Next-Gen BRAF V600E Inhibitors
Metabolic Soft-Spot Swap for QD Dosing
Overview
BRAF V600E-mutant malignancies are treated with BRAF+MEK combinations (dabrafenib+trametinib) with proven benefit but BID dabrafenib dosing (t½ ≈ 8h) and high pyrexia burden (≈52-71%) leading to dose interruptions and reductions.
Unmet Medical Need
A QD, better-tolerated BRAF inhibitor would meaningfully improve adherence and quality of life. Current standard requires BID dosing with significant pyrexia management burden.
Therapeutic Hypothesis
Replace the para-tert-butyl 'metabolic soft spot' in dabrafenib with shape-matched, rigid sp³ bioisosteres (oxanorbornyl, oxabicyclohexyl) to: (i) block the dominant metabolic route, (ii) lower lipophilicity/improve solubility, (iii) maintain binding to BRAF V600E.
Computational Work Performed
- AlphaFold3-class structure prediction for BRAF V600E
- 800 DiffDock poses generated across 8 analogs (100 per candidate)
- ADMET-AI 99-feature property predictions per compound
- eTOXlab multi-endpoint toxicity predictions
- 3 synthesis-ready leads identified: DBF-OXA-NB, DBF-CF2, DBF-OBH
Next Milestones (Success Criteria)
- 1BRAF V600E enzyme IC₅₀ and A375 viability EC₅₀ within 3× dabrafenib
- 2Selectivity vs ARAF/CRAF (>30× vs MEK1)
- 3HLM/mHep stability ≥2× t½ vs dabrafenib
- 4hERG/CiPA early panel with clean cardiac safety margins
- 5Ex-vivo cytokine assay (IL-1β/IL-6): <50% of dabrafenib+trametinib signal
Competitive Landscape
Paradox breakers (PLX8394), Type-II/pan-RAF inhibitors (tovorafenib, naporafenib, belvarafenib). Current SOC combos: dabrafenib+trametinib (pyrexia-prone), vemurafenib+cobimetinib, encorafenib+binimetinib (lower pyrexia ~18%).
Key Differentiation
- V600-focused inhibitor with QD PK and attenuated pyrexia biology
- Proprietary heterobicyclic sp³ replacements at the para-t-Bu site
- Practical differentiation within the approved combination paradigm
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