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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.
Abstract:
The activation of the PI3K/AKT/mTOR pathway is a main driver of cell growth, proliferation, survival, and chemoresistance of cancer cells, and, for this reason, represents an attractive target for developing targeted anti-cancer drugs. There are plenty of preclinical data sustaining the anti-tumor activity of dual PI3K/mTOR inhibitors as single agents and in combination in lymphomas. Clinical responses, including complete remissions (especially in follicular lymphoma patients), are also observed in the very few clinical studies performed in patients that are affected by relapsed/refractory lymphomas or chronic lymphocytic leukemia. In this review, we summarize the literature on dual PI3K/mTOR inhibitors focusing on the lymphoma setting, presenting both the three compounds still in clinical development and those with a clinical program stopped or put on hold.
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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