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.

Science (New York, N.Y.)
|June 12, 2025
PubMed

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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