Abstract In order to achieve cancer signaling network disruption and overcome primary and/or secondary resistance to standard of care agents in hematologic cancers, we have developed a novel class of dual HDAC and PI3K inhibitors by integrating a HDAC inhibitory functionality into a pharmacophore of PI3K inhibitors. Utilizing structure-based design and extensive SAR approach, CUDC-907 has been selected as a clinical candidate that inhibits not only PI3K directly but also other essential signaling pathways indirectly through epigenetic regulation following HDAC inhibition. Enzymatic assays indicate that CUDC-907 potently inhibits Class I PI3K subtypes as well as Class I and II HDAC subtypes. In anti-proliferation assays, CUDC-907 displays potent inhibition of proliferation of a variety of hematologic cancer cells (mean IC50 = 27nM in 23 cell lines). In mechanism studies, CUDC-907 potently and durably inhibits HDAC and PI3K, as indicated by increase of acetylated histone H3, inhibition of phospho-AKT and phospho-STAT3, decrease of anti-apoptotic molecules (BCL-2, survivin, etc.), and induction of P21, acetylated P53 and cleaved caspase3. CUDC-907 is orally bioavailable in animals, and displays a favorable PK profile in tumor-bearing animals. PD studies in xenograft models exhibit that CUDC-907 dose-dependently inhibits both targets, decreases tumor cell proliferation, and induces apoptosis in hematologic tumor xenografts, correlating well with its drug exposure in tumors. In efficacy studies, CUDC-907 inhibits growth of subcutaneously implanted tumor xenografts of hematologic cancers in a dose-dependent manner. Furthermore, in a Daudi NHL model, CUDC-907 is more efficacious than either a single PI3K or HDAC inhibitor reference compound or a combination of the two single agents at maximally tolerated doses. CUDC-907 also displays a favorable safety profiles. Taken together, CUDC-907 may offer greater therapeutic benefits through broad network disruption in hematologic cancer therapy. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the AACR-NCI-EORTC International Conference: Molecular Targets and Cancer Therapeutics; 2011 Nov 12-16; San Francisco, CA. Philadelphia (PA): AACR; Mol Cancer Ther 2011;10(11 Suppl):Abstract nr C70.
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