PF-06463922 is a novel, orally active dual inhibitor of ALK (IC50=15-113nM) and ROS1 (Kis=0.025-0.7nM)[1-2]. PF-06463922 blocks downstream signaling pathways by inhibiting the phosphorylation of ALK and ROS1 kinases. PF-06463922 is used in the treatment of locally advanced or metastatic anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC)[3-4].
In vitro, PF-06463922 (0.01-1µM) was used to treat ALK-rearranged non-small cell lung cancer cell lines (such as H3122 and H2228) for 16-96 hours. PF-06463922 significantly induced BIM expression and promoted apoptosis, while simultaneously downregulating NOXA, leading to MCL-1-dependent anti-apoptotic adaptation [5]. PF-06463922 (10nM) treated ALK-positive NSCLC cells (H3122 and H2228 cell lines) for 24-48 hours. PF-06463922 effectively inhibited cell proliferation and induced apoptosis, while also triggering protective autophagy[6].
In vivo, PF-06463922 (5mg/kg; p.o.; daily for 14days) was used to treat C57BL/6 mice bearing orthotopic pancreatic ductal adenocarcinoma (PDAC) or colorectal cancer (CRC) liver metastasis models. PF-06463922 significantly reduced the weight of primary tumors and metastases, decreased intratumoral neutrophil accumulation and fibrosis, and inhibited tumor cell proliferation[7]. PF-06463922 (orally administered at 10mg/kg daily for 3 weeks) was used to treat 10-week-old sexually mature male C57BL/6N mice. PF-06463922 reversibly suppressed male fertility, impaired sperm's ability to bind to the zona pellucida, led to abnormal processing of ADAM3, and compromised sperm motility[8].
References:
[1] Johnson TW, Richardson PF, Bailey S, et al. Discovery of (10R)-7-amino-12-fluoro-2,10,16-trimethyl-15-oxo-10,15,16,17-tetrahydro-2H-8,4-(metheno)pyrazolo[4,3-h][2,5,11]-benzoxadiazacyclotetradecine-3-carbonitrile (PF-06463922), a macrocyclic inhibitor of anaplastic lymphoma kinase (ALK) and c-ros oncogene 1 (ROS1) with preclinical brain exposure and broad-spectrum potency against ALK-resistant mutations. J Med Chem. 2014 Jun 12;57(11):4720-44.
[2] Zou HY, Friboulet L, Kodack DP, et al. PF-06463922, an ALK/ROS1 Inhibitor, Overcomes Resistance to First and Second Generation ALK Inhibitors in Preclinical Models. Cancer Cell. 2015 Jul 13;28(1):70-81.
[3] Solomon BJ, Liu G, Felip E, et al. Lorlatinib Versus Crizotinib in Patients With Advanced ALK-Positive Non-Small Cell Lung Cancer: 5-Year Outcomes From the Phase III CROWN Study. J Clin Oncol. 2024 Oct 10;42(29):3400-3409.
[4] Shaw AT, Bauer TM, de Marinis F, et al. First-Line Lorlatinib or Crizotinib in Advanced ALK-Positive Lung Cancer. N Engl J Med. 2020 Nov 19;383(21):2018-2029.
[5] Martín F, Alcon C, Marín E, Morales-Sánchez P, et al. Novel selective strategies targeting the BCL-2 family to enhance clinical efficacy in ALK-rearranged non-small cell lung cancer. Cell Death Dis. 2025 Mar 20;16(1):194.
[6] Lu C, Yu R, Zhang C, et al. Protective autophagy decreases lorlatinib cytotoxicity through Foxo3a-dependent inhibition of apoptosis in NSCLC. Cell Death Discov. 2022 Apr 22;8(1):221.
[7] Nielsen SR, Strøbech JE, Horton ER, et al. Suppression of tumor-associated neutrophils by lorlatinib attenuates pancreatic cancer growth and improves treatment with immune checkpoint blockade. Nat Commun. 2021 Jun 7;12(1):3414.
[8] Oyama Y, Shimada K, Miyata H, et al. Inhibition of ROS1 activity with lorlatinib reversibly suppresses fertility in male mice. Andrology. 2025 Oct;13(7):1891-1900.
PF-06463922是一种新型的、具有口服活性的ALK(IC50=15-113nM)和ROS1(Kis=0.025-0.7nM)双重抑制剂[1-2]。PF-06463922通过抑制ALK和ROS1激酶的磷酸化来阻断下游信号通路。PF-06463922可用于ALK阳性的局部晚期或转移性非小细胞肺癌(NSCLC)的治疗[3-4]。
在体外,PF-06463922(0.01-1μM)处理ALK重排的非小细胞肺癌细胞系(如H3122和H2228)16-96小时。PF-06463922显著诱导BIM表达并促进细胞凋亡,同时下调NOXA导致MCL-1依赖性抗凋亡适应 [5]。PF-06463922(10nM)处理ALK阳性的非小细胞肺癌细胞(H3122和H2228细胞系)24-48小时。PF-06463922有效抑制细胞增殖并诱导细胞凋亡,同时诱导保护性自噬 [6]。
在体内,PF-06463922(每日口服5mg/kg;持续14天)用于处理携带原位胰腺导管腺癌(PDAC)或结直肠癌(CRC)肝转移模型的C57BL/6小鼠。PF-06463922显著降低了原发肿瘤和转移灶的重量,减少了肿瘤内中性粒细胞的积累和纤维化,并抑制了肿瘤细胞增殖[7]。PF-06463922(每日口服10mg/kg;持续3周)用于处理10周龄性成熟的C57BL/6N雄性小。PF-06463922可逆地抑制了雄性生育能力,、降低精子与透明带的结合能力、导致ADAM3加工异常并损害精子运动能力[8]。
















