IdentificationofPreferredChemotherapeuticsforCombining with a CHK1 Inhibitor

Here we report that GNE-783, a novel checkpoint kinase-1 (CHK1) inhibitor, enhances the activity of gemcitabine by disabling the S- and G2cell-cycle checkpoints following DNA damage. Using a focused library of 51 DNA-damaging agents, we undertook a systematic screen using three different cell lines to determine which chemotherapeutics have their activity enhanced when combined with GNE-783. We found that GNE783 was most effective at enhancing activity of antimetabolite-based DNA-damaging agents; however, there wasasurprisinglywiderangeofactivitywithineachclassofagents.We,next,selectedsixdifferenttherapeutic agents and screened these in combination with GNE-783 across a panel of cell lines. This revealed a preference for enhanced chemopotentiation of select agents within tumor types, as, for instance, GNE-783 preferentially enhanced the activity of temozolomide only in melanoma cell lines. Additionally, although p53 mutant status wasimportant for the overallresponse tocombinations with some agents;our data indicate thatthis alone was insufficient to predict synergy. We finally compared the ability of a structurally related CHK1 inhibitor, GNE900, to enhance the in vivo activity of gemcitabine, CPT-11, and temozolomide in xenograft models. GNE-900 significantly enhanced activity of only gemcitabine in vivo, suggesting that strong chemopotentiation in vitro can translate into chemopotentiation in vivo. In conclusion, our results show that selection of an appropriate agenttocombinewithaCHK1inhibitorneedstobecarefullyevaluatedinthecontextofthegeneticbackground and tumor type in which it will be used. Mol Cancer Ther; 12(11); 2285–95. � 2013 AACR.