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Table 5 Multitarget inhibitors

From: Emerging strategies to overcome resistance to third-generation EGFR inhibitors

Number

Target

Pharmacophores

Structure

Activity

69 [168]

EGFR/FGFR1

Pyrimidine-2,4-diamines

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EGFRL858R/T790M

IC50 = 43.1 nmol/L

EGFRWT

IC50 = 1138.7 nmol/L

FGFR1WT

IC50 = 17.6 nmol/L

H1975 cells

IC50 = 336.3 nmol/L

70 [169]

EGFR/Src

Pyrimidine-4-amines

K562 cells

IC50 = 220 nmol/L

A549 cells

IC50 = 250 nmol/L

EGFR inhibition rate = 33.15% (10 µmol/L)

Src inhibition rate = 72.12% (1 µmol/L)

71 [170]

EGFR/HER4

3-Cyanoquizolines

EGFRL858R

IC50 = 419 nmol/L

EGFRWT

IC50 = 2.4 nmol/L

HER4

IC50 = 0.03 nmol/L

72 [171]

EGFR/COX2

1,3,4-Oxadiazole scaffold

EGFR

IC50 = 280 nmol/L

COX2

IC50 = 170 nmol/L

UO-31 cells

IC50 = 5800 nmol/L

73 [172]

EGFR/BRAF

Spirobenzo[h]chromene derivatives

EGFR

IC50 = 1200 nmol/L

BRAF

IC50 = 2600 nmol/L

A549 cells

IC50 = 1780 nmol/L

MCF-7 cells

IC50 = 4090 nmol/L

HT-29 cells

IC50 = 4450 nmol/L

74 [173]

EGFRT790M/ALK

Pyrimidine-2,4-diamines

ALK

IC50 = 18 nmol/L

EGFRWT

IC50 = 151 nmol/L

EGFRT790M

IC50 = 2 nmol/L

EGFRL858R/T790M

IC50 = 4 nmol/L

DFCI032 cells

IC50 = 170 nmol/L

DFCI076 cells

IC50 = 820 nmol/L

75 [174]

EGFRWT and mutant EGFR/ALK

Pyrimidine-2,4-diamines

EGFRWT

IC50 = 108 nmol/L

EGFRT790M

IC50 = 3.9 nmol/L

EGFRL858R/T790M

IC50 = 3.6 nmol/L

ALKWT

IC50 = 9.8 nmol/L

ALKR1275Q

IC50 = 0.82 nmol/L

ALKL1196M

IC50 = 0.59 nmol/L

ALKF1174L

IC50 = 0.92 nmol/L

ALKC1156Y

IC50 = 1.0 nmol/L

H1975 cells

GI50 = 15 nmol/L

H3112 cells

GI50 < 0.3 nmol/L

76 [175]

EGFR/ATX

Pyrimidine-4-amines

EGFR

IC50 = 24.2 nmol/L

ATX

IC50 = 29.1 nmol/L

A549 cells

IC50 = 4960 nmol/L

MKN-45 cells

IC50 = 3430 nmol/L

SGC cells

IC50 = 2910 nmol/L

CFs cells

IC50 = 1490 nmol/L

77 [176]

EGFR/AURK A

Pyrimidine-4-amines

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AURK A

IC50 = 1990 nmol/L

EGFR

IC50 = 3.76 nmol/L

78 [177]

EGFR/IGF1R

Pyrimidine-2-amines

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EGFR

IC50 = 35.5 nmol/L

EGFRT790M

IC50 = 66.0 nmol/L

IGF1R

IC50 = 52.0 nmol/L

79 [178]

EGFR/tubulin

Pyrimidine-4-amines

EGFR

IC50 = 30 nmol/L

Tubulin assembly

IC50 = 710 nmol/L

HeLa cells

IC50 = 1 nmol/L

HT-29 cells

IC50 = 20 nmol/L

Jurkat cells

IC50 = 1 nmol/L

RS4;11 cells

IC50 = 1 nmol/L

80 [179]

EGFR/tubulin

Chalcones

EGFR

IC50 = 39 nmol/L

Tubulin polymerization

IC50 = 8840 nmol/L

MCF-7 cells

IC50 = 1650 nmol/L

HCT-116 cells

IC50 = 3610 nmol/L

81 [180]

EGFR/AKT

Chalcones

A549 cells

IC50 = 3820 nmol/L

MDA-MB-231 cells

IC50 = 5890 nmol/L

SKBR3 cells

IC50 = 4790 nmol/L

82 [181]

