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. 2015 Jul 17;5(7):e325. doi: 10.1038/bcj.2015.46

Table 1. Pim inhibitors in development.

Drug Class Phase of development Mechanism of action MM Potency Clinical trial identification Condition Status Endpoint Salient reports Ref.
LGH447 3-S-aminopiperidine pyridyl carboxamide Phase I/II -Reduces p4EBP1, pS6K -Reduces pBAD -Cleave PARP and caspases 3,7,8,9 -Cell Cycle Arrest Go/G1 Ki Pim-1 5.8pM; Pim-2 18.0pM; Pim-3 9.3pM NCT01456689 RRMM Recruiting MTD RDE MTD 500 mg od ORR 10.5% CBR 21.1% DCR 71.9% 52, 53, 71
          NCT02160951 RRMM Recruiting MTD RDE Not reported at time of writing  
          NCT02144038 RRMM, in combination with PI3K inhibitor BYL719 Recruiting MTD RDE Not reported at time of writing  
          NCT02078609 AML/ high risk MDS Recruiting MTD Not reported at time of wristing  
AZD1208 Thiazolidene Phase I (terminated) -Reduces p4EBP1, pS6K -Reduces pBAD IC50 <5 nM for each isoform NCT01489722 AML Terminated MTD Efficacy Not for further investigation owing to safety/efficacy issue 82
          NCT01588548 Advanced lymphoma and solid organ malignancies Completed MTD    
SGI-1776 Imidazopyridine Phase I (terminated) -Reduces p4EBP1, pS6K -Reduces pBAD -Autophagy IC50 Pim-1 7 nM; Pim-2 363 nM; Pim-3 69 nM NCT00848601 Refractory Prostate cancer/ RR NHL Terminated MTD PK PD Terminated owing to cardiotoxicity 39
          NCT01239108 RR Leukemia Withdrawn MTD Terminated owing to cardiotoxicity  
LGB321 3- S-aminopiperidine pyridyl carboxamide Preclinical -Reduces p4EBP1, pS6K -Reduces pBAD Ki Pim-1 1pM; Pim-2.1pM; Pim-3 0.8pM N/A   N/A N/A N/A 1, 16, 72
AZD1897 Thiazolidene Preclinical -Reduces p4EBP1, pS6K Data not available N/A   N/A N/A N/A 75

Abbreviations: AML, acute myeloid leukemia; CBR, clinical benefit rate; DCR, disease control rate; MTD, maximum tolerated dose; IC50, inhibitory concentration 50; Ki, inhibitory constant; MDS, myelodysplastic syndrome; ORR, overall response rate; RDE, recommended dose for expansion; RRMM, relapsed/refractory multiple myeloma; RR NHL, relapsed/refractory nonHodgkin lymphoma.