Discovery of IACS-52825, a Potent and Selective DLK Inhibitor for Treatment of Chemotherapy-Induced Peripheral Neuropathy

Kang Le, Michael J. Soth, Jason B. Cross, Gang Liu, William J. Ray, Jiacheng Ma, Sunil G. Goodwani, Paul J. Acton, Virginie Buggia-Prevot, Onno Akkermans, John Barker, Michael L. Conner, Yongying Jiang, Zhen Liu, Paul McEwan, Jennifer Warner-Schmidt, Alan Xu, Matthias Zebisch, Cobi Jacoba Johanna Heijnen, Brett AbrahamsPhilip Jones

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is a major unmet medical need with limited treatment options. Despite different mechanisms of action, diverse chemotherapeutics can cause CIPN through a converged pathway─an active axon degeneration program that engages the dual leucine zipper kinase (DLK). DLK is a neuronally enriched kinase upstream in the MAPK-JNK cascade, and while it is dormant under physiological conditions, DLK mediates a core mechanism for neuronal injury response under stress conditions, making it an attractive target for treatment of neuronal injury and neurodegenerative diseases. We have developed potent, selective, brain penetrant DLK inhibitors with excellent PK and activity in mouse models of CIPN. Lead compound IACS-52825 (22) showed strongly effective reversal of mechanical allodynia in a mouse model of CIPN and was advanced into preclinical development.

Original languageEnglish (US)
Pages (from-to)9954-9971
Number of pages18
JournalJournal of Medicinal Chemistry
Volume66
Issue number14
DOIs
StatePublished - Jul 27 2023

ASJC Scopus subject areas

  • Molecular Medicine
  • Drug Discovery

MD Anderson CCSG core facilities

  • Research Animal Support Facility
  • NMR Facility

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