Cambridge Healthtech Institute's 5th Annual

Small Molecules for Cancer Targets – Part 1

Discovering Tomorrow’s Orally Bio-Available Oncology Therapeutics

September 26 - 27, 2023 EDT

Small molecule-based therapeutic options against traditionally hard-to-drug intracellular oncology targets (like KRAS) are being discovered at a more rapid pace and a few have even reached the market in the past few years. Not only do small molecules offer the promise of medicine in pill form and more affordability than do biologics, but they also expand the types of cancers that can be treated due to their ability to better penetrate the tumor microenvironment (TME) and their ability to enter the cell and reach intracellular targets. Cambridge Healthtech Institute's 5th Annual back-to-back Small Molecules for Cancer Targets conferences showcase the small molecule compounds making progress in oncology. Our expanded coverage via Part 1 and Part 2 reflects the increased number of cellular and immunological oncology mechanisms and targets being uncovered and new discovery chemistry and biology advances enabling progress in modulating them.

Tuesday, September 26

Registration and Morning Coffee7:00 am

Welcome Remarks7:55 am

INTRACELLULAR KINASE INHIBITORS FOR CANCER

8:00 am

Chairperson's Remarks

Neil P. Grimster, PhD, Senior Director, Medicinal Chemistry, Matchpoint Therapeutics

8:05 am

FEATURED PRESENTATION: Discovery of Ribociclib, a CDK4/6 Inhibitor Approved for the Treatment of Advanced Breast Cancer

Christopher Brain, PhD, Director, Global Discovery Chemistry, Novartis Institutes for BioMedical Research, Inc.

Cyclin-dependent kinases (CDKs) are important regulators of cell cycle progression. Ribociclib (Kisqali) is a CDK4/6 inhibitor approved for the treatment of HR +ve/HER2 -ve advanced breast cancer. The presentation will describe the discovery of ribociclib, including approaches based on biochemical screening and fragment-based methods. Key clinical data will also be presented. Ribociclib demonstrated overall survival improvement in three Phase III trials with HR +ve/HER2 -ve advanced breast cancer.

8:35 am

Structure Function Studies of HPK1, a Negative Regulator of T Cell Receptor Signaling

Laetitia D. Comps-Agrar, PhD, Senior Principal Scientist, Biochemical & Cellular Pharmacology, Genentech, Inc.

Hematopoetic progenitor kinase 1 (HPK1), a negative regulator of TCR signaling, is an attractive target for cancer immunotherapy. Although the role of HPK1 kinase domain (KD) has been elucidated, the function of its citron homology domain (CHD) remains elusive. Through a combination of structural, biochemical, and mechanistic studies, we characterized the structure-function of CHD in relationship to KD and demonstrated a central role for CHD in the regulation of HPK1 function.

9:05 am

Targeting DDR1 Kinase to Address Tumor Dissemination, Immune Exclusion, and Therapeutic Resistance

Kavitha Nellore, PhD, Senior Director, Cell & Molecular Biology, Aurigene Oncology

Discoidin domain receptor 1 (DDR1) is a tyrosine kinase receptor overexpressed in various malignancies. DDR1 is activated upon binding to collagen in the extracellular matrix, and plays a role in tumor promotion, immune exclusion, and therapeutic resistance. A detailed characterisation of AUR109, a potent inhibitor of DDR1, in generation of profound anti-tumor immunity either as a single agent or in combination with immune checkpoint inhibitors will be discussed.

Networking Coffee Break9:35 am

DIFFICULT SMALL MOLECULE CANCER TARGETS

10:05 am

Design and Discovery of MRTX1719, A Synthetic Lethal Inhibitor of the PRMT5/MTA Complex

John M. Ketcham, PhD, Director, Drug Discovery & Medicinal Chemistry, Mirati Therapeutics, Inc.

The PRMT5/MTA complex has emerged as a novel synthetic lethal drug target for MTAP-deleted cancers. Approximately 10-15% of all human cancers have CDKN2A/MTAP co-deletions, resulting in accumulation of MTA in cancer cells. Our clinical-stage PRMT5/MTA complex inhibitor, MRTX1719, selectively binds to, and stabilizes the PRMT5/MTA complex while sparing the PRMT5/SAM complex which is crucial for normal cell function. The design and discovery of our clinical PRMT5/MTA complex inhibitor will be discussed

10:35 am

K-RAS Degraders, PROTACs vs Molecular Glues

Tauseef Butt, PhD, President & CEO, Progenra, Inc.

K-RAS oncogene is the most undruggable target in cancer. Mutated K-RAS is responsible for colon, lung, and pancreatic cancers. Targeting membrane proteins and cell surface receptors for degradation can open new applications for PROTAC drugs. Progenra has utilized a novel membrane associated ubiquitin ligase that preferentially degrades K-RAS and RTK receptors/membrane proteins. Given the DMPK and target engagement challenges of PROTACs we have also explored the discovery of molecular glues for selective degradations of K-RAS proteins. Comparative data for PROTAC and molecular glue for target degradation will be presented.

