Table 1.

Effect of the pan-ErbB inhibitor on the survival of primary myeloma cells




Control

Anti-IL-6 MoAb

DEX

ErbB inhibitor

Anti-IL-6 MoAb + ErbB inhibitor

DEX + ErbB inhibitor
Myeloma cell count/mL       
    Responder patients        
        Patient 1   30 338   22 880   40 763   26 460   10 075   17 193  
        Patient 2   78 990   45 090   22 640   61 938   23 088   5 750  
        Patient 3   30 653   29 952   13 486   17 790   17 460   9 984  
        Patient 4   14 280   7 560   6 800   6 820   6 528   6 125  
        Patient 5   162 316   121 856   126 990   42 420   13 900   14 820  
        Patient 6   68 544   24 795   51 696   2 415   2 080   1 260  
        Median value   49 599   27 374   31 702   22 125   11 988   8 055  
    Nonresponder patients        
        Patient 7   3 824   3 043   3 477   3 040   3 056   3 690  
        Patient 8   24 922   20 812   24 552   19 560   18 260   16 629  
Nonmyeloma cell count/mL       
    Responder patients        
        Patient 1   344 663   302 120   334 238   323 540   314 925   307 808  
        Patient 2   221 010   254 910   257 360   248 062   216 912   244 250  
        Patient 3   259 347   230 048   206 514   282 210   282 540   230 016  
        Patient 4   325 720   292 440   293 200   303 180   233 472   243 875  
        Patient 5   177 684   218 144   213 010   167 580   186 100   185 180  
        Patient 6   271 456   265 205   188 304   227 585   257 920   198 740  
        Median value   265 402   260 058   235 185   265 136   245 696   236 946  
    Nonresponder patients        
        Patient 7   156 176   166 957   186 523   196 960   156 944   146 310  
        Patient 8
 
315 078
 
199 188
 
285 448
 
220 440
 
201 740
 
213 371
 



Control

Anti-IL-6 MoAb

DEX

ErbB inhibitor

Anti-IL-6 MoAb + ErbB inhibitor

DEX + ErbB inhibitor
Myeloma cell count/mL       
    Responder patients        
        Patient 1   30 338   22 880   40 763   26 460   10 075   17 193  
        Patient 2   78 990   45 090   22 640   61 938   23 088   5 750  
        Patient 3   30 653   29 952   13 486   17 790   17 460   9 984  
        Patient 4   14 280   7 560   6 800   6 820   6 528   6 125  
        Patient 5   162 316   121 856   126 990   42 420   13 900   14 820  
        Patient 6   68 544   24 795   51 696   2 415   2 080   1 260  
        Median value   49 599   27 374   31 702   22 125   11 988   8 055  
    Nonresponder patients        
        Patient 7   3 824   3 043   3 477   3 040   3 056   3 690  
        Patient 8   24 922   20 812   24 552   19 560   18 260   16 629  
Nonmyeloma cell count/mL       
    Responder patients        
        Patient 1   344 663   302 120   334 238   323 540   314 925   307 808  
        Patient 2   221 010   254 910   257 360   248 062   216 912   244 250  
        Patient 3   259 347   230 048   206 514   282 210   282 540   230 016  
        Patient 4   325 720   292 440   293 200   303 180   233 472   243 875  
        Patient 5   177 684   218 144   213 010   167 580   186 100   185 180  
        Patient 6   271 456   265 205   188 304   227 585   257 920   198 740  
        Median value   265 402   260 058   235 185   265 136   245 696   236 946  
    Nonresponder patients        
        Patient 7   156 176   166 957   186 523   196 960   156 944   146 310  
        Patient 8
 
315 078
 
199 188
 
285 448
 
220 440
 
201 740
 
213 371
 

Mononuclear cells from 8 patients with MM were cultured for 5 days in RPMI 1640 medium, 5% FCS, 1 ng/mL IL-6, with or without the PD169540 ErbB inhibitor (1 μM), B-E8 anti-IL-6 MoAb (10 μg/mL), and DEX (10-6 M). At day 5 of culture, the viability and cell counts were assayed and the percentage of CD138* viable myeloma cells was determined by flow cytometry. Results are expressed as number of myeloma and nonmyeloma cells per milliliter. The median values were calculated from the 6 responder patients. Two patients did not significantly respond to the 3 compounds, either used alone or in combination

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