Table 1. Summary of reported pre-clinical half maximal inhibitory concentrations (IC50) of third-generation EGFR TKIs for common EGFR mutations.
EGFR TKIs | Agents | Alterations in EGFR | ||||||
---|---|---|---|---|---|---|---|---|
Ex19delA,B | L858RA,C | L858R/T790MA,D | Ex19del/T790MA,E | WT EGFRA,F | Comments | Source | ||
Osimertinib | AZD9291 | 12 nM*‡ | 1 nM*‡ | 184 nM*‡ | (33) | |||
56 nMB1 | 36 nMC | 15 nMD1 | 13 nME1 | 152 nMF1 | (35) | |||
41 nMB1 | 26 nMC | 31 nMD1 | 41 nME2 | (36) | ||||
7.9 nMA | 6.2 nMA | 0.9 nMA | 3.1 nMA | 516 nMA | (37) | |||
Nazartinib | EGF816 | 66 nMA | 35 nMA | 5.1 nMA | 52 nMA | 1,031 nMA | (37) | |
Mavelertinib | PF-06747775 | 5 nMB1 | 4 nMC | 12 nMD1 | 3 nME1 | 307 nMF1 | (35) | |
Avitinib | AC0010 | 0.18 nM‡ | 7.68 nM‡ | Kinase and cell-based assays are reported | (38) | |||
10.4 nMB2 | 7.3 nMD1
and 2.8 nMD2 |
837 nMF3 | ||||||
Lazertinib | YH25448 GNS-1480 |
5.3 nM‡ | 20.6 nM‡ | 2.0 nM‡ | 1.7 nM‡ | 76.0 nM‡ | Kinase and cell-based assays are reported. See publication for cell-based assay results with other EGFR TKIs | (39) |
3.3 nMA | 3.9 nMA | 5.7 nMA | 4.9 nMA | 722.7 nMA | ||||
Naquotinib | ASP8273 | 11 nMB1 | 1.3 nMC | 6 nMD1 | 5 nME2 | Kinase and cell-based assays are reported. See publication for Ba/F3 cell-based assay results with other EGFR TKIs | (36) | |
9 nMA | 11 nMA | 9 nMA | 10 nMA | 830 nMA | ||||
Olmutinib | HM61713 | 9.2 nMB2 | 10 nMD1 | 2,225 nMF2 | (40) | |||
Rociletinib | CO-1686 | 79 nMB1 | 46 nMC | 16 nMD1 | 9 nME1 | 1598 nMF1 | (35) | |
Erlotinib | – | 11 nMB1 | 10 nMC | 9,003 nMD1 | 9,736 nME1 | 11 nMF1 | (35) | |
15 nMB1 | 10 nMC | 8,431 nMD1 | 2,996 nME2 | (36) | ||||
73 nMA | 30 nMA | >10,000 nMA | 3,429 nMA | 638 nMA | (37) | |||
3.2 nMB2 | 2,253 nMD1 | 449 nMF2 | (40) | |||||
Gefitinib | – | <1 nM‡ | 155 nM‡ | 3 nM‡ | (33) | |||
Afatinib | – | <1 nM*‡ | 3 nM*‡ | 3 nM*‡ | (33) | |||
2 nMB1 | 0.08 nMC | 121 nMD1 | 279 nME2 | (36) | ||||
0.6 nMA | 0.6 nMA | 179 nMA | 146 nMA | 30 nMA | (37) | |||
1.8 nMB2 | 53 nMD1 | 31 nMF2 | (40) | |||||
Dacomitinib | – | <1 nM*‡ | 10 nM*‡ | 3 nM*‡ | (33) |
*, reported apparent IC50, due to time-dependent changes to enzyme activity with irreversible inhibitors; ‡, assessed by kinase assay (see methods and supplemental methods from: (32,37,38); A, evaluated in Ba/F3 cells transduced with either mutated or wild-type EGFR, see (35,36,38); B, Exon 19 deletion evaluated in PC-9 cells (B1) and HCC827 cells (B2); C, L858R mutation evaluated in H3255 cells (C); D, L858R/T790M mutation evaluated in H1975 cells (D1) and NIH/3T3_TC32T8 cells (D2); E, Ex19del/T790M evaluated in PC9-DRH cells (E1) and PC9-ER cells (E2); F, WT EGFR evaluated in A549 cells (F1), H358 cells (F2) and A431 (F3). EGFR, epidermal growth factor receptor; TKI, tyrosine kinase inhibitor; WT, wild-type.