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Antineoplastic effect of a single oral dose of the novel Flt3 inhibitor KRN383 on xenografted human leukemic cells harboring Flt3-activating mutations
Authors:Nishiyama Uichi  Yoshino Tetsuya  Ozai Masako  Yoshioka Rieko  Fujisawa Motoko  Ogasawara Yuko  Kitahori Miyuki  Yoshioka Eiji  Kubo Kazuo  Komeno Yukiko  Kurokawa Mineo  Ogawa Seishi  Chiba Shigeru  Osawa Tatsushi  Kuwaki Tomoaki  Hirai Hisamaru  Miwa Atsushi
Affiliation:

aPharmaceutical Development Laboratories, Kirin Brewery Co. Ltd., Gunma, Japan

bPharmaceutical Research Laboratories, Kirin Brewery Co. Ltd., Gunma, Japan

cDepartment of Hematology and Oncology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

dDepartment of Regeneration Medicine for Hematopoiesis, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

eDepartment of Cell Therapy and Transplantation Medicine, University of Tokyo Hospital, Tokyo, Japan

Abstract:Activating mutations of Fms-like tyrosine kinase 3 (Flt3) are the most common genetic abnormalities found in acute myeloid leukemia (AML) and represent potential therapeutic targets. The novel Flt3 inhibitor KRN383 inhibited the autophosphorylation of Flt3 bearing internal tandem duplications (ITDs) and the Asp835Tyr (D835Y) point mutation with half-maximal inhibitory concentration (IC50) values of ≤5.9 and 43 nM, respectively. KRN383 also inhibited the proliferation of the ITD-positive cell lines with IC50 values of ≤2.9 nM. A single oral administration of 80 mg/kg of KRN383 eradicated ITD-positive xenograft tumors in nude mice and prolonged the survival of SCID mice carrying ITD-positive AML cells. The effectiveness of a single oral dose of KRN383 suggests that it has the potential to be used in a wide variety of clinical regimens, including multicycle and combination therapies.
Keywords:AML   Flt3   ITD   Tyrosine kinase inhibitor   Quinoline   KRN383
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