11:05 am

Therapeutic Potential of Small Molecule Galectin-1 and Galectin-3 Inhibitors in Cancer

Ian Holyer, PhD, Director, Pharmacology (In Vivo), Galecto

Galectins are a family of ß-galactoside-binding lectins that control numerous cellular processes in disease, including fibrosis, carcinogenesis, and tumour immune evasion. Evidence is emerging that blockade of more than one galectin may provide additional benefit within the oncology arena due to overlapping and distinct biological functions. This talk will focus on the validation and characterization of dual galectin-1 and -3 inhibition and the potential of this as an anti-cancer therapy.

11:35 am The Art of Crafting a Mode of Action: Site-Selective Hit Discovery

Gregg Siegal, CEO, ZoBio

Allosteric inhibitors/activators, cryptic site binders, monofunctional degraders all require (not) binding at a specific site on the target. A generic binding screen is both inefficient and possibly misleading. A screen directed towards (or away from) a particular site on the target would be advantageous. Here biophysical approaches to accomplish this goal are presented. The complementary application of biochemical assays and structure elucidation increases confidence in promising chemotypes.

Enjoy Lunch on Your Own12:05 pm

TPD AND OTHER NEW APPROACHES FOR SMALL MOLECULE CANCER TARGETS

1:15 pm

Chairperson's Remarks

Chaohong Sun, PhD, Senior Director, Lead Discovery, AbbVie, Inc.

1:20 pm

A Trapping Model for Suppressing Oncogenic Pathways in Cells by Covalent Small Molecules

Brahma Ghosh, PhD, Senior Principal Scientist & Head, Chemical Biology, Global Discovery Chemistry, Janssen Research & Development, LLC

Here, I will talk about stereoselective ‘trapping’ of NONO by covalent small molecules, leading to impaired maturation of associated oncogenic transcripts and suppression of cancer cell growth. Via this trapping model, these small molecules stabilize the interaction of NONO with its target mRNAs and circumvent the compensatory action of paralog proteins (SFPQ1, PSPC1) that otherwise offsets the genetic loss of NONO in knockout models. We conclude that NONO represents a druggable protein that can be targeted by covalent chemistry to suppress previously undruggable oncogenic pathways in cells.

1:50 pm

Targeted Protein Degradation of BTK Overcomes Clinically-Relevant Resistance Mutations and Its Oncogenic Scaffolding Function

Hao Lu, PhD, Executive Director Discovery Technology, Nurix Therapeutics, Inc.

Increased clinical use of BTK inhibitors has given rise to acquired resistance mutations in patients with B cell malignancies. Newly discovered kinase-dead BTK mutants have also revealed unexpected oncogenic scaffolding functions of BTK, requiring new approaches. Nurix’s clinical-stage BTK degraders NX-2127 and NX-5948 directly address emerging resistance mutations and BTK scaffolding activity. Biochemical, cellular, and structural characterizations have elucidated the mechanism underlying the potent and broad activity of these molecules.

2:20 pm Monitoring Enzyme Activity with Fluorogenic Sensors Enables Data-Rich Decisions for Kinase & Phosphatase Drug Discovery

Erik Schaefer, PhD, CEO, CSO, and Co-Founder, AssayQuant Technologies

In-Person Group Discussions2:50 pm

In-Person Group Discussions are informal, moderated discussions, allowing participants to exchange ideas and experiences and develop future collaborations around a focused topic. Each discussion will be led by a facilitator who keeps the discussion on track and the group engaged. To get the most out of this format, please come prepared to share examples from your work, be a part of a collective, problem-solving session, and participate in active idea sharing. Please visit the In-Person Group Discussions page on the conference website for a complete listing of topics and descriptions.

IN-PERSON GROUP DISCUSSION 4A1: Lead Generation for Small Molecule Cancer Targets

Chaohong Sun, PhD, Senior Director, Lead Discovery, AbbVie, Inc.

  • Lightning-round group member intros
  • Favorite biophysical tools
  • Integrating info from FBDD, DEL, HTS campaigns​
  • Novel approaches/technologies

IN-PERSON GROUP DISCUSSION 4A2: Focusing on the Tumor Micro-Environment (TME)

Scott Turner, PhD, Senior Vice President, Translational Sciences, Pliant Therapeutics

  • Lightning-round group member intros 
  • Role of extra-cellular matrix (ECM)
  • Relationship to fibrosis
  • Relevance to metastasis

Grand Opening Refreshment Break in the Exhibit Hall with Poster Viewing3:35 pm

4:15 pm

Drugging Protein-Protein Interactions: Two Examples from the WD40 Repeat Protein Family

Rima Al-Awar, PhD, Head, Therapeutic Innovation & Drug Discovery, Ontario Institute for Cancer Research

WD40 repeat proteins constitute one of the largest protein families, characterized by 44-60 amino acid repeats terminating in tryptophan and aspartate (WD).  WD repeat proteins act as scaffolding proteins and play an important role in many cellular functions and as such have become an interesting family to drug. We will describe the discovery and optimization of small molecule binders to two members of this family (WDR5 and DCAF1).

