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CHAPTER 88  Protein Kinase Antagonists             1189



            TABLE 88.3  Selected Kinase Inhibitors and Related Drugs—cont’d
            Mechanism   Compound    Kinase Inhibited      Comments
                        Quizartinib  Class III receptor tyrosine   Completed phase II clinical trial for drug-resistant AML
                                     kinases (Flt3, Kit, CSF1)
                        Fostamatinib  Syk, Flt3           Phase III for idiopathic thrombocytopenic purpura (ITP)
                                                          Phase II for immunoglobulin A (IgA) nephropathy
                                                          Failed phase III for RA, phase I for GvHD
                        PRT-062607/   Syk                 In phase I clinical trials for RA, CLL, NHL; preclinical for systemic lupus
                         BIIB057/                           erythematosus (SLE)
                         P505-15
                        R-348       JAK/Syk               In phase II trials for ocular GvHD
                        Vemurafenib  BRAF                 FDA approved for the treatment of BRAF mutated melanoma; phase II trial for
                                                            colorectal cancer and myeloma
                        Dabrafenib                        FDA approved for the treatment of BRAF mutated melanoma
                        Selumetinib  MKK family           Phase III trial for NSCLC and thyroid cancer
                                                          Phase II for colorectal cancer and biliary cancer
                        Cobimetinib                       FDA approved for the treatment of melanoma
                                                          Phase II trial for the treatment of breast cancer and Langerhans cell histiocytosis
                        Trametinib                        FDA approved for the treatment of BRAF mutated melanoma in combination with
                                                            dabrafenib
                        Binimetinib                       Phase III trial for the treatment of BRAF mutated melanoma
                        PD-325901                         Phase II trial for neurofibromatosis
                        CC 90003    ERK                   Phase I trial for solid tumors
                        XG102       JNK                   Phase III trial for ocular inflammation and sensorineural hearing loss
                        RES-529     AKT, MTOR, VEGFR      Phase I trial for age-related macular degeneration
                        Uprosertib  AKT                   Phase II trial for AML, solid tumors
                        MK-2206                           Phase II trial for solid and hematological malignancies
                        AZD-5363                          Phase II trial for breast and gastric cancer
                        Pexidartinib  CSF-1R, Kit         Phase II trial for pigmented villonodular synovitis
                        AZD 2014    MTORC1 and C2         Phase II trial for DLBCL and solid tumors
                        CC 223                            Phase II trial for NHL and solid tumors
                        Sotrastaurin  PKC                 Phase II trial for DLBCL
                        Ribociclib  CDK4,6                Phase III trial for breast cancer
                                                          Phase II trial for gastrointestinal cancer
                        Palbociclib                       FDA approved for the treatment of breast cancer
                                                          Phase III trial for NSCLC
                        Buparlisib  PI3K                  Phase III trial for breast cancer
                        Bardoxolone  IKbK, COX2, NOSII, STAT3  Phase II trial for diabetic neuropathy and pulmonary hypertension
                        Fasudil     ROCK1/ ROCK2          Phase III for Raynaud phenomenon and scleroderma completed
                        KD-025      ROCK2                 Phase II for psoriasis vulgaris
                                                          Phase II for idiopathic pulmonary fibrosis
            Indirect    Sirolimus   mTORC1                FDA licensed for use in solid organ and bone marrow transplantation
             binding to   (Rapamycin)
             kinase     Everolimus                        FDA licensed for use with cyclosporine in cardiac and renal transplantation
                                                          FDA licensed for use in neuroendocrine tumors and renal cell carcinoma
                        Temsirolimus                      FDA licensed for use with MCL, renal cancer
                        Ridaforolimus                     Phase II trial for coronary artery restenosis
            Monoclonal   Trastuzumab  EGFR                FDA licensed for use in HER2/neu positive breast carcinoma and metastatic gastric
             antibodies                                     cancer
             binding to   Cetuximab                       FDA licensed for use in relapsed colorectal and head/neck cancers
             receptor   Bevacizumab  VEGF—prevents binding to   FDA licensed for use in metastatic breast and colorectal cancers, glioblastoma, and
             tyrosine                its receptor (Flt-1)   NSCLC (non-squamous cell histology) in combination with traditional
             kinases                                        chemotherapy
            Other       Barasertib  Aurora kinase B (functions in   Disrupts mitosis and cellular division in tumor cells; in phase III clinical trials for
             mechanisms              the attachm ent of the   AML
             of action               mitotic spindle to the
                                     centromere)
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