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August 16, 2026Journal of Medicinal Chemistry

Discovery ofHighly Potent and Selective, Orally BioavailableBTK-Targeting PROTACs Featuring Novel CRBN-Binding Warheads

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Authors

AMAlexey B. MantsyzovPZPei ZhaoCKChris G. Kruse

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Overview

Preclinical study demonstrates potent BTK degradation by novel oral PROTACs in malignant B cells and mice, indicating a potential targeted therapy for resistant blood cancers.

Key Points

  • Design and evaluate novel, orally bioavailable BTK-targeting PROTACs with modified CRBN-binding warheads to overcome drug resistance and eliminate off-target degradation.
  • Designed novel CRBN-binding warheads and optimized linkers to create PROTACs targeting wild-type and mutant BTK while avoiding IKZF1, IKZF3, and GSPT1 degradation.
  • Evaluated BTK degradation potency (DC50) and DMPK profiles in malignant B cells and circulating B cells in mice following a single 3 mg/kg oral dose.
  • Lead compounds ISM-PR25 and ISM-PR44 potently degraded BTK in malignant B cells with DC50 values of 0.04 nM and 0.05 nM, respectively.
  • The compounds exhibited favorable DMPK profiles, avoided off-target degradation of IKZF1, IKZF3, and GSPT1, and achieved effective BTK degradation in mouse circulating B cells after a single 3 mg/kg oral dose.

Cite This Study

Mantsyzov et al. (2026) studied this question.

synapsesocial.com/papers/6a8179cbf2fb91fc834ad229https://doi.org/10.1021/acs.jmedchem.6c01136
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