Abstract 6512: BPI-501836: A highly potent small molecule inhibitor targeting KRASG12D mutation

Abstract As one of the most notorious un-druggable oncogenes, mutant KRAS impairs the transition of RAS from its active GTP-binding form to the inactive GDP-binding form, leading to sustained activation of downstream MAPK pathway and ultimately tumorigenesis. The recent approved KRASG12C inhibitors have demonstrated clinical benefits in KARSG12C mutant patients. However, the other prevalent KRAS mutations, such as KRASG12D, remain a huge unmet medical challenge. There’s no approved KRASG12D specific inhibitors yet. Here we present BPI-501836, a highly potent and selective small molecular inhibitor for KRASG12D. In vitro, BPI-501836 exhibited very high potency by disrupting the KRASG12D and cRAF interaction in a cell-free assay. In cell-based assays, BPI-501836 inhibited proliferation of KRASG12D mutant cell lines with sub-nanomolar IC50 values, without affecting wide type or non-G12D KRAS mutant cell lines. Moreover, it also attenuated ERK phosphorylation in KRASG12D mutant cells. In vivo, tumor regression was observed following the administration of 6 mg/kg (iv, QW) BPI-501836 in KRASG12D human pancreatic Panc04.03 xenograft mouse models, or in the KRASG12D human pancreatic PK-59 xenograft mouse models with an intraperitoneal injection of 20 mg/kg per week. Noteworthy was the prolonged half-life of BPI-501836 observed across various species, coupled with its high distribution in tumor tissues. Moreover, sustained suppression of ERK phosphorylation in tumor tissues persisted for up to 144 hours after the last dose of BPI-501836 in both xenograft mouse models. This extended pharmacodynamic effect supports the feasibility of a once-weekly dosing schedule in clinical applications. Safety assessments conducted through a 4-week repeated infusion (intravenous, twice weekly) of BPI-501836 in beagle dog demonstrated favorable safety profiles. In conclusion, BPI-501836 emerges as a highly potent and selective KRASG12D inhibitor, exhibiting promising pharmacokinetics, pharmacodynamics, and safety profiles in pre-clinicalstudies. BPI-501836 is currently in IND-enabling stage and holds potential for further development as a therapeutic agent. Citation Format: Xiang Yang, Yuan Lu, Renqi Xu, Xiaoqiang Kong, Yongqing Sun, Xingjie Zhu, Xiaoyun Liu, Zhengyao Zou, Haibo Chen, Yanju Liu, Jialing Sun, Han Han, Cheng Yang, Jing Guo, Hong Lan, Quan Zhou, Lieming Ding, Hao Wu, Jiabing Wang. BPI-501836: A highly potent small molecule inhibitor targeting KRASG12D mutation [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 6512.