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Title:
A phase Ib dose-escalation and expansion study of the oral MEK inhibitor pimasertib and PI3K/MTOR inhibitor voxtalisib in patients with advanced solid tumours | British Journal of Cancer
Description:
This phase Ib study evaluated the safety, maximum-tolerated dose (MTD), pharmacokinetics, pharmacodynamics, and preliminary efficacy of pimasertib (MSC1936369B), a MEK1/2 inhibitor, in combination with voxtalisib (SAR245409), a pan-PI3K and mTORC1/mTORC2 inhibitor, in patients with advanced solid tumours. This study included a dose escalation and expansion in patients with select tumour types and alterations in the MAPK or PI3K pathways. A 3 + 3 design was used to determine MTD. Patients were evaluated for adverse events and tumour response. 146 patients were treated, including 63 in dose escalation and 83 in expansion. The MTD was pimasertib 90 mg and voxtalisib 70 mg daily. Based on the safety profile, the recommended phase 2 dose (RP2D) was pimasertib 60 mg and voxtalisib 70 mg. The most frequent treatment-emergent adverse events (TEAEs) were diarrhoea (75%), fatigue (57%), and nausea (50%). Responses included a complete response in one patient (1%), partial response in five (5%), and stable disease in 51 (46%). At the RP2D, 74 patients required dose interruption (73%), 20 required dose reduction (20%), and 26 discontinued treatment due to TEAEs (26%). The combination of pimasertib and voxtalisib showed poor long-term tolerability and limited anti-tumour activity in patients with advanced solid tumours.
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dose, patients, cancer, study, pimasertib, voxtalisib, inhibitor, article, phase, combination, daily, day, nature, adverse, subjects, google, scholar, expansion, mek, advanced, solid, escalation, safety, tumour, response, pik, dosing, events, rpd, disease, cycle, cas, pikmtor, mtd, treatment, cohorts, tumours, efficacy, included, pathways, grade, mapk, tolerability, including, oral, patient, activity, melanoma, pathway, toxicity,
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nature portfolio privacy policy human services advertising nature 417 nature research fuding participating institutions research funding social media favourable therapeutic index undergoing active development reprints multi-targeted kinase inhibitors double-sided niche regulation therapeutic index her2-directed drug conjugate database lock date biomarker development open-label chronic low-grade symptoms drug-drug interactions consisting alpha-specific pi3k inhibitor revised recist guideline pi3k/mtor inhibitor gsk2126458 treatment-emergent adverse events pi3k/akt/mtor pathway pi3k/akt/mtor pathway previous anti-cancer therapy ras/raf/mek/erk reversible dual pan-class oral pan-pi3k inhibitor pharmacokinetic drug-drug interactions treatment-related adverse events pi3k/mtor signalling pathways phase ib dose-escalation mtorc1/mtorc2 pathway signalling 16 long-term tolerability limited anti-tumour activity pi3k/mtor pathway inhibition pi3k/mtor inhibitors pf-04691502 kras-mutant ovarian cancers pimasertib-resistant human lung tolerability data generated pi3k/mtor pathways simultaneously tumour-specific expansion cohorts pi3k/mtor inhibitor xl765 pi3k/mtor inhibitor voxtalisib permissions author correspondence
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headline:A phase Ib dose-escalation and expansion study of the oral MEK inhibitor pimasertib and PI3K/MTOR inhibitor voxtalisib in patients with advanced solid tumours
description:This phase Ib study evaluated the safety, maximum-tolerated dose (MTD), pharmacokinetics, pharmacodynamics, and preliminary efficacy of pimasertib (MSC1936369B), a MEK1/2 inhibitor, in combination with voxtalisib (SAR245409), a pan-PI3K and mTORC1/mTORC2 inhibitor, in patients with advanced solid tumours. This study included a dose escalation and expansion in patients with select tumour types and alterations in the MAPK or PI3K pathways. A 3â+â3 design was used to determine MTD. Patients were evaluated for adverse events and tumour response. 146 patients were treated, including 63 in dose escalation and 83 in expansion. The MTD was pimasertib 90âmg and voxtalisib 70âmg daily. Based on the safety profile, the recommended phase 2 dose (RP2D) was pimasertib 60âmg and voxtalisib 70âmg. The most frequent treatment-emergent adverse events (TEAEs) were diarrhoea (75%), fatigue (57%), and nausea (50%). Responses included a complete response in one patient (1%), partial response in five (5%), and stable disease in 51 (46%). At the RP2D, 74 patients required dose interruption (73%), 20 required dose reduction (20%), and 26 discontinued treatment due to TEAEs (26%). The combination of pimasertib and voxtalisib showed poor long-term tolerability and limited anti-tumour activity in patients with advanced solid tumours.
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headline:A phase Ib dose-escalation and expansion study of the oral MEK inhibitor pimasertib and PI3K/MTOR inhibitor voxtalisib in patients with advanced solid tumours
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