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Updated: May 15, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Targeting activated Akt with GDC-0068, a novel selective Akt inhibitor that is efficacious in multiple tumor models
Jie Lin1, Deepak Sampath, Michelle A Nannini
1Genentech, South San Francisco, CA 94080, USA.
Purpose:
We describe the preclinical pharmacology and antitumor activity of GDC-0068, a novel highly selective ATP-competitive pan-Akt inhibitor currently in clinical trials for the treatment of human cancers.
Experimental Design:
The effect of GDC-0068 on Akt signaling was characterized using specific biomarkers of the Akt pathway, and response to GDC-0068 was evaluated in human cancer cell lines and xenograft models with various genetic backgrounds, either as a single agent or in combination with chemotherapeutic agents.
Results:
GDC-0068 blocked Akt signaling both in cultured human cancer cell lines and in tumor xenograft models as evidenced by dose-dependent decrease in phosphorylation of downstream targets. Inhibition of Akt activity by GDC-0068 resulted in blockade of cell-cycle progression and reduced viability of cancer cell lines. Markers of Akt activation, including high-basal phospho-Akt levels, PTEN loss, and PIK3CA kinase domain mutations, correlate with sensitivity to GDC-0068. Isogenic PTEN knockout also sensitized MCF10A cells to GDC-0068. In multiple tumor xenograft models, oral administration of GDC-0068 resulted in antitumor activity ranging from tumor growth delay to regression. Consistent with the role of Akt in a survival pathway, GDC-0068 also enhanced antitumor activity of classic chemotherapeutic agents.
Conclusions:
GDC-0068 is a highly selective, orally bioavailable Akt kinase inhibitor that shows pharmacodynamic inhibition of Akt signaling and robust antitumor activity in human cancer cells in vitro and in vivo. Our preclinical data provide a strong mechanistic rationale to evaluate GDC-0068 in cancers with activated Akt signaling.
Insights
GDC-0068, a novel pan-Akt inhibitor, effectively blocks cancer cell growth and enhances chemotherapy. Preclinical studies show its potential for treating cancers with activated Akt signaling.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- The Akt signaling pathway is frequently dysregulated in human cancers, making it a key target for therapeutic intervention.
- Developing selective inhibitors of Akt kinase is crucial for effective cancer treatment.
Purpose of the Study:
- To characterize the preclinical pharmacology and antitumor activity of GDC-0068, a novel ATP-competitive pan-Akt inhibitor.
- To evaluate GDC-0068's potential in treating human cancers, particularly those with activated Akt signaling.
Main Methods:
- Assessed GDC-0068's effect on Akt signaling using pathway-specific biomarkers.
- Evaluated response in human cancer cell lines and xenograft models, both as a single agent and in combination therapy.
- Investigated genetic factors influencing sensitivity to GDC-0068.
Main Results:
- GDC-0068 demonstrated dose-dependent inhibition of Akt signaling, reducing phosphorylation of downstream targets.
- Inhibition led to cell-cycle arrest and decreased cancer cell viability.
- Sensitivity to GDC-0068 correlated with markers of Akt activation, including PTEN loss and PIK3CA mutations.
- Oral administration showed significant antitumor activity in xenograft models, including tumor growth delay and regression.
- GDC-0068 enhanced the efficacy of conventional chemotherapeutic agents.
Conclusions:
- GDC-0068 is a potent, orally bioavailable Akt kinase inhibitor with demonstrated pharmacodynamic and antitumor effects.
- Preclinical data support the evaluation of GDC-0068 in clinical trials for cancers with activated Akt signaling.
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