Phosphoinositide-dependent kinase 1 (PDK1) is a critical activator of multiple prosurvival and oncogenic protein kinases and has garnered considerable interest as an oncology drug target. Despite progress characterizing PDK1 as a therapeutic target, pharmacological support is lacking due to the prevalence of nonspecific inhibitors. Here, we benchmark literature and newly developed inhibitors and conduct parallel genetic and pharmacological queries into PDK1 function in cancer cells. Through kinase selectivity profiling and x-ray crystallographic studies, we identify an exquisitely selective PDK1 inhibitor (compound 7) that uniquely binds to the inactive kinase conformation (DFG-out). In contrast to compounds 1-5, which are classical ATP-competitive kinase inhibitors (DFG-in), compound 7 specifically inhibits cellular PDK1 T-loop phosphorylation (Ser-241), supporting its unique binding mode. Interfering with PDK1 activity has minimal antiproliferative effect on cells growing as plastic-attached monolayer cultures (i.e. standard tissue culture conditions) despite reduced phosphorylation of AKT, RSK, and S6RP. However, selective PDK1 inhibition impairs anchorage-independent growth, invasion, and cancer cell migration. Compound 7 inhibits colony formation in a subset of cancer cell lines (four of 10) and primary xenograft tumor lines (nine of 57). RNAi-mediated knockdown corroborates the PDK1 dependence in cell lines and identifies candidate biomarkers of drug response. In summary, our profiling studies define a uniquely selective and cell-potent PDK1 inhibitor, and the convergence of genetic and pharmacological phenotypes supports a role of PDK1 in tumorigenesis in the context of three-dimensional in vitro culture systems.PDK1 (phosphoinositide-dependent kinase-1) was first identified as a protein serine/threonine kinase that linked phosphatidylinositol 3-kinase (PI3K) to AKT (protein kinase B) activation in response to growth factor receptor signaling (1, 2). Growth factor binding to receptor tyrosine kinases (RTKs) 3 results in activated PI3K, which phosphorylates the 3Ј-position of the inositol ring in phosphatidylinositol 4,5-bisphosphate to produce the second messenger phosphatidylinositol 3,4,5-trisphosphate (3). Membrane-bound phosphatidylinositol 3,4,5-trisphosphate recruits AKT to the plasma membrane, where it co-localizes with PDK1 in a pleckstrin homology domain-dependent manner (4 -6). The binding of phosphatidylinositol 3,4,5-trisphosphate to AKT induces a conformational shift that alleviates AKT autoinhibition (7) and allows for PDK1-mediated phosphorylation of AKT Thr-308, an event that is absent in both PDK1 null mouse embryonic stem (ES) cells (8) and tissue-specific PDK1 knock-out mice (9). In parallel with the elucidation of the above PI3K/ PDK1/AKT signaling cascade, PDK1 has been shown to phosphorylate the conserved threonine/serine residue in the activation loop (T-loop) of about 20 related protein kinases (10). Because this phosphorylation event is a prerequisite for full catalytic activity...