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Darolutamide is a potent androgen receptor antagonist with strong efficacy in prostate cancer models

Title: Darolutamide is a potent androgen receptor antagonist with strong efficacy in prostate cancer models
Authors: Sugawara, Tatsuo; Baumgart, Simon J.; Nevedomskaya, Ekaterina; Reichert, Kristin; Steuber, Holger; Lejeune, Pascale; Mumberg, Dominik; Haendler, Bernard
Contributors: Bayer AG
Source: International Journal of Cancer ; volume 145, issue 5, page 1382-1394 ; ISSN 0020-7136 1097-0215
Publisher Information: Wiley
Publication Year: 2019
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Darolutamide is a novel androgen receptor (AR) antagonist with a distinct chemical structure compared to other AR antagonists and currently in clinical Phase 3 trials for prostate cancer. Using cell‐based transactivation assays, we demonstrate that darolutamide, its diastereomers and its main metabolite keto‐darolutamide are strong, competitive antagonists for AR wild type, and also for several mutants identified in prostate cancer patients for which other AR antagonists show reduced antagonism or even agonism. Darolutamide, its two diastereomers and main metabolite are also strong antagonists in assays measuring AR N/C interaction and homodimerization. Molecular modeling suggests that the flexibility of darolutamide allows accommodation in the W742C/L mutated AR ligand‐binding pocket while for enzalutamide the loss of the important hydrophobic interaction with W742 leads to reduced AR interaction. This correlates with an antagonistic pattern profile of coregulator recruitment for darolutamide. In vitro efficacy studies performed with androgen‐dependent prostate cancer cell lines show that darolutamide strongly reduces cell viability and potently inhibits spheroid formation. Also, a marked down‐regulation of androgen target genes paralleled by decreased AR binding to gene regulatory regions is seen. In vivo studies reveal that oral dosing of darolutamide markedly reduces growth of the LAPC‐4 cell line‐derived xenograft and of the KuCaP‐1 patient‐derived xenograft. Altogether, these results substantiate a unique antagonistic profile of darolutamide and support further development as a prostate cancer drug.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1002/ijc.32242
Availability: https://doi.org/10.1002/ijc.32242; https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1002%2Fijc.32242; https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijc.32242; https://onlinelibrary.wiley.com/doi/full-xml/10.1002/ijc.32242
Rights: http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.BDE575C2
Database: BASE