Acute
myeloid leukaemia is the most prevalent leukaemia in adult patients. It is
characterised by aggressive bone marrow malignancy giving rise to an
overproduction of immature blast cells. Current chemotherapy regimes give rise
to an overall 5 year survival rate of less than 40%. Given this poor prognosis
there has been considerable interest in small molecule kinase inhibitors
designed to target specific kinases implicated in AML. FMS-like tyrosine kinase
3 (FLT3) is one kinase that is dysregulated in AML, with activating mutations
exhibited by ca. 25% of AML patients.
These activating mutations are associated with a significantly poorer prognosis
than is seen for AML patients with wild type FLT3. Clinical success of small
molecule kinase inbibitors in AML has been limited through lack of efficacy and
promiscuity of currently available inhibitors and the rapid emergence of
resistance in treated patients. Here we present data on a novel series of
compounds designed to inhibit FLT3 in conjunction with an improved profile.