CHIR-258, a novel, multitargeted tyrosine kinase inhibitor for the potential treatment of t (4; 14) multiple myeloma

S Trudel, ZH Li, E Wei, M Wiesmann, H Chang, C Chen… - Blood, 2005 - ashpublications.org
S Trudel, ZH Li, E Wei, M Wiesmann, H Chang, C Chen, D Reece, C Heise, AK Stewart
Blood, 2005ashpublications.org
Abstract The t (4; 14) translocation that occurs uniquely in a subset (15%) of patients with
multiple myeloma (MM) results in the ectopic expression of the receptor tyrosine kinase
(RTK), fibroblast growth factor receptor 3 (FGFR3). Inhibition of activated FGFR3 in MM cells
induces apoptosis, validating FGFR3 as a therapeutic target in t (4; 14) MM and encouraging
the clinical development of FGFR3 inhibitors for the treatment of these patients, who have a
poor prognosis. We describe here the characterization of a novel, small-molecule inhibitor of …
Abstract
The t(4;14) translocation that occurs uniquely in a subset (15%) of patients with multiple myeloma (MM) results in the ectopic expression of the receptor tyrosine kinase (RTK), fibroblast growth factor receptor 3 (FGFR3). Inhibition of activated FGFR3 in MM cells induces apoptosis, validating FGFR3 as a therapeutic target in t(4;14) MM and encouraging the clinical development of FGFR3 inhibitors for the treatment of these patients, who have a poor prognosis. We describe here the characterization of a novel, small-molecule inhibitor of class III, IV, and V RTKs, CHIR-258, as an inhibitor of FGFR3. CHIR-258 potently inhibits FGFR3 with an inhibitory concentration of 50% (IC50) of 5 nM in in vitro kinase assays and selectively inhibited the growth of B9 cells and human myeloma cell lines expressing wild-type (WT) or activated mutant FGFR3. In responsive cell lines, CHIR-258 induced cytostatic and cytotoxic effects. Importantly, addition of interleukin 6 (IL-6) or insulin growth factor 1 (IGF-1) or coculture on stroma did not confer resistance to CHIR-258. In primary myeloma cells from t(4;14) patients, CHIR-258 inhibited downstream extracellular signal-regulated kinase (ERK) 1/2 phosphorylation with an associated cytotoxic response. Finally, therapeutic efficacy of CHIR-258 was demonstrated in a xenograft mouse model of FGFR3 MM. These studies support the clinical evaluation of CHIR-258 in MM.
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