4:45 pm

FEATURED PRESENTATION: Discovering Tissue-Specific E3 Ligases and β-Catenin Degraders with Fragment-Based Approaches

Stephen W. Fesik, PhD, Professor of Biochemistry, Pharmacology & Chemistry; Orrin H. Ingram II Chair in Cancer Research, Vanderbilt University

The WNT pathway is a promising target in colon cancer that has been difficult to drug. Using fragment-based methods, we have discovered PROTACs that potently degrade b-catenin, inhibit the WNT pathway, and could be useful for treating colorectal tumors. We have also discovered PROTACs to degrade Bcl-xL, which is overexpressed in many tumors. These compounds created with ligands for tissue selective E3 ligases could exhibit less toxicity than Bcl-xL inhibitors.

Welcome Reception in the Exhibit Hall with Poster Viewing5:45 pm

Close of Day6:45 pm

Wednesday, September 27

Registration and Morning Coffee7:30 am

CANCER-ASSOCIATED FIBROTICS

7:55 am

Chairperson's Remarks

Christos Kyprianou, PhD, Postdoctoral Fellow, Wyss Institute for Biologically Inspired Engineering, Harvard University

8:00 am

Stromal Targeting for Neoplastic Disease

Thomas Fabre, PhD, Senior Principal Scientist, Immunology, Pfizer

We used human liver and lung single-cell RNA sequencing datasets to identify a subset of CD9+TREM2+ macrophage population to which we assign a profibrotic role across species and tissues, which are defined by expression of SPP1, GPNMB,FABP5, and CD63.  GM-CSF, IL-17A or TGF-β1 drive the differentiation of human monocytes into macrophages expressing scar-associated markers, and blockade of these cytokines reduced scar-associated macrophage expansion and hepatic or pulmonary fibrosis in mice.

8:30 am Sensitive LC-MS/MS Approach for the Quantification of Proteolysis Targeting Chimeras (Protacstm) in Biological Matrix

Matt Stone, Advanced Workflow Specialist, SCIEX

This presentation showcases a rapid, robust, and highly sensitive quantification workflow for a selective ALK degrader and its control in rat plasma using a triple quadrupole mass spectrometer. Achieving an LLOQ of 10 pg/mL for both TL 13-112 and TL 13-110 through a simple protein precipitation method and 10-minute LC-MS/MS analysis will be discussed.

9:00 am

Small Molecule Integrin Inhibitors for Cancer

Natalia J. Reszka-Blanco, PhD, Principal Scientist, Morphic Therapeutic

Innate and therapy-induced resistance to checkpoint inhibitors limit the response rate in many cancers. An increased TGF-ß signature is linked to poor clinical outcomes and checkpoint resistance. avß8 controls localized and cell-type-specific activation of TGF-ß 1 and 3 to negatively regulate immunity and promotes tolerance. Selective avß8 inhibition is a safe and efficient approach to reverse TGF-ß-driven immunosuppression, improving anti-tumor adaptive immune responses and immune infiltration into the TME.

9:30 am

Reprograming the Immunosuppressive Tumor Microenvironment with Selective Integrin Inhibition 

Scott Turner, PhD, Senior Vice President, Translational Sciences, Pliant Therapeutics

I will discuss how inhibition of avb8 and avb1 promote interferon gamma and suppresses TGFbeta signaling in tumors. Reprograming of tumor cytokine levels promotes proinflammatory cell infiltration and suppresses stromal protein synthesis. We found that treatment was synergistic with checkpoint inhibitors in multiple murine tumor models.

Coffee Break in the Exhibit Hall with Poster Viewing10:00 am

PLENARY KEYNOTE PROGRAM

10:40 am

Plenary Chairperson’s Remarks

An-Dinh Nguyen, Team Lead, Discovery on Target, Cambridge Healthtech Institute

10:45 am

PLENARY: The New Science of Therapeutics

Jay E. Bradner, MD, Physician Scientist, Former President, Novartis Institutes for BioMedical Research, Inc.

I will share reflections on how new paradigms in the science of therapeutics are creating opportunities to approach historic challenges in medicine. Specifically, I will share approaches to targeting transcription factors and discuss how modularity is a paradigm for next-generation low-molecular weight and biological therapeutics. Finally, I will offer reflections on drug development and the fitness, opportunities, and challenges of the biomedical ecosystem.

11:30 am

PLENARY: Accelerating Drug Discovery Using Machine Learning and Cell Painting Images

Anne E. Carpenter, PhD, Senior Director, Imaging Platform & Institute Scientist, Broad Institute

Shantanu Singh, PhD, Senior Group Leader, Machine Learning, Imaging Platform, Broad Institute

Microscopy images can reveal whether a cell is diseased, is responding to a drug treatment, or whether a pathway has been disrupted by a genetic mutation. In a strategy called image-based profiling, often using the Cell Painting assay, we extract hundreds of features of cells from images. Just like transcriptional profiling, the similarities and differences in the patterns of extracted features reveal connections among diseases, drugs, and genes.

Close of Small Molecules for Cancer Targets – Part 1 Conference12:15 pm