RE: The sight of blue3 Feb 2023 23:15
CHK1 has been around for some time, it has been well researched and later stage variants have proved significant gains.
Then it all stopped and PARP was the new way to go. CHK1 and resistance to has been mostly recognised with much hypothesis on a way forward.
Parp from 2021
Translational Relevance
Resistance to PARP inhibition has emerged as a therapeutic barrier in the treatment of high-grade serous ovarian cancer (HGSOC). Mechanisms of resistance, including restoration of ****logous recombination (HR) repair or stabilization of replication forks, can be overcome by checkpoint kinase 1 (CHK1) inhibition, which disrupts restored HR and destabilizes replication forks. Here, we report the safety and recommended phase 2 dose of the CHK1 inhibitor prexasertib combined with olaparib. Analysis of paired biopsies after combination treatment provided pharmacodynamic proof-of-mechanism, demonstrating CHK1-mediated modulation of HR repair via reduction in RAD51 focus formation and induction of replicative stress with increased pRPA staining. These effects were associated with increased DNA damage, assessed by ?-H2AX and pKAP1 expression. The prexasertib/olaparib combination demonstrated preliminary antitumor activity in patients with platinum- and PARP inhibitor–resistant HGSOC. This experience will inform further development of combination strategies directed at reversing PARP inhibitor resistance to enhance antitumor activity of these classes of agents.
Now bare in mind that development of prexasertib was ceased mainly due to toxicity issues
by Eli Lilly 2019
Compared to other drugs of the same class, prexasertib showed a better tolerability profile, causing moderate hematological toxicity. Further studies are needed to confirm efficacy and safety profiles of prexasertib in combined regimens. New early clinical trials may investigate prexasertib administered with programmed cell death ligand 1 (PD-L1) and PI3 K inhibitors due to the preclinical evidence of a synergic action.
We now have and bare in mind prexasertib iv administered
from 2021
Acrivon signs exclusive worldwide license agreement with Eli Lilly and Company to develop and commercialize prexasertib, a clinically advanced, selective inhibitor targeting DNA Damage Response (DDR) kinases CHK1 and CHK2, which has shown durable activity, including complete responses in a proportion of patients across multiple cancers in Phase 2 studies
full link below
https://www.globenewswire.com/news-release/2021/06/29/2254675/0/en/Acrivon-Therapeutics-Launches-to-Advance-Clinical-Oncology-Pipeline-Leveraging-its-Groundbreaking-Precision-Proteomics-Platform.html
Says it all. M Garrett been working on CHK1 inhibitors for past 12 years at least.
Certainly a much renewed interest. Understand the science.