Initial testing (Stage 1) of AT13387, an HSP90 inhibitor, by the pediatric preclinical testing program

Min H Kang1, C Patrick Reynolds, Peter J Houghton

  • 1Texas Tech University Health Sciences Center, Lubbock, Texas 79430-6450, USA. min.kang@ttuhsc.edu

Insights

AT13387, a heat-shock protein 90 (HSP90) inhibitor, demonstrated cytotoxic effects in vitro. In vivo studies showed modest activity against solid tumors but no efficacy in leukemia models, indicating limited single-agent potential.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Heat-shock protein 90 (HSP90) is a crucial molecular chaperone involved in cancer cell survival.
  • Inhibiting HSP90 is a therapeutic strategy explored for various cancers.
  • AT13387 is a non-geldanamycin inhibitor targeting HSP90.

Purpose of the Study:

  • To evaluate the in vitro and in vivo efficacy of AT13387.
  • To assess the anti-cancer activity of AT13387 in solid tumor and leukemia xenograft models.
  • To determine the single-agent activity of AT13387.

Main Methods:

  • In vitro testing of AT13387 against the PPTP panel (1.0 nM to 10 µM).
  • In vivo testing of AT13387 in PPTP xenograft models (40 or 60 mg/kg, oral administration twice weekly).
  • Evaluation of efficacy based on median EC(50) values, cytotoxic effects, EFS distribution, and objective tumor responses.

Main Results:

  • AT13387 exhibited a median EC(50) of 41 nM in vitro, consistent with cytotoxic activity.
  • In vivo, AT13387 showed significant differences in EFS distribution in 17% of evaluable solid tumor xenografts.
  • No objective tumor responses or significant activity was observed in ALL xenografts; overall single-agent activity was modest.

Conclusions:

  • AT13387 displays in vitro cytotoxic effects against cancer cell lines.
  • The compound demonstrates limited in vivo efficacy as a single agent, particularly in leukemia models.
  • Further investigation may be needed to explore combination therapies or alternative applications for AT13387.