Rebastinib potently (IC50 0.82 nM) inhibits u-ABL1, which is thought to exist predominantly in the inactive type II conformation. In addition, Rebastinib also strongly inhibits p-ABL1 (IC50 2 nM), which more readily adopts an active, Type I conformation.
Rebastinib potently inhibits both u-ABL1 (IC50 5 nM) and p-ABL1 (IC50 4 nM), both of which exist predominately in the Type I conformation due to stabilization of an activating hydrophobic spine by the T315I mutation.
In addition to ABL1, Rebastinib also inhibits the SRC family kinases LYN, SRC, FGR, and HCK, and PDGFRα, and PDGFRβ with IC50 of 29±1, 34±6, 38±1, 40±1, 70±10 and 113±10 nM, respectively. Notably, Rebastinib spared c-KIT (IC50 481 nM).
Rebastinib effectively inhibits the proliferation of Ba/F3 cells expressing native BCR-ABL1 (IC50 5.4 nM). Rebastinib also inhibits proliferation of the Ph cell line K562 (IC50 5.5 nM).
Rebastinib also inhibits proliferation of several common TKI-resistant mutants of BCR-ABL1, including G250E, Q252H, Y235F, E255K, V299L, F317L, and M351T, at IC50s ranging from 6-150 nM. Rebastinib effectively inhibits autophosphorylation of BCR-ABL1 (IC50 29 nM) and BCR-ABL1 (IC50 18 nM), as well as the phosphorylation of STAT5 in both cell lines (IC50 28 nM and 13 nM, respectively).