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BMS-754807, a small molecule inhibitor of insulin-like growth factor-1R/IR
Joan M Carboni1, Mark Wittman, Zheng Yang
1Oncology Drug Discovery, Department of Pharmaceutical Candidate Organization, Bristol-Myers Squibb Company, PO Box 5400, Princeton, NJ 08543, USA. joan.carboni@bms.com
Abstract:
BMS-754807 is a potent and reversible inhibitor of the insulin-like growth factor 1 receptor/insulin receptor family kinases (Ki, <2 nmol/L). It is currently in phase I development for the treatment of a variety of human cancers. BMS-754807 effectively inhibits the growth of a broad range of human tumor types in vitro, including mesenchymal (Ewing's, rhabdomyosarcoma, neuroblastoma, and liposarcoma), epithelial (breast, lung, pancreatic, colon, gastric), and hematopoietic (multiple myeloma and leukemia) tumor cell lines (IC50, 5-365 nmol/L); the compound caused apoptosis in a human rhabdomyosarcoma cell line, Rh41, as shown by an accumulation of the sub-G1 fraction, as well as by an increase in poly ADP ribose polymerase and Caspase 3 cleavage. BMS-754807 is active in vivo in multiple (epithelial, mesenchymal, and hematopoietic) xenograft tumor models with tumor growth inhibition ranging from 53% to 115% and at a minimum effective dose of as low as 6.25 mg/kg dosed orally daily. Combination studies with BMS-754807 have been done on multiple human tumor cell types and showed in vitro synergies (combination index, <1.0) when combined with cytotoxic, hormonal, and targeted agents. The combination of cetuximab and BMS-754807 in vivo, at multiple dose levels, resulted in improved clinical outcome over single agent treatment. These data show that BMS-754807 is an efficacious, orally active growth factor 1 receptor/insulin receptor family-targeted kinase inhibitor that may act in combination with a wide array of established anticancer agents.
Insights
BMS-754807, a novel kinase inhibitor, effectively targets cancer cell growth across various types. It shows promise as an oral treatment, both alone and in combination with other therapies, for diverse human cancers.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- The insulin-like growth factor 1 receptor (IGF-1R) and insulin receptor (IR) family kinases play crucial roles in cell growth and cancer progression.
- Targeting these kinases presents a potential therapeutic strategy for various human cancers.
Purpose of the Study:
- To evaluate the efficacy of BMS-754807, a potent inhibitor of IGF-1R/IR family kinases, as a potential anticancer agent.
- To assess the in vitro and in vivo activity of BMS-754807 against a broad spectrum of human tumor types.
- To investigate the synergistic potential of BMS-754807 in combination with other anticancer agents.
Main Methods:
- In vitro kinase inhibition assays to determine the potency of BMS-754807.
- Cell viability assays across diverse human cancer cell lines (mesenchymal, epithelial, hematopoietic) to assess IC50 values.
- Apoptosis assays (sub-G1 fraction, PARP and Caspase 3 cleavage) in a human rhabdomyosarcoma cell line.
- In vivo efficacy studies using xenograft tumor models in mice.
- In vitro and in vivo combination studies with cytotoxic, hormonal, and targeted agents, including cetuximab.
Main Results:
- BMS-754807 demonstrated potent and reversible inhibition of IGF-1R/IR family kinases (Ki < 2 nmol/L).
- The compound effectively inhibited the growth of a wide range of human tumor cell lines in vitro (IC50: 5-365 nmol/L) and induced apoptosis in rhabdomyosarcoma cells.
- BMS-754807 showed significant in vivo tumor growth inhibition (53%-115%) in multiple xenograft models at low oral doses (≥6.25 mg/kg/day).
- Synergistic effects (combination index < 1.0) were observed in vitro when BMS-754807 was combined with various anticancer agents.
- Combination therapy with cetuximab demonstrated improved clinical outcomes in vivo compared to single-agent treatment.
Conclusions:
- BMS-754807 is an effective, orally active kinase inhibitor targeting the IGF-1R/IR family.
- The compound exhibits broad-spectrum anticancer activity in vitro and in vivo.
- BMS-754807 shows significant potential for combination therapy with established anticancer agents, offering a promising strategy for cancer treatment.
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