EGFR/HDACs

Pyrimidine-2-amines

EGFRWT

IC50 = 5700 nmol/L

EGFRT790M

IC50 = 5000 nmol/L

HDACs

IC50 = 85 nmol/L

A549 cells

IC50 = 2190 nmol/L

HeLa cells

IC50 = 1850 nmol/L

MDA-MB-231 cells

IC50 = 600 nmol/L

MDA-MB-468 cells

IC50 = 230 nmol/L

83 [182]

EGFR/PDGFR-β

Pyrimidine-2,4-diamines

EGFR Ki

IC50 = 170 nmol/L

PDGFR-β

IC50 = 81 nmol/L

84 [183]

EGFR/NF-κB

Quinazolines

EGFR

IC50 = 60.1 nmol/L

NF-κB

IC50 = 300 nmol/L

85 [184]

EGFR/c-Met

1,2,4-Oxadiazole derivate

MDA-MB-231 cells

IC50 = 200 nmol/L

A459 cells IC50 = 200 nmol/L

PC9 cells IC50 = 500 nmol/L

H1975 cells IC50 = 300 nmol/L

CL68 cells IC50 = 400 nmol/L

CL97 cells

IC50 = 500 nmol/L

86 [185]

EGFRT790M/c-Met

Pyrimidine-2-amines

EGFRT790M

IC50 = 97 nmol/L

c-Met

IC50 = 518 nmol/L

87 [186]

EGFR/VEGFR-2

Pyrimidine-2,4-diamines

EGFR Ki

IC50 = 80 nmol/L

VEGFR-2 Ki

IC50 = 3240 nmol/L

NCI-H460 cells GI = 25% (10 µmol/L)

88 [187]

EGFR/VEGFR-2

Quinazolines

EGFR

IC50 = 1.0 nmol/L

VEGFR-2

IC50 = 79.0 nmol/L

HT-29 cells

IC50 = 1760 nmol/L

MCF7 cells

IC50 = 7280 nmol/L

89 [188]

EGFR/VEGFR-2

Quinazolines

EGFR

IC50 = 0.69 nmol/L

VEGFR-2

IC50 = 67.84 nmol/L

90 [59]

EGFR/VEGFR-2

Quinazolines

EGFR

IC50 = 2.0 nmol/L

VEGFR-2

IC50 = 103.0 nmol/L

A431 cells

IC50 = 14.0 nmol/L

H1975 cells

IC50 = 130.0 nmol/L

91 [189]

EGFR/VEGFR-2

Quinazolines

EGFR

IC50 = 20 nmol/L

VEGFR-2

IC50 = 50 nmol/L

92 [190]

EGFR/HER2

Quinazolines

EGFR

IC50 = 0.69 nmol/L

HER2

IC50 = 42.1 nmol/L

NCI-H1975 cells

IC50 = 12.20 nmol/L

HCC827 cells

IC50 = 0.31 nmol/L

A431 cells

IC50 = 1.52 nmol/L

MDA-MB-453 cells

IC50 = 0.62 nmol/L

93 [191]

EGFR/HER2

Pyrimidine-4-amines

EGFR

IC50 = 186 nmol/L

VEGFR-2

IC50 = 254 nmol/L

94 [192]

EGFR/HER2

3-Cyanoquizolines

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EGFR

IC50 = 597 nmol/L

IGF1R

IC50 = 908 nmol/L

A431 cells

IC50 = 1890 nmol/L

SKBR3 cells

IC50 = 1930 nmol/L

95 [193,194,195]

EGFR/HER2

Pyrimidinones

EGFR

IC50 = 60 nmol/L

HER2

IC50 = 300 nmol/L

A549 cells

IC50 = 280 nmol/L

96 [196]

EGFR/CSK

Chalcones

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EGFR

IC50 = 11,120 nmol/L

CSK

IC50 = 5160 nmol/L

97 [197]

EGFR/CAIX

Quinazolines

EGFRWT

IC50 = 27.0 nmol/L

EGFRT790M

IC50 = 9.2 nmol/L

hCAII

IC50 = 278.2 nmol/L

hCAIX

IC50 = 115.0 nmol/L

A549 cells (hypoxia)

IC50 = 2210 nmol/L

A549 cells (normoxia)

IC50 = 6450 nmol/L

HeLa cells

IC50 = 1850 nmol/L

H1975 cells (hypoxia)

IC50 = 1050 nmol/L

H1975 cells (normoxia)

IC50 = 1940 nmol/L