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BBO-10203 inhibits tumor growth without inducing hyperglycemia by blocking RAS-PI3Kα interaction
Dhirendra K Simanshu1, Rui Xu2, James P Stice2
1National Cancer Institute (NCI) RAS Initiative, Cancer Research Technology Program, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Frederick, MD, USA.
Abstract:
BBO-10203 is an orally available drug that covalently and specifically binds to the rat sarcoma (RAS)-binding domain of phosphoinositide 3-kinase α (PI3Kα), preventing its activation by HRAS, NRAS, and KRAS. It inhibited PI3Kα activation in tumors with oncogenic mutations in KRAS or PIK3CA and in tumors with human epidermal growth factor receptor 2 (HER2) amplification or overexpression. In preclinical models, BBO-10203 caused significant tumor growth inhibition across multiple tumor types and showed enhanced efficacy in combination with inhibitors of cyclin-dependent kinase 4/6 (CDK4/6), estrogen receptor (ER), HER2, and KRAS-G12C mutant, including in tumors harboring mutations in Kelch-like ECH-associated protein 1 (KEAP1) and serine/threonine kinase 11 (STK11). Notably, these antitumor effects occurred without inducing hyperglycemia, because insulin signaling does not depend on RAS-mediated PI3Kα activation to promote glucose uptake.
Insights
BBO-10203 is a novel oral drug targeting phosphoinositide 3-kinase α (PI3Kα), showing significant tumor inhibition in preclinical models. This PI3Kα inhibitor effectively reduces tumor growth without causing hyperglycemia.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Phosphoinositide 3-kinase α (PI3Kα) is a key signaling enzyme implicated in various cancers.
- RAS-mediated activation of PI3Kα plays a crucial role in tumor development and progression.
- Oncogenic mutations in PIK3CA, KRAS, and HER2 amplification/overexpression are common drivers in multiple tumor types.
Purpose of the Study:
- To evaluate the efficacy of BBO-10203, an orally available PI3Kα inhibitor, in preclinical cancer models.
- To investigate the mechanism of action of BBO-10203, focusing on its specific binding to the RAS-binding domain of PI3Kα.
- To assess the potential of BBO-10203 as a monotherapy and in combination with other targeted agents.
Main Methods:
- BBO-10203 was administered orally in preclinical cancer models.
- Inhibition of PI3Kα activation was assessed in tumors with specific oncogenic mutations or amplifications.
- Tumor growth inhibition was evaluated in various tumor types, including those with KEAP1 and STK11 mutations.
- Combination therapies included inhibitors of CDK4/6, ER, HER2, and KRAS-G12C.
Main Results:
- BBO-10203 covalently and specifically binds to the RAS-binding domain of PI3Kα, preventing its activation by RAS proteins.
- The drug demonstrated PI3Kα inhibition in tumors with oncogenic KRAS, PIK3CA mutations, or HER2 amplification/overexpression.
- Significant tumor growth inhibition was observed across multiple tumor types.
- Enhanced efficacy was noted in combination therapies, particularly in tumors with KEAP1 and STK11 mutations.
Conclusions:
- BBO-10203 is a potent PI3Kα inhibitor with broad antitumor activity in preclinical models.
- The drug's efficacy is enhanced when combined with other targeted therapies, including CDK4/6, ER, HER2, and KRAS-G12C inhibitors.
- BBO-10203 achieves antitumor effects without inducing hyperglycemia, suggesting a distinct therapeutic window.
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