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Publication : Evaluation of FGFR inhibitor ASP5878 as a drug candidate for achondroplasia.

First Author  Ozaki T Year  2020
Journal  Sci Rep Volume  10
Issue  1 Pages  20915
PubMed ID  33262386 Mgi Jnum  J:299598
Mgi Id  MGI:6491027 Doi  10.1038/s41598-020-77345-y
Citation  Ozaki T, et al. (2020) Evaluation of FGFR inhibitor ASP5878 as a drug candidate for achondroplasia. Sci Rep 10(1):20915
abstractText  Achondroplasia is caused by gain-of-function mutations in FGFR3 gene and leads to short-limb dwarfism. A stabilized analogue of C-type natriuretic peptide (CNP) is known to elongate bone by interacting with FGFR3 signals and thus is a promising drug candidate. However, it needs daily administration by percutaneous injection. FGFR inhibitor compounds are other drug candidates for achondroplasia because they directly fix the mutant protein malfunction. Although FGFR inhibitors elongate the bone of model mice, their adverse effects are not well studied. In this study, we found that a new FGFR inhibitor, ASP5878, which was originally developed as an anti-cancer drug, elongated the bone of achondroplasia model male mice at the dose of 300 mug/kg, which confers an AUC of 275 ng.h/ml in juvenile mice. Although ASP5878 was less effective in bone elongation than a CNP analogue, it is advantageous in that ASP5878 can be administered orally. The AUC at which minimal adverse effects were observed (very slight atrophy of the corneal epithelium) was 459 ng.h/ml in juvenile rats. The positive discrepancy between AUCs that brought efficacy and minimal adverse effect suggests the applicability of ASP5878 to achondroplasia in the clinical setting. We also analyzed effects of ASP5878 in a patient-specific induced pluripotent stem cell (iPSC) model for achondroplasia and found the effects on patient chondrocyte equivalents. Nevertheless, cautious consideration is needed when referring to safety data obtained from its application to adult patients with cancer in clinical tests.
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