Evidence map›Paper›PMID 38539472›Full record

ArticleCancers2024

A Phase I Study of the Oral Dual-Acting Pan-PI3K/mTOR Inhibitor Bimiralisib in Patients with Advanced Solid Tumors.

Filip Janku, Grace M Choong, Mateusz Opyrchal, Afshin Dowlati, Cinta Hierro, Jordi Rodon, Andreas Wicki, Martin D Forster, Sarah P Blagden, Jun Yin and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 4 countries.

Filip JankuThe University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.ORCID 0000-0002-8123-4065
Grace M ChoongMayo Clinic Rochester, Department of Oncology, Rochester, MN 55905, USA.
Mateusz OpyrchalRoswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.ORCID 0000-0003-2454-7441
Afshin DowlatiUniversity Hospitals of Cleveland, Cleveland, OH 44106, USA.ORCID 0000-0003-4535-6839
Cinta HierroVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, 08035 Barcelona, Spain.
Jordi RodonThe University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Andreas WickiUniversity Hospital Basel, 4031 Basel, Switzerland.ORCID 0000-0002-2924-8080
Martin D ForsterUCL Cancer Institute, University College London Hospitals NHS Trust, London NW1 2PG, UK.
Sarah P BlagdenEarly Phase Clinical Trials Unit, Department of Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 7LJ, UK.
Jun YinDivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN 55905, USA.
Joel M ReidMayo Clinic Rochester, Department of Oncology, Rochester, MN 55905, USA.
Helene MullerPIQUR Therapeutics AG, 4051 Basel, Switzerland.
Natasa CmiljanovicPIQUR Therapeutics AG, 4051 Basel, Switzerland.
Vladimir CmiljanovicPIQUR Therapeutics AG, 4051 Basel, Switzerland.
Alex A AdjeiMayo Clinic Rochester, Department of Oncology, Rochester, MN 55905, USA.
Mayo Clinic · USPIQUR Therapeutics (Switzerland) · CHThe University of Texas MD Anderson Cancer Center · USOxford University Hospitals NHS Trust · GBRoswell Park Comprehensive Cancer Center · USUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospital of Basel · CHUniversity Hospitals of Cleveland · USVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBimiralisib is a pan-PI3K/mTOR inhibitor demonstrating antitumor efficacy in preclinical models. The objectives of this study were to identify a maximum tolerated dose (MTD), pharmacokinetics (PK), a dosing schedule, and adverse events (AEs) in patients with advanced solid tumors. PATIENTS AND

methodsPatients received oral bimiralisib to determine the MTD of one continuous (once daily) and two intermittent schedules (A: Days 1, 2 weekly; B: Days 1, 4 weekly) until progression or unacceptable AEs occurred.

resultsThe MTD for the continuous schedule was 80 mg, with grade three fatigue as the dose-limiting toxicity (DLT). No MTD was reached with intermittent schedules, with only one DLT in schedule B. PK analysis suggested that 140 mg (schedule A) was within the biologically active dose range and was selected for further exploration. The most frequent treatment-emergent AEs were hyperglycemia (76.2%) in the continuous schedule, and nausea (56-62.5%) in schedules A and B. The most frequent treatment-emergent > grade three AE for all schedules combined was hyperglycemia (28.6%, continuous schedule; 12.0%, schedule A; 12.5%, schedule B). There was one partial response in a head and neck squamous cancer patient with a NOTCH1

conclusionsBimiralisib demonstrated a manageable AE profile consistent with this compound class. Intermittent schedules had fewer > grade three AEs, while also maintaining favorable PK profiles. Intermittent schedule A is proposed for further development in biomarker-selected patient populations.

Indexed as

clinical trialintermittent dosing schedulePI3K/mTOR inhibitorsafetysolid tumor

Identifiers

PMID38539472
PMCPMC10969742
OpenAlexW4392763540

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.