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Table 3 Summary of clinical activity of phosphatidylinositol 3-kinase (PI3K) inhibitors in phase I clinical trials

From: Clinical development of phosphatidylinositol 3-kinase inhibitors for cancer treatment

Agent/dose

N

Selected

Tumor type with PR (RECIST)

Molecular profile status

References

Pan-isoform PI3K inhibitors

SAR245408 (XL147)

75

No

NSCLC

No alteration

[6]

BKM120

66

No (expansion only)

TN breast

KRAS mutation

[7]

   

ER+ HER2- breast

PIK3CA mutation

 
   

Parotid cancer

PIK3CA mutation

 

GDC-0941

     

Once a day

42

No

Melanoma

BRAF V600E mutation

[8]

Once a day or twice a day

97

No

ER+, HER2- breast

Unknown

[9]

   

Endocervical adenocarcinoma

PIK3CA mutation

 

BAY 80-9646

     

Dose escalation

17

No

None

-

[10]

Expansion: solid

30

No

ER+ HER2- Breast

No alteration

[11]

   

ER+ HER2+ Breast

HER2 amplification

 

Expansion: NHL

5

No

Follicular lymphoma (5 patients)

No alteration (0 of 5 patients)

[11]

CH5132799

31

No

None

-a

[12]

PX-866

84b

No

None

-

[13]

Pan-isoform PI3K-mTOR inhibitors

     

SAR245409 (XL765)

     

Solid tumors

83

No

None

-

[14]

Lymphoma

16

No

Mantle cell lymphoma

Unknown

[15]

   

Transformed lymphoma

Unknown

 
   

Diffuse large B-cell lymphoma

Unknown

 

BEZ235

     

Once a day

59c

No (expansion only)

ER+ HER2- breast

Unknown

[16]

   

NSCLC

PTEN mutation (Cowden)

 

Twice a day

16

No

None

-

[17]

GSK2126458

129

No (expansion only)

Renal

No alteration

[18]

   

Renal

PTEN loss

 
   

Bladder

PIK3CA mutation

 
   

Bladder

Unknown

 

GDC-0980

42

No

Adrenal cortical

Unknown

[19]

 

32

No

None

-

[20]

SF-1126

39

No

None

-

[21]

PF-04691502

33

No

None

-

[22]

PF-05212384

53

No (expansion only)

Ovarian cancer

No alteration

[23]

   

NSCLC

EGFR mutation

 

BGT-226

57

No

None

-

[24]

PI3Kα-specific inhibitors

BYL719

35

Yes

ER+ breast

PIK3CA mutation

[25]

   

Cervix

PIK3CA mutation

 
   

Colon

PIK3CA and KRAS mutations

 

PI3Kδ-specific inhibitors

     

GS-1101

     

CLL

54

No

26% RR according to IWCLL

Unknown

[26]

Non-Hodgkin's lymphoma

49

No

Indolent NHL (15 PR out of 24); mantle cell lymphoma (10 PR out of 16)

Unknown

[27]

  1. aPatient with ovarian cancer, with PIK3CA mutation still receiving treatment, with -17.2% reduction of target lesions and 75% decrease in CA-125.
  2. bA total of 56 patients evaluable for response.
  3. cA total of 51 patients evaluable for response.
  4. BRAF = v-raf murine sarcoma viral oncogene homolog B1; CA = cancer antigen; CLL = chronic lymphocytic leukemia; EGFR = epidermal growth factor receptor; ER = estrogen receptor; HER2 = human epidermal growth factor receptor 2; IWCLL = International Workshop on Chronic Lymphocytic Leukemia; KRAS = v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog; mTOR = mammalian target of rapamycin; NHL = non-Hodgkin's lymphoma; NSCLC = non-small cell lung cancer; PIK3CA = phosphatidylinositol 3-kinase p110α isoform gene; PR = partial response; RECIST = Response Evaluation Criteria In Solid Tumors; RR = response rate; TN = triple negative.