Anti-tumor activity of motesanib in a medullary thyroid cancer model

A Coxon1, J Bready, S Kaufman

  • 1Department of Oncology Research, Amgen Inc., Thousand Oaks, CA 91320, USA. acoxon@amgen.com

Abstract

Insights

Motesanib effectively inhibited medullary thyroid cancer xenograft growth by targeting angiogenesis and VEGFR2, though it showed limited activity against mutant Ret. This suggests the VEGF pathway is a promising therapeutic target for MTC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Medullary thyroid cancer (MTC) is linked to Ret mutations and increased vascular endothelial growth factor (VEGF) and VEGF receptor 2 (VEGFR2).
  • Motesanib is an investigational drug targeting VEGFRs, PDGFR, Kit, and potentially Ret.

Purpose of the Study:

  • To assess motesanib's effects on wild-type and mutant Ret activity in vitro.
  • To evaluate motesanib's impact on MTC tumor xenograft growth in a mouse model.

Main Methods:

  • In vitro cellular phosphorylation assays to determine IC50 values for Ret inhibition.
  • In vivo studies using MTC (TT cell line) xenografts in mice to assess tumor growth, angiogenesis, and cell proliferation.
  • Analysis of Ret and VEGFR2 phosphorylation in tumor tissues.

Main Results:

  • Motesanib inhibited wild-type Ret (IC50=66 nM) but had limited efficacy against mutant Ret C634W (IC50=1100 nM) and Ret M918T (IC50>2500 nM).
  • In vivo, motesanib significantly reduced TT tumor xenograft growth, tumor vascularization, and cell proliferation.
  • Motesanib treatment led to substantial inhibition of Ret and VEGFR2 phosphorylation in xenografts and VEGFR2 in lung tissue.

Conclusions:

  • Motesanib inhibited MTC xenograft growth primarily by inhibiting angiogenesis, likely via VEGFR2 and potentially Ret.
  • Targeting angiogenesis pathways, particularly the VEGF pathway, offers a novel therapeutic strategy for MTC.

Related Concept Videos