Corresponding authors.Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South Korea; Medicinal Chemistry & Pharmacology, Korea National University of Science & Technology, Daejeon 34113, South Korea; Corresponding author at: Bio & Drug Discovery Division, Korea Research Institute of Chemical Technology, Daejeon 34114, South Korea.Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) improve overall survival rate in patients with EGFR mutated non-small cell lung cancers (NSCLC). However, treatment with third-generation EGFR TKIs (osimertinib) develops C797S resistance in 20–30 % of the patients. To date, there is no approved drug for third-generation resistant EGFR-mutant NSCLC patients. There is an urgent unmet medical need to develop fourth-generation EGFR TKIs targeting C797S containing mutations. Extensive structure–activity relationship (SAR) studies led to the discovery of BBT-176 as a “first-in-class” reversible fourth-generation EGFR TKI. BBT-176 shows promising results of potent anti-cancer efficacy in osimertinib-resistant cell lines. In patient-derived cell (PDC) models, BBT-176 exhibits tumor regression once-daily oral 100 mg/kg dose as a single agent in day 25.http://www.sciencedirect.com/science/article/pii/S2211715625003893EGFR-TKIsEGFR Del19/C797SEGFR Del19/T790M/C797SNSCLCBBT-176
spellingShingle Krishna Babu Duggirala
Hyeonjeong Choe
Byeong Uk Jeon
Chaewon Park
Jiyeun Yoon
Hwan Kim
Myoung Eun Jung
Gildon Choi
Chong Hak Chae
Byoung Chul Cho
Kwangho Lee
Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
Results in Chemistry
EGFR-TKIs
EGFR Del19/C797S
EGFR Del19/T790M/C797S
NSCLC
BBT-176
title Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
title_full Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
title_fullStr Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
title_full_unstemmed Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
title_short Discovery of BBT-176 as a fourth-generation EGFR tyrosine kinase inhibitor
title_sort discovery of bbt 176 as a fourth generation egfr tyrosine kinase inhibitor
topic EGFR-TKIs
EGFR Del19/C797S
EGFR Del19/T790M/C797S
NSCLC
BBT-176
url http://www.sciencedirect.com/science/article/pii/S2211715625003893
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