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Journal ArticleDOI

Approaches to mitigate the risk of serious adverse reactions in covalent drug design

Thomas A. Baillie
- 04 Mar 2021 - 
- Vol. 16, Iss: 3, pp 275-287
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TLDR
High selectivity for the intended protein target has emerged as a key consideration in mitigating safety risks associated with widespread proteome reactivity, and Optimizing pharmacokinetics to capitalize on the intrinsically high potency of covalent drugs should lead to low daily doses and greater safety margins, while minimizing susceptibility to metabolic activation likewise will attenuate the risk ofcovalent drug toxicity.
Abstract
Covalent inhibition of target proteins using high affinity ligands bearing weakly electrophilic warheads is being adopted increasingly as design strategy in the discovery of novel therapeutics, and...

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Orally effective FDA-approved protein kinase targeted covalent inhibitors (TCIs)

TL;DR: Covalent inhibitors have emerged from the ranks of drugs to be avoided to become an emerging paradigm in the development of enzyme antagonists and receptor modulators as mentioned in this paper and have become one of the most important drug targets of the 21st century.
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Boronic acid with high oxidative stability and utility in biological contexts.

TL;DR: In this paper, a carboxyl group was used as an intramolecular ligand for the boron to increase the stability of the p orbital of the boralactone.
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Discovery of a Novel Class of Covalent Dual Inhibitors Targeting the Protein Kinases BMX and BTK.

TL;DR: A novel class of dual BMX/BTK inhibitors were designed from irreversible inhibitors of Janus kinase (JAK) 3 targeting a cysteine located within the solvent-exposed front region of the ATP binding pocket, enabling the achievement of high selectivity over JAK3 and certain other kinases harboring a sterically demanding residue at this position.
Journal ArticleDOI

Mercapturate pathway metabolites of sotorasib, a covalent inhibitor of KRASG12C, are associated with renal toxicity in the Sprague Dawley rat.

TL;DR: In this paper, an in vivo mechanistic rat study designed to investigate the time course of the renal toxicity and sotorasib metabolites was performed, and the morphologic features progressed from vacuolation and necrosis to regeneration of tubular epithelium.
References
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Journal ArticleDOI

K-Ras(G12C) inhibitors allosterically control GTP affinity and effector interactions

TL;DR: The development of small molecules that irreversibly bind to a common oncogenic mutant, K-Ras(G12C) and structure-based validation of a new allosteric regulatory site on Ras that is targetable in a mutant-specific manner are provided.
Journal ArticleDOI

The resurgence of covalent drugs

TL;DR: The prevalence and pharmacological advantages of covalent drugs are surveyed, how potential risks and challenges may be addressed through innovative design, and the broad opportunities provided by targeted covalENT inhibitors are presented.
Journal ArticleDOI

Drug-protein adducts: an industry perspective on minimizing the potential for drug bioactivation in drug discovery and development.

TL;DR: This paper serves to provide one pragmatic approach to addressing the issue of bioactivation from an industry viewpoint based on protocols adopted by Merck Research Laboratories.
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