Setting the Pick: Can PI3K Inhibitors Circumvent CDK4/6 Inhibitor Resistance?
Amy S Clark1,2, Igor Makhlin3,2, Angela DeMichele3,2
1Division of Hematology/Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. amy.clark@uphs.upenn.edu.
Abstract:
PI3K and CDK4/6 inhibitors (CDK4/6i) are targeted therapies approved to treat advanced breast cancer; CDK4/6is are more widely used. Here, we discuss trials that examine PI3K inhibitors with novel drug combinations, including a CDK4/6i, given data implicating the pathway in CDK 4/6 resistance.See related articles by Lu et al., p. 408, and Tolaney et al., p. 418.
Insights
Targeted therapies like PI3K inhibitors and CDK4/6 inhibitors (CDK4/6i) treat advanced breast cancer. New trials explore PI3K inhibitors combined with CDK4/6i to overcome resistance.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- PI3K and CDK4/6 inhibitors are approved targeted therapies for advanced breast cancer.
- CDK4/6 inhibitors are more commonly utilized in clinical practice.
- The PI3K pathway is implicated in resistance mechanisms to CDK4/6 inhibitors.
Purpose of the Study:
- To discuss ongoing clinical trials investigating PI3K inhibitors.
- To explore novel drug combinations involving PI3K inhibitors.
- To evaluate the efficacy of combining PI3K inhibitors with CDK4/6 inhibitors.
Main Methods:
- Review of current clinical trials.
- Analysis of preclinical data linking PI3K pathway to CDK4/6 resistance.
- Discussion of emerging therapeutic strategies.
Main Results:
- Emerging data suggests potential for PI3K inhibitors in combination therapies.
- Combinations including PI3K inhibitors and CDK4/6 inhibitors are under investigation.
- These combinations aim to address resistance to CDK4/6 inhibitors.
Conclusions:
- Novel combinations of PI3K inhibitors, including with CDK4/6 inhibitors, show promise.
- Targeting the PI3K pathway may overcome resistance to CDK4/6 inhibitors in breast cancer.
- Further research and clinical trials are warranted to validate these findings.
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