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Abstract 268 ODM-207, a novel BET-bromodomain inhibitor as a therapeutic approach for the treatment of patients with castration resistant prostate cancer Mari 1 Björkman , 1 Mattila , 1 Riikonen , 2 Abbineni , 2 Jaleel , 2 Marappan , Tarja Elina Reetta Chandrasekhar Mahaboobi Sivapriya 1 2 2 1 1 Daniel Nicorici , Susanta Samajdar , Murali Ramachandra Pekka Kallio , Anu Moilanen 1 Ikonen , 1Orion Corporation Orion Pharma, Espoo, Finland, 2Aurigene Discovery Technologies Limited, Bangalore, India Background Results During normal development, the androgen receptor (AR) regulates genes that are essential for the differentiation of the prostate. However, in prostate cancer (PCa), AR-regulated gene transcription is re-directed to drive the malignant phenotype. Also castration resistant prostate cancer (CRPC) is dependent on AR and is characterized by persistent activation of AR signaling by residual tissue androgens. In fact, activation of AR signaling has been shown to be crucial for prostate cancer growth at all stages of the disease and several molecular mechanisms have been proposed to explain the addiction to AR including emergence of AR overexpression, AR ligand binding domain (LBD) mutations and splicing variants lacking the LBD. Unfortunately, despite recent advances in treatment of CRPC, nearly all patients treated with current hormonal therapies eventually will relapse. 1. ODM-207 is a novel, potent, and structurally distinct Herein, we performed RNA-sequencing studies and gene set enrichment analysis of ODM-207 treated VCaP cells to study the pathways regulated by ODM-207. Gene set enrichment analysis indicates significant changes in expression of genes involved in e.g. MYC and AR gene signatures. Indeed, in cellular studies with AR-positive prostate cancer cell lines as well as 22Rv1 xenograft model, ODM-207 showed potent down-regulation of Myc, an important oncogenic regulator of cell proliferation and tumorigenesis. xenograft a) Effect of ODM-207 on tumor volumes inhibitor of BET proteins a) Biochemical potency of b) Antiproliferative effects of ODM-207 in prostate ODM-207 cancer cell lines Bromodomain BRD4 full length IC50 (nM) 89 *** b) Effect of ODM-207 on tumor weights 2. ODM-207 regulated pathways and genes in prostate cancer cell lines a) Differentially expressed genes in VCaP cells between ODM207 and DMSO treatment groups 2h 663 617 1031 1000 V e h ic le O D M -2 0 7 3 0 m g / k g q d 500 *** E n z a lu t a m id e 2 0 m g / k g q d 0 c) ODM-207 inhibits Myc in in vivo efficacy study 6h 2453 530 2423 3277 d) ODM-207 downregulates Myc in prostate cancer cell lines ODM-207 24h Methods 3. ODM-207 inhibits tumor growth in AR-V7 expressing 22Rv1 T u m o r w e ig h t / m g Herein, we show that ODM-207, an inhibitor of tandem bromodomain (BD) containing family of transcriptional regulators known as the BET (bromodomain and extraterminal) proteins antagonizes the interaction between the Brd4 and acetylated histone peptides. In cellular studies with AR-positive prostate cancer cell lines, ODM-207 possessed potent growth inhibitory activity. ODM-207 also displayed potent antiproliferative activity in a VCaP model resistant to second generation anti-androgen enzalutamide and inhibited the expression of the AR splice variant AR-V7. In 22Rv1 prostate cancer xenograft, oral administration of ODM-207 was efficacious in suppressing tumor growth at well tolerated doses. c) Fold changes of selected genes in AR, MYC, p53, apoptosis, DNA repair, G2M checkpoint and E2F pathways 0 30 300 3000 nM 22Rv1 b) Pathways regulated by ODM-207 in VCaP cells VCaP Biochemical activity: Binding of ODM-207 to BRD4 full length recombinant protein was tested by measuring the displacement of bromodomain/acetylated peptide interaction using biotin conjugated Acetyl-Histone H4 [Lys5,8,12,16] peptide and the TR-FRET assay. Conclusions LNCaP ODM-207 regulated pathways in VCaP cell line Cells lines: VCaP, LNCaP and 22Rv1 cell lines were purchased from ATCC and maintained in the condition recommended by the provider. VCaP enzalutamide resistant (VCaP enza res.) cell line was developed by passaging VCaP cells in the presence of increasing concentrations of enzalutamide over 18 months. Cell line is maintained in growth media supplemented with 7.6 µM enzalutamide. ODM-207 is a novel and structurally distinct BET protein inhibitor e) ODM-207 downregulates AR-V7 in VCaP and enzalutamide resistant VCaP cell lines Cell viability assays: VCaP, VCaP enzalutamide resistant , LNCaP and 22Rv1 cell lines were plated on 96-well plates and treated with ODM-207 for 4 days. Growth inhibitory effect of ODM-207 in cell lines was measured using WST-1 Cell Proliferation Assay (Roche). ODM-207 Gene expression analyses: VCaP cells were treated with vehicle control or 1 µM ODM-207 in triplicate for 2, 6 and 24h. Differentially expressed genes and gene sets enrichment were analyzed by RNA-seq 15M reads/sample (Illumina HiSeq). 0 Immunoblotting: AR-V7 22Rv1 xenograft: Tumors were established by subcutaneous injection of 22Rv1 cells into male nude mice. GAPDH After initial tumor growth, when the average tumor volume reached 127 mm3, oral treatment with ODM-207 30 mg/kg qd, enzalutamide 20 mg/kg qd or vehicle was initiated and continued for 27 days. Tumor volume was measured with a caliper during the course of the study. Animals were sacrificed at 4h after last dosing. Tumor weights were determined, and Myc protein expression levels of the tumors were measured using Milliplex MAP Myc Signaling Kit (Millipore Cat#48-602MAG). FI/prot = fluorescence intensity / amount of protein. ***, p<0,0001 AR-V7 Cells were treated for 24h with ODM-207 and cell samples were immunoblotted with ARV7 (Abcam, ab198394), Myc (Covance, MMS-150P) and GAPDH (Cell Signaling, 2118S) antibodies. Poster presented at EORTC-NCI-AACR Symposium 2016 Munich, Germany, 29 Nov-2 Dec 2016 0 30 30 GAPDH These studies were sponsored by Orion Corporation Orion Pharma VCaP 300 300 3000 3000 nM VCaP enza res. ODM-207 inhibits proliferation of androgen receptor dependent prostate cancer cell lines including enzalutamide-resistant models Causes suppression of AR target genes, Myc signaling and DNA repair pathway and induction of p53 pathway as well as apoptosis Induces a dose-dependent reduction in Myc and AR-V7 splice variant protein levels In vivo, oral administration of ODM-207 potently inhibits tumor growth and Myc expression in 22Rv1 prostate cancer xenograft model Copies of this poster obtained through QR (Quick Response) code are for personal use only and may not be reproduced without written permission of the authors.