New, tolerable γ-secretase inhibitor takes desmoid down a notch

Dennis P M Hughes1, Shivaani Kummar2, Alexander J Lazar3

  • 1Department of Pediatrics-Research, The Children's Cancer Hospital at MD Anderson Cancer Center, Houston, Texas.

Insights

A phase I trial found the oral drug PF-03084014, a gamma-secretase inhibitor, to be tolerable in patients with solid tumors. The study observed Notch pathway inhibition and a high response rate in desmoid tumors.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Solid tumors represent a significant area of oncological research.
  • The Notch pathway plays a role in various cancers.
  • γ-secretase inhibitors are being investigated for anti-cancer properties.

Purpose of the Study:

  • To evaluate the safety and tolerability of PF-03084014, an oral reversible γ-secretase inhibitor.
  • To assess the biological activity of PF-03084014 by measuring Notch pathway inhibition.
  • To explore the efficacy of PF-03084014 in patients with solid tumor malignancies, particularly desmoid tumors.

Main Methods:

  • Phase I clinical trial design.
  • Administration of oral PF-03084014 to patients with solid tumors.
  • Assessment of drug tolerability and adverse events.
  • Monitoring of peripheral blood biomarkers for Notch pathway inhibition.
  • Evaluation of tumor response rates.

Main Results:

  • PF-03084014 demonstrated good drug tolerability in the patient cohort.
  • Evidence of target engagement was confirmed through Notch pathway inhibition in peripheral blood.
  • A notable and unexpectedly high response rate was observed in patients with desmoid tumors.

Conclusions:

  • PF-03084014 is a tolerable oral γ-secretase inhibitor with demonstrated biological activity.
  • The drug shows promising activity in desmoid tumors, warranting further investigation.
  • This trial supports further development of PF-03084014 for specific cancer types.