[HTML][HTML] Preclinical assessment of galunisertib (LY2157299 monohydrate), a first-in-class transforming growth factor-β receptor type I inhibitor

JM Yingling, WT McMillen, L Yan, H Huang… - Oncotarget, 2018 - ncbi.nlm.nih.gov
JM Yingling, WT McMillen, L Yan, H Huang, JS Sawyer, J Graff, DK Clawson, KS Britt…
Oncotarget, 2018ncbi.nlm.nih.gov
Transforming growth factor-β (TGFβ) is an important driver of tumor growth via intrinsic and
extrinsic mechanisms, and is therefore an attractive target for developing cancer
therapeutics. Using preclinical models, we characterized the anti-tumor activity of a small
molecule inhibitor of TGFβ receptor I (TGFβRI), galunisertib (LY2157299 monohydrate).
Galunisertib demonstrated potent and selective inhibition of TGFβRI with corresponding
inhibition of downstream signaling via inhibition of SMAD phosphorylation (pSMAD) …
Abstract
Transforming growth factor-β (TGFβ) is an important driver of tumor growth via intrinsic and extrinsic mechanisms, and is therefore an attractive target for developing cancer therapeutics. Using preclinical models, we characterized the anti-tumor activity of a small molecule inhibitor of TGFβ receptor I (TGFβRI), galunisertib (LY2157299 monohydrate). Galunisertib demonstrated potent and selective inhibition of TGFβRI with corresponding inhibition of downstream signaling via inhibition of SMAD phosphorylation (pSMAD). Galunisertib also inhibited TGFβ-induced pSMAD in vivo, which enabled a pharmacokinetic/pharmacodynamic profile in Calu6 and EMT6-LM2 tumors. Galunisertib demonstrated anti-tumor activity including inhibition of tumor cell migration and mesenchymal phenotype, reversal of TGFβ-mediated immune-suppression, and tumor growth delay. A concentration-effect relationship was established with a dosing schedule to achieve the optimal level of target modulation. Finally, a rat model demonstrated a correlation between galunisertib-dependent inhibition of pSMAD in tumor tissues and in PBMCs, supporting the use of PBMCs for assessing pharmacodynamic effects.
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