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Maximizing ER-? Degradation Maximizes Activity in a Tamoxifen-Resistant Breast Cancer Model: Identification of GDC-0927.


ABSTRACT: The further optimization of ER-? degradation efficacy of a series of ER modulators by refining side-chain substitution led to efficacious selective estrogen receptor degraders (SERDs). A fluoromethyl azetidine group was found to be preferred and resulted in the identification of bis-phenol chromene 17ha. In a tamoxifen-resistant breast cancer xenograft model, 17ha (ER-? degradation efficacy = 97%) demonstrated tumor regression, together with robust reduction of intratumoral ER-? levels. However, despite superior oral exposure, 5a (ER-? degradation efficacy = 91%) had inferior activity. This result suggests that optimizing ER-? degradation efficacy leads to compounds with robust effects in a model of tamoxifen-resistant breast cancer. Compound 17ha (GDC-0927) was evaluated in clinical trials in women with metastatic estrogen receptor-positive breast cancer.

SUBMITTER: Kahraman M 

PROVIDER: S-EPMC6331158 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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The further optimization of ER-α degradation efficacy of a series of ER modulators by refining side-chain substitution led to efficacious selective estrogen receptor degraders (SERDs). A fluoromethyl azetidine group was found to be preferred and resulted in the identification of bis-phenol chromene <b>17ha</b>. In a tamoxifen-resistant breast cancer xenograft model, <b>17ha</b> (ER-α degradation efficacy = 97%) demonstrated tumor regression, together with robust reduction of intratumoral ER-α le  ...[more]

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