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Updated: May 3, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Pan-PIM kinase inhibition provides a novel therapy for treating hematologic cancers
Pablo D Garcia1, John L Langowski, Yingyun Wang
1Authors' Affiliations: Oncology Disease Area Research; Global Discovery Chemistry/Oncology and Exploratory Chemistry; MAP Group; Chemical and Pharmaceutical Profiling Group, Novartis Institutes for Biomedical Research, Emeryville, California; Developmental Molecular Pathways, Novartis Institutes for Biomedical Research, Cambridge, Massachusetts; Oncology Disease Area Research; and Center for Proteomic Chemistry, Novartis Institutes for Biomedical Research, Basel, Switzerland.
Purpose:
PIM kinases have been shown to act as oncogenes in mice, with each family member being able to drive progression of hematologic cancers. Consistent with this, we found that PIMs are highly expressed in human hematologic cancers and show that each isoform has a distinct expression pattern among disease subtypes. This suggests that inhibitors of all three PIMs would be effective in treating multiple hematologic malignancies.
Experimental Design:
Pan-PIM inhibitors have proven difficult to develop because PIM2 has a low Km for ATP and, thus, requires a very potent inhibitor to effectively block the kinase activity at the ATP levels in cells. We developed a potent and specific pan-PIM inhibitor, LGB321, which is active on PIM2 in the cellular context.
Results:
LGB321 is active on PIM2-dependent multiple myeloma cell lines, where it inhibits proliferation, mTOR-C1 signaling and phosphorylation of BAD. Broad cancer cell line profiling of LGB321 demonstrates limited activity in cell lines derived from solid tumors. In contrast, significant activity in cell lines derived from diverse hematological lineages was observed, including acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML), multiple myeloma and non-Hodgkin lymphoma (NHL). Furthermore, we demonstrate LGB321 activity in the KG-1 AML xenograft model, in which modulation of pharmacodynamics markers is predictive of efficacy. Finally, we demonstrate that LGB321 synergizes with cytarabine in this model.
Conclusions:
We have developed a potent and selective pan-PIM inhibitor with single-agent antiproliferative activity and show that it synergizes with cytarabine in an AML xenograft model. Our results strongly support the development of Pan-PIM inhibitors to treat hematologic malignancies.
Insights
A new pan-PIM inhibitor, LGB321, effectively targets hematologic cancers by inhibiting cell proliferation. This potent drug shows promise in treating leukemia and lymphoma, especially when combined with cytarabine.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- PIM kinases are oncogenic drivers in hematologic cancers.
- PIM kinase isoforms exhibit distinct expression patterns across human hematologic malignancies.
- Developing effective pan-PIM inhibitors is challenging due to PIM2's low Km for ATP.
Purpose of the Study:
- To develop a potent and specific pan-PIM inhibitor effective in a cellular context.
- To evaluate the efficacy of the pan-PIM inhibitor LGB321 in various hematologic cancer models.
- To explore the synergistic potential of LGB321 with existing chemotherapies.
Main Methods:
- Development of a potent and specific pan-PIM inhibitor, LGB321.
- Assessment of LGB321 activity in PIM2-dependent multiple myeloma cell lines.
- Profiling of LGB321 activity across a broad range of cancer cell lines.
- Evaluation of LGB321 efficacy in an acute myelogenous leukemia (AML) xenograft model.
- Investigation of LGB321 synergy with cytarabine in the AML xenograft model.
Main Results:
- LGB321 demonstrated activity in multiple myeloma cell lines, inhibiting proliferation and key signaling pathways.
- Significant antiproliferative activity was observed in cell lines from diverse hematological lineages, including ALL, AML, multiple myeloma, and NHL.
- Limited activity was noted in cell lines derived from solid tumors.
- LGB321 showed efficacy in an AML xenograft model, with pharmacodynamic markers predicting treatment response.
- LGB321 exhibited synergistic effects with cytarabine in the AML xenograft model.
Conclusions:
- A potent and selective pan-PIM inhibitor, LGB321, was successfully developed.
- LGB321 exhibits single-agent antiproliferative activity against hematologic malignancies.
- LGB321 demonstrates synergistic efficacy with cytarabine in AML models.
- Pan-PIM inhibitors represent a promising therapeutic strategy for hematologic malignancies.
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