Cancer affects approximately 10 million people globally, with breast and lung cancer accounting for 25% of cancer incidences.  Assuming over expression of Her2 is responsible for 25% of the breast cancer and lung cancer, and then the estimated market is about one million. The estimated price of Lapatinib, a small molecule tyrosine kinase inhibitor, is $5000/ dose (500mg) and the total market will be more than one trillion ($5000 * 365 * 1 million) dollars worldwide. 

Overexpression of Her2, a tyrosine kinase receptor regulating cell growth, has been reported in about 25% of breast cancer and 4-27% of lung cancer.

Dr. Greene and his colleagues have developed a new class of small molecules that selectively inhibit Her2 activity, leading to a targeted therapy against Her2-related cancer. This new class of Her2 inhibitors target the extracellular domain of the receptor and offer an alternative treatment for patients developing resistance to current tyrosine kinase inhibitors. They are also potential oral compounds as they are small molecules.

In addition, these molecules can be labeled with imaging agent to monitor Her2-expresssing tumors in vivo. The discovered molecules, which are attainable for oral administration, can be used alone or in combination with cytotoxic drugs, hormonal agent, radiation, or other Her2 inhibitors to treat breast, lung, prostate, and other Her2-associated cancers.  

• Small molecule inhibitors that can be developed into oral compounds
• Non-TKI; Alternative treatment for patients developed resistance to current tyrosine kinase inhibitors

• Anti-cancer drug: The development of acquired resistance to anti-cancer drugs is one of the major limitations of anti-cancer therapy. The invention provides a novel class of Her2 and EGFR inhibitors that might halt the resistance to current tyrosine kinase inhibitors hence increase treatment efficacy. In addition, the discovered compounds exhibit great specificity against Her2/EGFR activity by selectively binding to only dimeric Her2. This might cause less severe side effects in comparison to the conventional tyrosine kinase inhibitors.
• Molecular imaging agent: The identified compounds can be tagged with fluorescent probe or radioisotopes for imaging of Her2-expressing tumor using PET, SPECT, optical, and MR imaging. Long wavelength fluorescent probes are suitable for optical imaging, while radio labeled compounds are required for PET and SPECT. Anti-Her2 molecules can be coated with contrast agents, such as lignosite FML, for MRI. In vivo monitoring of the Her-2 expressing tumor is useful in monitoring the disease progression and assessing the treatment efficacy.