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STX-478, a Mutant-Selective, Allosteric PI3Kα Inhibitor Spares Metabolic Dysfunction and Improves Therapeutic Response in PI3Kα-Mutant Xenografts

Abstract

Significance: These preclinical data demonstrate that the mutant-selective, allosteric PI3Kα inhibitor STX-478 provides robust efficacy while avoiding the metabolic dysfunction associated with the nonselective inhibitor alpelisib. Our results support the ongoing clinical evaluation of STX-478 in PI3Kα-mutated cancers, which is expected to expand the therapeutic window and mitigate counterregulatory insulin release. See related commentary by Kearney and Vasan, p. 2313. This article is featured in Selected Articles from This Issue, p. 2293.

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References
1.
Andre F, Ciruelos E, Rubovszky G, Campone M, Loibl S, Rugo H . Alpelisib for -Mutated, Hormone Receptor-Positive Advanced Breast Cancer. N Engl J Med. 2019; 380(20):1929-1940. DOI: 10.1056/NEJMoa1813904. View

2.
Sarker D, Ang J, Baird R, Kristeleit R, Shah K, Moreno V . First-in-human phase I study of pictilisib (GDC-0941), a potent pan-class I phosphatidylinositol-3-kinase (PI3K) inhibitor, in patients with advanced solid tumors. Clin Cancer Res. 2014; 21(1):77-86. PMC: 4287394. DOI: 10.1158/1078-0432.CCR-14-0947. View

3.
Kabsch W . Integration, scaling, space-group assignment and post-refinement. Acta Crystallogr D Biol Crystallogr. 2010; 66(Pt 2):133-44. PMC: 2815666. DOI: 10.1107/S0907444909047374. View

4.
James D, Stockli J, Birnbaum M . The aetiology and molecular landscape of insulin resistance. Nat Rev Mol Cell Biol. 2021; 22(11):751-771. DOI: 10.1038/s41580-021-00390-6. View

5.
Karakas B, Bachman K, Park B . Mutation of the PIK3CA oncogene in human cancers. Br J Cancer. 2006; 94(4):455-9. PMC: 2361173. DOI: 10.1038/sj.bjc.6602970. View