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A potent and orally active antagonist (SM-406/AT-406) of multiple inhibitor of apoptosis proteins (IAPs) in clinical development for cancer treatment

  • Qian Cai
  • , Haiying Sun
  • , Yuefeng Peng
  • , Jianfeng Lu
  • , Zaneta Nikolovska-Coleska
  • , Donna McEachern
  • , Liu Liu
  • , Su Qiu
  • , Chao Yie Yang
  • , Rebecca Miller
  • , Han Yi
  • , Tao Zhang
  • , Duxin Sun
  • , Sanmao Kang
  • , Ming Guo
  • , Lance Leopold
  • , Dajun Yang
  • , Shaomeng Wang

Research output: Contribution to journalArticlepeer-review

240 Scopus citations

Abstract

We report the discovery and characterization of SM-406 (compound 2), a potent and orally bioavailable Smac mimetic and an antagonist of the inhibitor of apoptosis proteins (IAPs). This compound binds to XIAP, cIAP1, and cIAP2 proteins with Ki of 66.4, 1.9, and 5.1 nM, respectively. Compound 2 effectively antagonizes XIAP BIR3 protein in a cell-free functional assay, induces rapid degradation of cellular cIAP1 protein, and inhibits cancer cell growth in various human cancer cell lines. It has good oral bioavailability in mice, rats, non-human primates, and dogs, is highly effective in induction of apoptosis in xenograft tumors, and is capable of complete inhibition of tumor growth. Compound 2 is currently in phase I clinical trials for the treatment of human cancer.

Original languageEnglish
Pages (from-to)2714-2726
Number of pages13
JournalJournal of Medicinal Chemistry
Volume54
Issue number8
DOIs
StatePublished - Apr 28 2011

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