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Blood, 1 April 2005, Vol. 105, No. 7, pp. 2941-2948.
Prepublished online as a Blood First Edition Paper on December 14, 2004; DOI 10.1182/blood-2004-10-3913.


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Submitted October 19, 2004
Accepted December 2, 2004

CHIR-258, a novel, multi-targeted tyrosine kinase inhibitor for the potential treatment of t(4;14) multiple myeloma

Suzanne Trudel*, Zhi Hua Li, Ellen Wei, Marion Wiesmann, Hong Chang, Christine Chen, Donna Reece, Carla Heise, and A K Stewart

Department of Medical Oncology, Princess Margaret Hospital, Toronto, ON, Canada; McLaughlin Centre for Molecular Medicine, University of Toronto, Toronto, ON, Canada
Department of Medical Oncology, Princess Margaret Hospital, Toronto, ON, Canada
Chiron Corporation, Emeryville, CA, USA

* Corresponding author; email: strudel{at}uhnres.utoronto.ca.

The t(4:14) translocation that occurs uniquely in a subset (15%) of multiple myeloma (MM) patients results in the ectopic expression of the receptor tyrosine kinase (RTK), fibroblast growth factor receptor 3 (FGFR3). Inhibition of activated FGFR3 in MM cells induces apoptosis, validating FGFR3 as a therapeutic target in t(4;14) MM and encouraging the clinical development of FGFR3 inhibitors for the treatment of these poor-prognosis patients. We describe here the characterization of a novel, small molecule inhibitor of class III-V RTKs, CHIR-258, as an inhibitor of FGFR3. CHIR-258 potently inhibits FGFR3 with IC50 of 5 nM in in vitro kinase assays and selectively inhibited the growth of B9 cells and human myeloma cell lines expressing wild-type (WT) or activated mutant FGFR3. In responsive cell lines, CHIR-258 induced cytostatic and cytotoxic effects. Importantly, addition of interleukin-6 (IL-6), insulin growth factor 1 (IGF-1) or co-culture on stroma did not confer resistance to CHIR-258. In primary myeloma cells from t(4;14) patients, CHIR-258 inhibited downstream ERK1/2 phosphorylation with an associated cytotoxic response. Finally, therapeutic efficacy of CHIR-258 was demonstrated in a xenograft mouse model of FGFR3 MM. These studies support the clinical evaluation of CHIR-258 in MM.


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