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.

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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