Tumour-selective activity of RAS-GTP inhibition in pancreatic cancer

Tumour-selective activity of RAS-GTP inhibition in pancreatic cancer

23 May 2024 | Urszula N. Wasko, Jingjing Jiang, Tanner C. Dalton, Alvaro Curiel-Garcia, A. Cole Edwards, Yingyun Wang, Bianca Lee, Margo Orlen, Sha Tian, Clint A. Stalnecker, Kristina Drzyte-Miller, Marie Menard, Julien Dilly, Stephen A. Sastra, Carmine F. Palermo, Marie C. Hasselhuhn, Amanda R. Decker-Farrell, Stephanie Chang, Lingyan Jiang, Xing Wei, Yu C. Yang, Ciara Helland, Haley Courtney, Yevgeniy Gindin, Karl Muonio, Ruiping Zhao, Samantha B. Kemp, Cynthia Clendenin, Rina Sor, William P. Vostrejs, Priya S. Hibshman, Amber M. Amaro, Connor Hennessy, Matthew G. Rees, Melissa M. Ronan, Brian A. Rothbeck, Lorenzo Tomassoni, Basil Bakir, Nicholas D. Soccia, Laura E. Herring, Natalie N. Barker, Junning Wang, James M. Cleary, Brian M. Wolpin, John A. Chabot, Michael D. Kluger, Gulam A. Manji, Kenneth Y. Tsai, Miroslav Sekulic, Stephen M. Lagana, Andrea Califano, Elsa Quintana, Zhengping Wang, Jacqueline A. M. Smith, Matthew Holderfield, David Wildes, Scott W. Lowe, Michael A. Badgley, Andrew J. Aguirre, Robert H. Vonderheide, Ben Z. Stanger, Timour Baslan, Channing J. Der, Mallika Singh & Kenneth P. Olive
RMC-7977 is a broad-spectrum inhibitor of RAS-GTP, showing potent anti-tumor activity in pancreatic ductal adenocarcinoma (PDAC) models. It selectively targets active GTP-bound forms of KRAS, HRAS, and NRAS, with efficacy in KRAS-mutated PDAC, which accounts for over 90% of PDAC cases. RMC-7977 demonstrated significant tumor growth inhibition in multiple PDAC models, including xenograft and allograft models, with minimal toxicity. In vivo studies showed that RMC-7977 extended survival in KPC mouse models, although relapse occurred, with resistance mechanisms such as Myc copy number gain identified. Combinatorial TEAD inhibition could overcome this resistance. RMC-7977 selectively inhibited RAS signaling in PDAC, inducing apoptosis and reducing proliferation, while normal tissues showed only transient effects. The pharmacokinetic profile of RMC-7977 showed higher concentrations in tumor tissues compared to blood, suggesting effective targeting of RAS in PDAC. Resistance mechanisms included Myc copy number gain and YAP-TAZ pathway activation, which could be counteracted by TEAD inhibitors. These findings support the use of broad-spectrum RAS-GTP inhibitors in PDAC, with potential for combination therapies to overcome resistance. The study highlights the tumor-selective activity of RAS-GTP inhibitors and their potential in treating RAS-addicted cancers.RMC-7977 is a broad-spectrum inhibitor of RAS-GTP, showing potent anti-tumor activity in pancreatic ductal adenocarcinoma (PDAC) models. It selectively targets active GTP-bound forms of KRAS, HRAS, and NRAS, with efficacy in KRAS-mutated PDAC, which accounts for over 90% of PDAC cases. RMC-7977 demonstrated significant tumor growth inhibition in multiple PDAC models, including xenograft and allograft models, with minimal toxicity. In vivo studies showed that RMC-7977 extended survival in KPC mouse models, although relapse occurred, with resistance mechanisms such as Myc copy number gain identified. Combinatorial TEAD inhibition could overcome this resistance. RMC-7977 selectively inhibited RAS signaling in PDAC, inducing apoptosis and reducing proliferation, while normal tissues showed only transient effects. The pharmacokinetic profile of RMC-7977 showed higher concentrations in tumor tissues compared to blood, suggesting effective targeting of RAS in PDAC. Resistance mechanisms included Myc copy number gain and YAP-TAZ pathway activation, which could be counteracted by TEAD inhibitors. These findings support the use of broad-spectrum RAS-GTP inhibitors in PDAC, with potential for combination therapies to overcome resistance. The study highlights the tumor-selective activity of RAS-GTP inhibitors and their potential in treating RAS-addicted cancers.
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