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Updated: Jun 19, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Myelosuppression and kinase selectivity of multikinase angiogenesis inhibitors
R Kumar1, M-C Crouthamel, D H Rominger
1Cancer Research, GlaxoSmithKline, Collegeville, PA 19426, USA. rakesh.2.kumar@gsk.com
Background:
Myelosuppression has been observed with several multikinase angiogenesis inhibitors in clinical studies, although the frequency and severity varies among the different agents. Inhibitors targeting vascular endothelial growth factor receptor (VEGFR) often inhibit other kinases, which may contribute to their adverse-event profiles.
Methods:
Kinase selectivity of pazopanib, sorafenib, and sunitinib was evaluated in a panel of 242 kinases. Cellular potency was measured using autophosphorylation assays. Effect on human bone marrow progenitor growth in the presence of multiple growth factors was evaluated and correlated with the kinase selectivity.
Results:
Sunitinib inhibited more kinases than pazopanib and sorafenib, at potencies within 10-fold of VEGFR-2. All three compounds potently inhibited VEGFR-2, platelet-derived growth factor receptor-beta and c-Kit, However, pazopanib was less active against Flt-3 in both kinase and cellular assays. The inhibitory properties of pazopanib, sorafenib, and sunitinib were dependent on the growth factor used to initiate bone marrow colony formation. Addition of stem cell factor and/or Flt-3 ligand with granulocyte-macrophage colony stimulating factor resulted in significant shifts in potency for sorafenib and sunitinib but less so for pazopanib.
Conclusion:
Activity against c-kit and Flt-3 by multikinase angiogenesis inhibitors provide a potential explanation for the differences in myelosuppression observed with these agents in patients.
Insights
Differences in myelosuppression from multikinase angiogenesis inhibitors like pazopanib, sorafenib, and sunitinib may be explained by their varying activity against c-kit and Flt-3 kinases.
Area of Science:
- Pharmacology
- Oncology
- Molecular Biology
Background:
- Myelosuppression is a known side effect of multikinase angiogenesis inhibitors.
- The specific kinases inhibited by these drugs, beyond VEGFR, may influence their adverse event profiles.
Purpose of the Study:
- To compare the kinase selectivity and cellular potency of pazopanib, sorafenib, and sunitinib.
- To investigate the impact of kinase inhibition on human bone marrow progenitor cell growth.
Main Methods:
- Evaluated kinase selectivity across a panel of 242 kinases.
- Assessed cellular potency using autophosphorylation assays.
- Determined effects on bone marrow progenitor growth in response to various growth factors.
Main Results:
- Sunitinib inhibited more kinases than pazopanib and sorafenib.
- All three drugs potently inhibited VEGFR-2, PDGF-R-beta, and c-Kit.
- Pazopanib showed less activity against Flt-3; drug effects on bone marrow cells varied with growth factors.
Conclusions:
- Differential activity against c-kit and Flt-3 may explain varying myelosuppression.
- Understanding kinase selectivity is crucial for predicting and managing side effects of angiogenesis inhibitors.
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