Discovery and Pharmacological Characterization of JNJ-42756493 (Erdafitinib), a Functionally Selective Small-Molecule
Timothy P S Perera1, Eleonora Jovcheva1, Laurence Mevellec2
1Janssen Research and Development, Beerse, Belgium.
Abstract:
Fibroblast growth factor (FGF) signaling plays critical roles in key biological processes ranging from embryogenesis to wound healing and has strong links to several hallmarks of cancer. Genetic alterations in FGF receptor (FGFR) family members are associated with increased tumor growth, metastasis, angiogenesis, and decreased survival. JNJ-42756493, erdafitinib, is an orally active small molecule with potent tyrosine kinase inhibitory activity against all four FGFR family members and selectivity versus other highly related kinases. JNJ-42756493 shows rapid uptake into the lysosomal compartment of cells in culture, which is associated with prolonged inhibition of FGFR signaling, possibly due to sustained release of the inhibitor. In xenografts from human tumor cell lines or patient-derived tumor tissue with activating FGFR alterations, JNJ-42756493 administration results in potent and dose-dependent antitumor activity accompanied by pharmacodynamic modulation of phospho-FGFR and phospho-ERK in tumors. The results of the current study provide a strong rationale for the clinical investigation of JNJ-42756493 in patients with tumors harboring FGFR pathway alterations. Mol Cancer Ther; 16(6); 1010-20. ©2017 AACR.
Insights
Erdafitinib (JNJ-42756493) is a potent FGFR inhibitor that demonstrates significant antitumor activity in models with Fibroblast Growth Factor Receptor pathway alterations. This supports its clinical investigation for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Fibroblast growth factor (FGF) signaling is crucial in development and cancer.
- Alterations in Fibroblast Growth Factor Receptor (FGFR) genes drive tumor growth, metastasis, and angiogenesis.
- Targeting FGFR is a promising strategy in cancer therapy.
Purpose of the Study:
- To evaluate the efficacy and mechanism of action of JNJ-42756493 (erdafitinib), a novel FGFR inhibitor.
- To determine the antitumor activity of erdafitinib in preclinical cancer models with FGFR alterations.
Main Methods:
- In vitro assessment of JNJ-42756493's tyrosine kinase inhibitory activity against FGFRs.
- Cellular uptake and FGFR signaling inhibition studies.
- In vivo efficacy studies using human tumor xenografts with activating FGFR alterations.
Main Results:
- JNJ-42756493 potently inhibits all four FGFR family members.
- The drug exhibits prolonged FGFR signaling inhibition due to lysosomal uptake and sustained release.
- Dose-dependent antitumor activity and modulation of FGFR signaling markers (phospho-FGFR, phospho-ERK) were observed in xenografts.
Conclusions:
- JNJ-42756493 displays potent and sustained FGFR inhibition with significant antitumor efficacy.
- Preclinical data strongly support the clinical development of erdafitinib for cancers with FGFR pathway alterations.
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