PT - JOURNAL ARTICLE AU - TAKASHI HIGUCHI AU - KENTARO IGARASHI AU - NORIO YAMAMOTO AU - KATSUHIRO HAYASHI AU - HIROAKI KIMURA AU - SHINJI MIWA AU - MICHAEL BOUVET AU - HIROYUKI TSUCHIYA AU - ROBERT M. HOFFMAN TI - Multikinase-Inhibitor Screening in Drug-resistant Osteosarcoma Patient-derived Orthotopic Xenograft Mouse Models Identifies the Clinical Potential of Regorafenib AID - 10.21873/cgp.20286 DP - 2021 Sep 01 TA - Cancer Genomics - Proteomics PG - 637--643 VI - 18 IP - 5 4099 - http://cgp.iiarjournals.org/content/18/5/637.short 4100 - http://cgp.iiarjournals.org/content/18/5/637.full SO - Cancer Genomics Proteomics2021 Sep 01; 18 AB - Background/Aim: Osteosarcoma is a recalcitrant heterogenous malignancy. The aim of the present study was to compare a series of multikinase inhibitors (MKIs) for efficacy on two drug-resistant osteosarcoma patient-derived orthotopic xenograft (PDOX) models in order to identify a clinical candidate. Materials and Methods: The two osteosarcoma PDOX models were tested for response to the following MKIs: pazopanib, sunitinib, sorafenib, crizotinib, and regorafenib, in comparison to first-line treatment with cisplatinum and an untreated control. Results: Regorafenib led to regression of osteosarcoma in both PDOXs. Total necrosis was observed pathologically in the regorafenib-treated tumors. Sorafenib arrested growth, without inducing regression, in one osteosarcoma model but not the other, and the other MKIs only slowed tumor growth. Conclusion: The present study demonstrated that regorafenib is much more effective than the other MKIs tested and has clinical potential against recalcitrant osteosarcoma.