Literature DB >> 31486207

A pilot study of the pan-class I PI3K inhibitor buparlisib in combination with cetuximab in patients with recurrent or metastatic head and neck cancer.

Ryan J Brisson1, Sara Kochanny2, Saba Arshad3, Allison Dekker2, Jonas A DeSouza4, Vassiliki Saloura5, Everett E Vokes2,6, Tanguy Y Seiwert2,6.   

Abstract

BACKGROUND: This study assessed the maximum tolerated dose (MTD) of the PI3K inhibitor buparlisib given concurrently with cetuximab in recurrent and metastatic (R/M) head and neck squamous cell carcinoma (HNSCC).
METHODS: Twelve patients with R/M HNSCC were enrolled. Patients were given oral buparlisib starting day 7 and daily thereafter. The dose of buparlisib was escalated in a 3 + 3 design followed by a dose expansion cohort of 6 patients. The MTD of buparlisib per protocol was 100 mg daily with cetuximab given intravenously every 14 days starting day 0.
RESULTS: Ten patients had ≥2 previous treatment regimens (11 with prior cetuximab). There were no dose limiting toxicities observed during dose escalation. One patient achieved a partial response and 4 achieved stable disease.
CONCLUSION: Based on this pilot study, buparlisib at 100 mg daily plus cetuximab proved to be well-tolerated. Patients previously treated with cetuximab monotherapy showed benefit from this combination.
© 2019 Wiley Periodicals, Inc.

Entities:  

Keywords:  PI3K inhibitor; advanced disease; buparlisib; cetuximab; head and neck squamous cell carcinoma; metastatic disease; recurrent disease

Mesh:

Substances:

Year:  2019        PMID: 31486207      PMCID: PMC8258680          DOI: 10.1002/hed.25910

Source DB:  PubMed          Journal:  Head Neck        ISSN: 1043-3074            Impact factor:   3.821


  18 in total

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4.  Buparlisib and paclitaxel in patients with platinum-pretreated recurrent or metastatic squamous cell carcinoma of the head and neck (BERIL-1): a randomised, double-blind, placebo-controlled phase 2 trial.

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7.  Pharmacodynamic evaluation of temsirolimus in patients with newly diagnosed advanced-stage head and neck squamous cell carcinoma.

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Journal:  Head Neck       Date:  2010-12       Impact factor: 3.147

8.  Tumor epidermal growth factor receptor and EGFR PY1068 are independent prognostic indicators for head and neck squamous cell carcinoma.

Authors:  Sarah Wheeler; Doris R Siwak; Raymond Chai; Courtney LaValle; Raja R Seethala; Lin Wang; Kathleen Cieply; Carol Sherer; Corwin Joy; Gordon B Mills; Athanassios Argiris; Jill M Siegfried; Jennifer R Grandis; Ann Marie Egloff
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9.  Platinum-based chemotherapy plus cetuximab in head and neck cancer.

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Journal:  N Engl J Med       Date:  2008-09-11       Impact factor: 91.245

10.  Nivolumab for Recurrent Squamous-Cell Carcinoma of the Head and Neck.

Authors:  Robert L Ferris; George Blumenschein; Jerome Fayette; Joel Guigay; A Dimitrios Colevas; Lisa Licitra; Kevin Harrington; Stefan Kasper; Everett E Vokes; Caroline Even; Francis Worden; Nabil F Saba; Lara C Iglesias Docampo; Robert Haddad; Tamara Rordorf; Naomi Kiyota; Makoto Tahara; Manish Monga; Mark Lynch; William J Geese; Justin Kopit; James W Shaw; Maura L Gillison
Journal:  N Engl J Med       Date:  2016-10-08       Impact factor: 91.245

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Review 2.  Diagnostics of HNSCC Patients: An Analysis of Cell Lines and Patient-Derived Xenograft Models for Personalized Therapeutical Medicine.

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Review 3.  Alterations and molecular targeting of the GSK-3 regulator, PI3K, in head and neck cancer.

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Review 4.  PI3K Inhibitors in Cancer: Clinical Implications and Adverse Effects.

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Review 5.  Cancer Cell Metabolism Reprogramming and Its Potential Implications on Therapy in Squamous Cell Carcinoma of the Head and Neck: A Review.

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6.  Recommendations for the use of biomarkers for head and neck cancer, including salivary gland tumours: a consensus of the Spanish Society of Medical Oncology and the Spanish Society of Pathology.

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7.  IGF2 Mediates Resistance to Isoform-Selective-Inhibitors of the PI3K in HPV Positive Head and Neck Cancer.

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