Development of 2 Bromodomain and Extraterminal Inhibitors With Distinct Pharmacokinetic and Pharmacodynamic Profiles for the Treatment of Advanced Malignancies.
Gerald FalchookSeth RosenPatricia LoRussoJustin WattsShilpa GuptaCatherine C CoombsMoshe TalpazRazelle KurzrockMonica MitaRyan D CassadayWael HarbJulio PegueroDavid C SmithSarina A Piha-PaulRuss SzmulewitzMarcus S NoelSwamy YeleswaramPhillip LiuJulie SwitzkyGongfu ZhouFred ZhengAmitkumar MehtaPublished in: Clinical cancer research : an official journal of the American Association for Cancer Research (2019)
INCB057643 exhibited a more favorable PK profile versus INCB054329; exposure-dependent thrombocytopenia was observed with both drugs which limited the target inhibition that could be safely maintained. Further efforts are required to identify patient populations that can benefit most, and an optimal dosing scheme to maximize therapeutic index.