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Mechanism of Action

In biochemical phosphorylation assays, taletrectinib potently inhibits recombinant NTRK1, NTRK3 and ROS1, in sub-nanomolar concentration in an ATP-competitive manner. Furthermore, in vitro it has been shown to be highly active against cell carrying NTRK1-rearrangements and in in vivo experiments using the KM12-bearing mouse xenograft model, which harbors TPM3-NTRK1 fusion gene, taletrectinib induced dose-dependent tumor shrinkage without significant body weight loss [1].

Taletrectinib Inhibition of NTRK Kinase Activity [1]

Kinase

IC50 (nM)

 

ATP (Km)

ATP (1mM)

NTRK1

0.622

3.01

NTRK2

2.28

9.52

NTRK3

0.980

9.28

ROS

0.207

0.898

Taletrectinib Inhibition of NTRK1 mutants [1]

Ba/F3 line

IC50 (nM)

WT

1.88

L564H

25.8

G595R

85.6

G595L

29.2

F646I

25.6

D679G

1.8

G667C

304.1

Parental (+IL3)

>1000

References

  1. Katayama R, Gong B, Togashi N et al. The new-generation selective ROS1/NTRK inhibitor DS-6051b overcomes crizotinib resistant ROS1-G2032R mutation in preclinical models. Nat Commun. 2019;10(1):3604. 

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