Is There a Role for Dual PI3K/mTOR Inhibitors for Patients Affected with Lymphoma?

Chiara Tarantelli1, Antonio Lupia2, Anastasios Stathis3,4

  • 1Institute of Oncology Research, Faculty of Biomedical Sciences, USI, 6500 Bellinzona, Switzerland.

Insights

Dual PI3K/mTOR inhibitors show anti-tumor activity in lymphoma models. Clinical studies indicate efficacy in relapsed/refractory lymphomas, highlighting their potential as targeted anti-cancer drugs.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway is crucial for cancer cell growth, proliferation, survival, and chemoresistance.
  • This pathway's central role makes it a promising target for novel anti-cancer drug development.

Purpose of the Study:

  • To review the literature on dual PI3K/mTOR inhibitors specifically within the context of lymphoma treatment.
  • To present compounds currently in clinical development and those whose programs have been discontinued or paused.

Main Methods:

  • Literature review of preclinical and clinical studies on dual PI3K/mTOR inhibitors in lymphomas.
  • Analysis of data from clinical trials involving patients with relapsed/refractory lymphomas and chronic lymphocytic leukemia.

Main Results:

  • Preclinical data support the anti-tumor efficacy of dual PI3K/mTOR inhibitors as monotherapy and in combination treatments for lymphomas.
  • Clinical studies, though limited, have shown responses, including complete remissions, particularly in follicular lymphoma and chronic lymphocytic leukemia patients.

Conclusions:

  • Dual PI3K/mTOR inhibitors demonstrate significant therapeutic potential in preclinical lymphoma models.
  • Clinical evidence suggests these inhibitors are effective in treating relapsed/refractory lymphomas, warranting further investigation and development.

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