Institute for Myeloma & Bone Cancer Research, 9201 W. Sunset Blvd., Suite 300, West Hollywood, CA, 90069, USA.
College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Ann Hematol. 2019 Mar;98(3):691-703. doi: 10.1007/s00277-019-03595-0. Epub 2019 Jan 11.
The Janus kinase (JAK) pathway has been shown to play key roles in the growth and resistance to drugs that develop in multiple myeloma (MM) patients. The anti-MM effects of the selective JAK1 inhibitor INCB052793 (INCB) alone and in combination with anti-MM agents were evaluated in vitro and in vivo. Significant inhibition of cell viability of primary MM cells obtained fresh from MM patients, and the MM cell lines RPMI8226 and U266, was observed with single agent INCB and was enhanced in combination with other anti-MM agents including proteasome inhibitors and glucocorticosteroids. Single-agent INCB resulted in decrease in tumor growth of the MM xenograft LAGκ-1A growing in severe combined immunodeficient mice. Mice dosed with INCB (30 mg/kg) showed significant reductions in tumor volume on days 28, 35, 42, 49, 56, and 63. Similarly, INCB at 10 mg/kg showed anti-tumor effects on days 56 and 63. Tumor-bearing mice receiving combinations of INCB with carfilzomib, bortezomib, dexamethasone, or lenalidomide showed significantly smaller tumors when compared to vehicle control and mice treated with single agents. These results provide further support for the clinical evaluation of INCB052793 alone and in combination treatment for MM patients.
Janus 激酶 (JAK) 途径已被证明在多发性骨髓瘤 (MM) 患者中发挥关键作用,其在肿瘤的生长和耐药性中扮演重要角色。本文评估了选择性 JAK1 抑制剂 INCB052793(INCB)单独使用和与抗 MM 药物联合使用对多发性骨髓瘤的体外和体内的抗 MM 作用。结果显示,单独使用 INCB 可显著抑制从 MM 患者新鲜获得的原代 MM 细胞和 MM 细胞系 RPMI8226 和 U266 的细胞活力,并与其他抗 MM 药物(包括蛋白酶体抑制剂和糖皮质激素)联合使用时增强。单独使用 INCB 可导致在严重联合免疫缺陷小鼠中生长的 MM 异种移植物 LAGκ-1A 的肿瘤生长减少。INCB (30mg/kg)治疗的小鼠在第 28、35、42、49、56 和 63 天肿瘤体积显著减小。同样,INCB 在第 56 和 63 天也显示出抗肿瘤作用。与vehicle 对照组和单一药物治疗的小鼠相比,接受 INCB 联合卡非佐米、硼替佐米、地塞米松或来那度胺治疗的荷瘤小鼠的肿瘤明显更小。这些结果为 INCB052793 单独和联合治疗 MM 患者的临床评估提供了进一步的支持。
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