Synonyms: BLU-451 | BLU451 | compound I [WO2023215431A1] [3] | Example 37 [WO2022094354A1] [4] | LNG-451 | LNG451
Compound class:
Synthetic organic
Comment: Although the name-to-structure for BLU-451 has not been formally published, a focussed review of patents [3-4], declared company pipelines (Blueprint Medicines [1]), published literature, meeting abstracts [6] and other online information leads us to consider the chemical structure presented here as a very strong candidate for BLU-451.
BLU-451 (formerly LNG-451) is a wild-type EGFR-sparing, CNS-penetrant and covalent EGFR Exon 20 insertion (Ex20ins) inhibitor that is in development for anti‑tumour potential, particularly for non-small cell lung cancers that express variant EGFRs with Exon 20 insertions (i.e., resistance mutations) [2,5]. The Ex20ins-targeting drugs amivantamab and mobocertinib are already in clinical use, but their activity within the brain has not been established. Minimising activity at WT EGFRs is propsed to reduce on-target toxicity. The chemical structure for BLU-451 was matched to that for the INN pebezertinib from WHO proposed INN list 131 (August 2024). |
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No information available. |
Summary of Clinical Use ![]() |
BLU-451 has advanced to clinical trial in metastatic Ex20ins +ve tumours (NSCLC and others). Preliminary trial data was presented as a poster at the 2023 ASCO Annual Meeting by Nguyen et al.: Emerging phase 1 data of BLU-451 in advanced NSCLC with EGFR exon 20 insertions. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT05241873 | (Concerto) Study of BLU-451 in Advanced Cancers With EGFR Exon 20 Insertion Mutations | Phase 1/Phase 2 Interventional | Blueprint Medicines Corporation |