Cited by 227HER2/EGFR in Cancer ResearchLung Cancer Treatments and MutationsSynthesis and biological activity

Discovery and development of pyrotinib: A novel irreversible EGFR/HER2 dual tyrosine kinase inhibitor with favorable safety profiles for the treatment of breast cancer

Li, Xin, Yang, Changyong, Wan, Hong, Zhang, Ge, Feng, Jun, Zhang, Lei, Chen, Xiaoyan, Zhong, Dafang +3 more·2017·European Journal of Pharmaceutical Sciences

Abstract

The discovery and development of a novel irreversible EGFR/HER2 dual tyrosine kinase inhibitor SHR1258 (pyrotinib) for the treatment of HER2-postive breast cancer is presented. The structure-activity relationship of lead series and their pharmacokinetic properties were evaluated to identify the potential candidates for further in vivo efficacy studies and preclinical safety assessments. Metabolic pathway and drug-drug interaction were also investigated in preclinical settings. In particular, major metabolites in human and animal species were assessed with regard to potential toxicity or off-target side effects. Overall, the potent and selective EGFR/HER2 dual inhibitor, pyrotinib, displayed robust anti-tumor effects on HER2-overexpressing xenograft models and sufficiently safety windows in animals as well as favorable pharmacokinetic properties in human, which substantially ensures current clinical development. Finally, recent advances of pyrotinib in clinical studies are highlighted with very encouraging outcomes in patients with HER2-postive advanced breast cancer.

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Crossref · 10.1016/j.ejps.2017.01.021

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  • Pyrotinib covalently binds to ATP binding sites in intracellular kinase regions of EGFR, HER2 and HER4, preventing homodimer formation, thereby irreversibly inhibiting autophosphorylation, blocking activation of downstream signaling pathways, and inhibiting tumor cell growth.

    “Similarly, as the third-generation EGFR TKI, pyrotinib covalently binds to ATP binding sites in intracellular kinase regions of EGFR, HER2 and HER4, preventing homodimer formation, thereby irreversibly inhibiting autophosphorylation, blocking activation of downstream signaling pathways, and inhibiting tumor cell growth.156–158”

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References 41 · Cited by 227

Authors
Li, X., Yang, C., Wan, H., Zhang, G., Feng, J., Zhang, L., Chen, X., Zhong, D., Lou, L., Tao, W., & Zhang, L.
Affiliations
  • Jiangsu Hengrui Medicine (China) (CN)
  • China Pharmaceutical University (CN)
  • Chinese Academy of Sciences (CN)
Corresponding author
  • Li, Xin
  • Wan, Hong
Venue
European Journal of Pharmaceutical Sciences
Publisher
Elsevier BV
Published
2017-12
Volume
110
Pages
51-61
ISSN
0928-0987 (ISSN-L)
OpenAlex
W2577651608
Cited by
227
References
41
Citations by year
2026: 15 · 2025: 20 · 2024: 26 · 2023: 44 · 2022: 33 · 2021: 38 · 2020: 32 · 2019: 12 · 2018: 6
FWCI
6.03
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Pharmaceutical Sciences (publishedVersion)
  • PubMed (publishedVersion)
Funders
National New Drug Key Program (2013ZX09102105)
Topics
  • Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Physical Sciences › Chemistry › Organic Chemistry › Synthesis and biological activity
Keywords
pyrotinib, irreversible tyrosine kinase inhibitor, HER2-positive breast cancer, structure-activity relationship, pharmacokinetics, drug-drug interactions, drug metabolism, metabolite toxicity, xenograft models, drug safety, clinical trials
MeSH terms
Acrylamides, Aminoquinolines, Animals, Antineoplastic Agents, Breast Neoplasms, Female, Humans, Structure-Activity Relationship, Receptor, ErbB-2, Erb-b2 Receptor Tyrosine Kinases, Cell Line, Tumor, Rats, Metabolic Networks and Pathways, Heterografts, ErbB Receptors

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