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155 Pharmacological Targeting of IRF4 As a Therapeutic Strategy for Multiple Myeloma

Program: Oral and Poster Abstracts
Type: Oral
Session: 802. Chemical Biology and Experimental Therapeutics: Novel Therapeutic Strategies for Hematologic Disorders: From Mechanistic to Preclinical Studies
Hematology Disease Topics & Pathways:
Research, Fundamental Science, Translational Research, Biological Processes, Molecular biology
Saturday, December 7, 2024: 1:00 PM

Michael P. Agius, PhD1*, Laura Hevenor2*, N Connor Payne, PhD3,4,5*, Qi Liu, PhD6*, Hyuk-Soo Seo, PhD7*, Romanos Sklavenitis-Pistofidis, MD2,8,9, Daniel Heilpern-Mallory2*, Puspalata Bashyal10*, Michelle P. Aranha, PhD2,8,9*, Elizabeth D. Lightbody, PhD2,8,9, Ralph Mazitschek, PhD4,5*, Sirano Dhe-Paganon, PhD11*, Jun Qi, PhD7* and Irene Ghobrial, MD2,8,9

1Dana Farber Cancer Institute, Boston, MA
2Dana-Farber Cancer Institute, Boston, MA
3Harvard T.H. Chan School of Public Health, Boston
4Center for Systems Biology, Massachusetts General Hospital, Boston, MA
5Department of Chemistry and Chemical Biology, Harvard Medical School/MGH, Boston, MA
6Department of Cancer Biology, Dana Farber Cancer Institute, Boston
7Department of Cancer Biology, Dana Farber Cancer Institute, Boston, MA
8Harvard Medical School, Boston, MA
9Broad Institute of MIT and Harvard, Cambridge, MA
10Dana Farber Cancer Institute, Boston
11Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA

Introduction

Interferon regulatory factor 4 (IRF4) is an oncogenic transcription factor (TF) in several hematological malignancies. In multiple myeloma (MM), IRF4 serves as an MM-specific regulator of cell survival, making it an ideal target for therapy development. However, to date, no pharmacological agents have been successfully developed to directly target IRF4 due to the challenging nature of directly targeting TFs. Moreover, no probes or screening-based assays have been developed for IRF4 or any member of the IRF family. IRF4 is a top-ranked dependency of MM, activated B-cell-like lymphoma, and leukemia. Moreover, IRF4 is a validated clinical target given the success of IMiD-based regimens. Thus, orally available small molecules that can directly target IRF4 would significantly benefit patients with hematological malignancies. To this end, we selected the IRF4 interferon accessory domain (IAD), and specifically the SPI1 (or PU.1) binding pocket, to design and develop the first small molecule degrader against IRF4.

Method and Results

To identify chemical ligands, we developed a series of biochemical and cellular assays for high-throughput screening. We validated the most potent hit, compound H1, as a binder of both recombinant IAD domain and cellular IRF4 with biophysical and in-cell target engagement assays. Additionally, we developed an in-cell BRET-based (bioluminescence resonance energy transfer) assay to evaluate the engagement of our compound series against IRF4 in HEK293T cells. One of H1’s enantiomers, (S)-H1, had an IC50 of 0.3 µM, and its counter partner (R)-H1 shows no binding (>100 µM) by TR-FRET. Next, we successfully solved the first X-ray structure of the human IRF4 IAD domain at 2.5 Å to assist our structure-based drug design efforts of more potent binders. To reproduce the strong anti-myeloma effects of IRF4 knockdown or knockout, we turned our novel binder into a proteolysis targeting chimera (PROTAC) of IRF4 that can selectively remove IRF4 in MM cell lines. We linked (S)-H1 to E3 ligase ligands of cereblon to create the very first IRF4 degrader, dIRF4, which can induce proteasomal degradation of IRF4 selectively and has strong cytotoxic effects in all myeloma lines evaluated in vitro. We synthesized inactive controls derived from dIRF4, using a (R)-H1 or an inactive IMiD ligand, and showed the proteasomal and cereblon requirement needed for IRF4 depletion. Using RNA sequencing and proteomic workflows, we showed that dIRF4 has on-target effects of IRF4 depletion and significantly down-regulates IRF4-controlled pathways in MM, including PIM2, at the transcript and protein level. Finally, early in vivo pharmacokinetic experiments show favorable Cmax (4500ng/mL) and toxicity profiles after intraperitoneal administration, warranting dIRF4 use in in vivo studies.

Conclusions

Our results have led to the development of dIRF4, the first pharmacological agent directly targeting an oncogenic transcription factor in myeloma or any IRF family transcription factors. Our results support the clinical development of an IRF4 degrader in myeloma. Furthermore, we demonstrate a feasible developmental strategy to target the IRF family by leveraging their IAD domains, including IRF8, which can be chemically targeted by this approach and widen the therapeutic landscape in hematological cancers.

Disclosures: Payne: CoraFluor: Patents & Royalties. Sklavenitis-Pistofidis: PreDICTA Biosciences: Consultancy, Current equity holder in private company, Other: Co-founder. Mazitschek: CoraFluor: Patents & Royalties. Qi: Epiphanes: Consultancy; Talus: Consultancy. Ghobrial: Amgen: Consultancy, Other: Speaker fees; GlaxoSmithKline: Consultancy; Standard Biotools: Other: Speaker fees; Aptitude Health: Consultancy; Pfizer: Consultancy, Other: Speaker fees; Takeda: Consultancy, Other: Speaker fees; Binding Site, part of Thermo Fisher Scientific: Consultancy; CurioScience: Consultancy, Other: Speaker fees; Huron Consulting: Consultancy; Janssen: Consultancy, Other: Speaker fees; Window Therapeutics: Consultancy; Menarini Silicon Biosystems: Consultancy, Other: Speaker fees; Bristol Myers Squibb: Consultancy, Other: Speaker fees; Adaptive: Consultancy; AbbVie: Consultancy; Vor Biopharma: Other: Speaker fees; Oncopeptides: Consultancy; Novartis: Consultancy; Sanofi: Consultancy; 10X Genomics: Consultancy; Regeneron: Consultancy, Other: Speaker fees; PreDICTA Bioscience: Consultancy, Current equity holder in private company, Membership on an entity's Board of Directors or advisory committees, Other: Co-founder; Disc Medicine: Current equity holder in private company, Membership on an entity's Board of Directors or advisory committees.

*signifies non-member of ASH