Initial testing (stage 1) of the phosphatidylinositol 3' kinase inhibitor, SAR245408 (XL147) by the pediatric

C Patrick Reynolds1, Min H Kang, Hernan Carol

  • 1Cancer Center, Cancer Center, Texas Tech University Health Sciences Center, Lubbock, Texas 79430-6450, USA. patrick.reynolds@ttuhsc.edu

Pediatric Blood & Cancer
|September 25, 2012
PubMed
Abstract

Insights

This study evaluated SAR245408, a PI3K inhibitor, in pediatric cancer models. SAR245408 showed modest activity, suggesting potential for combination therapies in childhood cancers.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • The PI3K pathway is crucial in adult cancers but less understood in pediatric malignancies.
  • This pathway influences tumor cell proliferation, survival, and treatment resistance.

Purpose of the Study:

  • To evaluate SAR245408, a novel PI3K inhibitor, against pediatric cancer cell lines and xenografts.
  • To assess the preclinical efficacy of SAR245408 in childhood cancers.

Main Methods:

  • SAR245408 was tested in vitro against a panel of pediatric cancer cell lines (10–100 µM).
  • In vivo efficacy was assessed using pediatric cancer xenograft models at 100 mg/kg daily for 14 days.

Main Results:

  • SAR245408 exhibited cytotoxic activity in vitro (median relative IC50: 10.9 µM).
  • In vivo, SAR245408 showed significant efficacy in 79% of solid tumor xenografts and 29% of ALL xenografts.
  • Modest tumor growth inhibition was observed, but objective responses were not seen.

Conclusions:

  • SAR245408 demonstrated modest single-agent preclinical activity in pediatric cancer models.
  • Combination strategies with SAR245408 and other agents warrant further investigation.