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Updated: Jun 21, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
ABT-869, a promising multi-targeted tyrosine kinase inhibitor: from bench to bedside
Jianbiao Zhou1, Boon-Cher Goh, Daniel H Albert
1Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. mdczjb@nus.edu.sg
Abstract:
Tyrosine Kinase Inhibitors (TKI) have significantly changed the landscape of current cancer therapy. Understanding of mechanisms of aberrant TK signaling and strategies to inhibit TKs in cancer, further promote the development of novel agents.ABT-869, a novel ATP-competitive receptor tyrosine kinase inhibitor is a potent inhibitor of members of the vascular endothelial growth factor (VEGF) and platelet derived growth factor (PDGF) receptor families. ABT-869 showed potent antiproliferative and apoptotic properties in vitro and in animal cancer xenograft models using tumor cell lines that were "addicted" to signaling of kinases targeted by ABT-869. When given together with chemotherapy or mTOR inhibitors, ABT-869 showed at least additive therapeutic effects. The phase I trial for ABT-869 was recently completed and it demonstrated respectable efficacy in solid tumors including lung and hepatocellular carcinoma with manageable side effects. Tumor cavitation and reduction of contrast enhancement after ABT-869 treatment supported the antiangiogenic activity. The correlative laboratory studies conducted with the trial also highlight potential biomarkers for future patient selection and treatment outcome.Parallel to the clinical development, in vitro studies on ABT-869 resistance phenotype identified novel resistance mechanism that may be applicable to other TKIs. The future therapeutic roles of ABT-869 are currently been tested in phase II trials.
Insights
ABT-869, a novel tyrosine kinase inhibitor (TKI), shows promise in treating solid tumors by inhibiting key growth factor receptors. Clinical trials indicate efficacy and manageable side effects, with ongoing research exploring resistance mechanisms.
Area of Science:
- Oncology
- Pharmacology
Background:
- Tyrosine Kinase Inhibitors (TKIs) have revolutionized cancer therapy.
- Aberrant tyrosine kinase (TK) signaling is a hallmark of many cancers.
- Novel TKIs are crucial for advancing cancer treatment strategies.
Purpose of the Study:
- To evaluate the efficacy and safety of ABT-869, a novel ATP-competitive receptor tyrosine kinase inhibitor.
- To investigate the anti-tumor properties of ABT-869 in vitro and in vivo.
- To explore the potential of ABT-869 in combination therapies and identify predictive biomarkers.
Main Methods:
- In vitro studies assessing antiproliferative and apoptotic effects.
- In vivo studies using cancer xenograft models.
- Phase I clinical trial in patients with solid tumors.
- Correlative laboratory studies for biomarker analysis.
- In vitro studies to identify resistance mechanisms.
Main Results:
- ABT-869 demonstrated potent antiproliferative and apoptotic effects in preclinical models.
- Phase I trial showed efficacy in lung and hepatocellular carcinoma with manageable side effects.
- Evidence of antiangiogenic activity was observed through tumor cavitation and reduced contrast enhancement.
- Combination therapy with chemotherapy or mTOR inhibitors showed additive effects.
- Novel resistance mechanisms to ABT-869 were identified.
Conclusions:
- ABT-869 is a promising TKI with demonstrated efficacy in solid tumors.
- ABT-869 exhibits antiangiogenic properties and potential for combination therapy.
- Biomarker studies may aid in patient selection for future trials.
- Understanding resistance mechanisms is vital for optimizing TKI therapy.
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