Table 3.

FLT3 inhibitors in clinical development


Tyrosine kinase inhibitor

Class

Receptor activity*

FLT3 IC50

Clinical trials

Toxicity
PKC41294,95,97,113   Benzoylstaurosporine   PKC   528 nM   Phase 2: AML with/without FLT3-ITD   Nausea, emesis, fatigue  
   PDGFR     
   KDR     
   KIT     
   FLT3     
   ABL     
CEP-70198-102   Indolocarbazole   FLT3   2-3 nM   Phase 2: AML with FLT3-ITD   Nausea, emesis, fatigue  
   TRKA     
   KDR     
   PKC     
   PDGFR     
   EGFR     
CT35318103-105   Piperazinyl quinazoline   KIT   170-220 nM   Phase 1: AML/MDS with/without FLT3-ITD   Generalized weakness, fatigue, nausea, vomiting  
   PDGFR     
   FLT3    Phase 2: AML with FLT3-ITD   
   FMS     
SU5416106-109   Indolinone   FLT3   250 nM   Phase 2: Refractory AML/MDS/MPD/MM   Fatigue, nausea, sepsis, bone pain  
   KDR     
   KIT    Phase 2: Refractory AML (c-KIT+)   
SU11248110,111   Indolinone   FLT3   10 nM   Phase 1: AML   Nausea, fatigue, cardiac dysfunction 
   KDR     

 

 
PDGFR
 

 

 

 

Tyrosine kinase inhibitor

Class

Receptor activity*

FLT3 IC50

Clinical trials

Toxicity
PKC41294,95,97,113   Benzoylstaurosporine   PKC   528 nM   Phase 2: AML with/without FLT3-ITD   Nausea, emesis, fatigue  
   PDGFR     
   KDR     
   KIT     
   FLT3     
   ABL     
CEP-70198-102   Indolocarbazole   FLT3   2-3 nM   Phase 2: AML with FLT3-ITD   Nausea, emesis, fatigue  
   TRKA     
   KDR     
   PKC     
   PDGFR     
   EGFR     
CT35318103-105   Piperazinyl quinazoline   KIT   170-220 nM   Phase 1: AML/MDS with/without FLT3-ITD   Generalized weakness, fatigue, nausea, vomiting  
   PDGFR     
   FLT3    Phase 2: AML with FLT3-ITD   
   FMS     
SU5416106-109   Indolinone   FLT3   250 nM   Phase 2: Refractory AML/MDS/MPD/MM   Fatigue, nausea, sepsis, bone pain  
   KDR     
   KIT    Phase 2: Refractory AML (c-KIT+)   
SU11248110,111   Indolinone   FLT3   10 nM   Phase 1: AML   Nausea, fatigue, cardiac dysfunction 
   KDR     

 

 
PDGFR
 

 

 

 

MM indicates multiple myeloma.

*

Receptor activity in descending order of potency.

FLT3 autophosphorylation in vitro.

Cardiac toxicity observed in AML patients with prior anthracycline use.

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