Assessing the impact of HER2 status on the antitumor activity of an HSP90 inhibitor in human tumor xenograft mice using pharmacokinetic-pharmacodynamic modeling

Drug Metab Pharmacokinet. 2014;29(2):185-91. doi: 10.2133/dmpk.dmpk-13-rg-066. Epub 2013 Oct 15.

Abstract

The purpose of this study is to assess the impact of human epidermal growth factor receptor 2 (HER2) status on the antitumor activity of CH5164840, an orally available heat shock protein 90 (HSP90) inhibitor, using pharmacokinetic-pharmacodynamic modeling. Athymic mice, each implanted with one of eight human tumor xenografts, were treated with CH5164840 once daily at doses of 3.13 to 50 mg/kg. Plasma concentrations of CH5164840 were described by a one-compartment model with first-order absorption rate. Time profiles of tumor growth inhibition in the eight xenograft models were well captured by an indirect response model with a maximum tumor-killing rate constant (Emax model). Threshold plasma concentrations for tumor stasis, which are determined by multiple pharmacodynamic parameters, Emax, EC50 and tumor growth rate constant, were significantly lower in HER2-positive tumors (1.96-3.85 µM) than in HER2-negative tumors (4.48-23.4 µM). The results suggest that CH5164840 was more efficacious in HER2-positive tumors than in HER2-negative tumors in terms of the lower effective concentration of the drug in preclinical animal models.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Oral
  • Animals
  • Antineoplastic Agents / blood
  • Antineoplastic Agents / pharmacokinetics*
  • Antineoplastic Agents / pharmacology*
  • Benzoquinones / administration & dosage
  • Benzoquinones / blood
  • Benzoquinones / pharmacokinetics*
  • Benzoquinones / pharmacology*
  • Biomarkers, Tumor / metabolism*
  • Cell Line, Tumor
  • Dose-Response Relationship, Drug
  • Female
  • HSP90 Heat-Shock Proteins / antagonists & inhibitors*
  • HSP90 Heat-Shock Proteins / metabolism
  • Humans
  • Lactams, Macrocyclic / administration & dosage
  • Lactams, Macrocyclic / blood
  • Lactams, Macrocyclic / pharmacokinetics*
  • Lactams, Macrocyclic / pharmacology*
  • Mice, Nude
  • Models, Biological*
  • Neoplasms / blood
  • Neoplasms / drug therapy*
  • Neoplasms / enzymology
  • Neoplasms / pathology
  • Receptor, ErbB-2 / metabolism*
  • Tumor Burden / drug effects
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • Benzoquinones
  • Biomarkers, Tumor
  • CH5164840
  • HSP90 Heat-Shock Proteins
  • Lactams, Macrocyclic
  • ERBB2 protein, human
  • Receptor, ErbB-2