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Epertinib is an inhibitor of EGFR, HER2, and HER4 (IC50s = 1.48, 7.15, and 2.49 nM, respectively).1 It is selective for these kinases over VEGFR2, insulin-like growth factor 1 receptor (IGF-1R), c-Src, KIT, and PDGFRβ (IC50s = >10,000 nM for all). Epertinib inhibits EGFR and HER2 autophosphorylation in NCI N87 gastric carcinoma cells (IC50s = 4.5 and 1.6 nM, respectively). It selectively inhibits the growth of NCI N87, BT474 breast, and HT115 colon carcinoma cancer cell lines (IC50s = 8.3, 9.9, and 53.3 nM, respectively) over fR2 breast epithelial cells and MRC-5 fibroblasts (IC50s = 5,366.7 and 4,964.6 nM, respectively). Epertinib (12.5 or 50 mg/kg per day) decreases tumor volume in an NCI N87 mouse xenograft model.
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1. Preclinical antitumor activity of S-