ABSTRACT
Introduction: As a key element in arguably the most important pathway MAPK signaling, the BRAF kinase gives rise to severe diseases including cancers when pathologically activated. Extensive research on BRAFi (BRAF inhibitor) has been carried out to profile the characters for optimized agents and to elaborate the therapeutic strategies for the related cancer treatment.
Areas covered: This review gives an overview of recently approved BRAF agents on function mode, therapeutic efficacy, and deficiency, based on which current challenges and corresponding strategies were presented. New entities as BRAFi for medical purpose in patent literature during the period 2013–2018 were also briefly introduced.
Expert opinion: With the disclosure of paradox-breaker BRAFi PLX7904 crystal in complex with BRAF, the rational design for next-generation BRAFi is becoming ever more feasible. Accompanying therapeutic strategies in BRAFi elaboration may also provide flexible choice in the future ‘personal medicine’. Further digging in the greatly enriched BRAFi pool will greatly benefit the drug design processes such as FBDD- and SBDD-driven development.
Trial registration: ClinicalTrials.gov identifier: NCT02012231.
Trial registration: ClinicalTrials.gov identifier: NCT02428712.
Trial registration: ClinicalTrials.gov identifier: NCT02014116.
Article highlights
B-Raf kinase, as a key element in MAPK signaling, is considered a compelling target in oncology
BRAFi patented from 2013 to 2018 were collected and classified according to the type of inhibition and chemical structure
Seeking paradox breakers and combining BRAFi with other agents both can delay and/or overcome resistance effectively
Identification of new BRAFi provides interesting insight exploring into new chemotypes
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Declaration of interest
The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.
Reviewer disclosures
Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.