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10.1111/cas.12906

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suck abstract from ncbi


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pmid26850678      Cancer+Sci 2016 ; 107 (4): 499-506
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  • Preclinical and first-in-human phase I studies of KW-2450, an oral tyrosine kinase inhibitor with insulin-like growth factor receptor-1/insulin receptor selectivity #MMPMID26850678
  • Schwartz GK; Dickson MA; LoRusso PM; Sausville EA; Maekawa Y; Watanabe Y; Kashima N; Nakashima D; Akinaga S
  • Cancer Sci 2016[Apr]; 107 (4): 499-506 PMID26850678show ga
  • Numerous solid tumors overexpress or have excessively activated insulin-like growth factor receptor-1 (IGF-1R). We summarize preclinical studies and the first-in-human study of KW-2450, an oral tyrosine kinase inhibitor with IGF-1R and insulin receptor (IR) inhibitory activity. Preclinical activity of KW-2450 was evaluated in various in vitro and in vivo models. It was then evaluated in a phase I clinical trial in 13 patients with advanced solid tumors (NCT00921336). In vitro, KW-2450 inhibited human IGF-1R and IR kinases (IC50 7.39 and 5.64 nmol/L, respectively) and the growth of various human malignant cell lines. KW-2450 40 mg/kg showed modest growth inhibitory activity and inhibited IGF-1-induced signal transduction in the murine HT-29/GFP colon carcinoma xenograft model. The maximum tolerated dose of KW-2450 was 37.5 mg once daily continuously; dose-limiting toxicity occurred in two of six patients at 50 mg/day (both grade 3 hyperglycemia) and in one of seven patients at 37.5 mg/day (grade 3 rash). Four of 10 evaluable patients showed stable disease. Single-agent KW-2450 was associated with modest antitumor activity in heavily pretreated patients with solid tumors and is being further investigated in combination therapy with lapatinib/letrozole in patients with human epidermal growth factor receptor 2-postive metastatic breast cancer.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Animals[MESH]
  • |Breast Neoplasms/*drug therapy/genetics/pathology[MESH]
  • |Cell Line, Tumor[MESH]
  • |Colonic Neoplasms/*drug therapy/genetics/pathology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Maximum Tolerated Dose[MESH]
  • |Mice[MESH]
  • |Protein Kinase Inhibitors/*administration & dosage[MESH]
  • |Receptor, ErbB-2/*genetics[MESH]
  • |Receptor, IGF Type 1/biosynthesis/*genetics[MESH]
  • |Receptor, Insulin/biosynthesis/*genetics[MESH]
  • |Signal Transduction/drug effects[MESH]


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