There is increasing evidence that tumor-associated macrophages promote the
malignancy of some
cancers. Colony-stimulating factor-1 (CSF-1) is expressed by many
tumors and is a
growth factor for macrophages and mediates osteoclast differentiation. Herein, we report the efficacy of a novel orally active
CSF-1 receptor (CSF-1R)
kinase inhibitor,
JNJ-28312141, in proof of concept studies of solid
tumor growth and
tumor-induced bone erosion. H460
lung adenocarcinoma cells did not express CSF-1R and were not growth inhibited by
JNJ-28312141 in vitro. Nevertheless, daily p.o. administration of
JNJ-28312141 caused dose-dependent suppression of H460
tumor growth in nude mice that correlated with marked reductions in F4/80(+) tumor-associated macrophages and with increased plasma
CSF-1, a possible
biomarker of CSF-1R inhibition. Furthermore, the
tumor microvasculature was reduced in JNJ-28312141-treated mice, consistent with a role for macrophages in
tumor angiogenesis. In separate studies,
JNJ-28312141 was compared with
zoledronate in a model in which MRMT-1 mammary
carcinoma cells inoculated into the tibias of rats led to severe cortical and trabecular bone lesions. Both agents reduced
tumor growth and preserved bone. However,
JNJ-28312141 reduced the number of
tumor-associated osteoclasts superior to
zoledronate.
JNJ-28312141 exhibited additional activity against FMS-related
receptor tyrosine kinase-3 (FLT3). To more fully define the therapeutic potential of this new agent,
JNJ-28312141 was evaluated in a FLT3-dependent
acute myeloid leukemia tumor xenograft model and caused
tumor regression. In summary, this novel CSF-1R/FLT3 inhibitor represents a new agent with potential therapeutic activity in
acute myeloid leukemia and in settings where CSF-1-dependent macrophages and osteoclasts contribute to
tumor growth and skeletal events.