AZD1480: a phase I study of a novel JAK2 inhibitor in solid tumors

Elizabeth R Plimack1, Patricia M Lorusso, Patricia McCoon

  • 1Fox Chase Cancer Center, Temple Health, Philadelphia, Pennsylvania 19111, USA. elizabeth.plimack@fccc.edu

The Oncologist
|July 13, 2013
PubMed
Abstract

Insights

AZD1480, a JAK1/2 inhibitor, showed dose-dependent pharmacokinetics and pSTAT3 inhibition in solid tumor patients. However, neurological toxicities led to development discontinuation.

Area of Science:

  • Oncology
  • Pharmacology
  • Immunology

Background:

  • AZD1480 is a novel Janus-associated kinase 1 and 2 (JAK1/2) inhibitor.
  • Solid tumors represent a significant area of unmet medical need.

Purpose of the Study:

  • To evaluate the safety and tolerability of AZD1480 as monotherapy in patients with solid tumors.
  • To characterize the pharmacokinetic and pharmacodynamic profile of AZD1480.

Main Methods:

  • Phase I clinical study involving 38 patients with advanced malignancies.
  • Dosing regimens included 10-70 mg once daily (QD) and 20-45 mg twice daily (b.i.d.).
  • Pharmacokinetic (PK) and pharmacodynamic (PD) analyses were performed, including pSTAT3 inhibition in granulocytes.

Main Results:

  • AZD1480 exhibited rapid absorption and elimination with dose-dependent exposure up to 50 mg.
  • Pharmacodynamic analysis showed maximum phosphorylated STAT3 (pSTAT3) inhibition at higher doses, reaching 56% at 70 mg QD.
  • Dose-limiting toxicities (DLTs) included reversible neurological adverse events such as dizziness, anxiety, and hallucinations.

Conclusions:

  • The exact cause of DLTs (JAK inhibition vs. off-target effects) remains undetermined.
  • Development of AZD1480 was discontinued due to unusual DLTs and lack of clinical activity.

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