Buparlisib

Last updated
Buparlisib
Buparlisib.svg
Clinical data
Other namesAN2025, BKM120
ATC code
  • None
Identifiers
  • 5-[2,6-bis(morpholin-4-yl)pyrimidin-4-yl]-4-(trifluoromethyl)pyridin-2-amine
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
CompTox Dashboard (EPA)
ECHA InfoCard 100.232.248 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula C18H21F3N6O2
Molar mass 410.401 g·mol−1
3D model (JSmol)
  • NC1=NC=C(C2=CC(=NC(=N2)N2CCOCC2)N2CCOCC2)C(=C1)C(F)(F)F
  • InChI=1S/C18H21F3N6O2/c19-18(20,21)13-9-15(22)23-11-12(13)14-10-16(26-1-5-28-6-2-26)25-17(24-14)27-3-7-29-8-4-27/h9-11H,1-8H2,(H2,22,23) X mark.svgN
  • Key:CWHUFRVAEUJCEF-UHFFFAOYSA-N X mark.svgN

Buparlisib (codenamed AN2025 and BKM120) is an experimental anti-cancer medication. It is a small molecule orally-available pan-class I phosphoinositide 3-kinase (PI3K) inhibitor. [1] Buparlisib was under investigation as a treatment for advanced breast cancer but was abandoned due to negative results. It is still under investigation as a potential treatment for head and neck squamous cell carcinoma (HNSCC).

Contents

Clinical trials

Buparlisib was under investigation as a treatment for advanced or metastatic HER2-negative breast cancer in several phase III clinical trials:

These results led the trials' sponsor, Novartis, to cancel their breast cancer study program with buparlisib.

Buparlisib is still under investigation as a potential treatment for head and neck squamous cell carcinoma (HNSCC) in the ongoing phase III trial BURAN, which compares buparlisib + paclitaxel to paclitaxel alone in patients with recurrent or metastatic HNSCC. Results are expected for December 2022. [8]

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References

  1. Geuna E, Milani A, Martinello R, Aversa C, Valabrega G, Scaltriti M, Montemurro F (March 2015). "Buparlisib , an oral pan-PI3K inhibitor for the treatment of breast cancer". Expert Opinion on Investigational Drugs. 24 (3): 421–31. doi:10.1517/13543784.2015.1008132. PMID   25645727. S2CID   40698715.
  2. Baselga, J.; Im, S. A.; Iwata, H.; Cortés, J.; De Laurentiis, M.; Jiang, Z.; Arteaga, C. L.; Jonat, W.; Clemons, M.; Ito, Y.; Awada, A.; Chia, S.; Jagiełło-Gruszfeld, A.; Pistilli, B.; Tseng, L. M.; Hurvitz, S.; Masuda, N.; Takahashi, M.; Vuylsteke, P.; Hachemi, S.; Dharan, B.; Di Tomaso, E.; Urban, P.; Massacesi, C.; Campone, M. (2017). "Buparlisib plus fulvestrant versus placebo plus fulvestrant in postmenopausal, hormone receptor-positive, HER2-negative, advanced breast cancer (BELLE-2): A randomised, double-blind, placebo-controlled, phase 3 trial". The Lancet. Oncology. 18 (7): 904–916. doi:10.1016/S1470-2045(17)30376-5. PMC   5549667 . PMID   28576675.
  3. Clinical trial number NCT01610284 for "Phase III Study of BKM120/Placebo With Fulvestrant in Postmenopausal Patients With Hormone Receptor Positive HER2-negative Locally Advanced or Metastatic Breast Cancer Refractory to Aromatase Inhibitor (BELLE-2)" at ClinicalTrials.gov
  4. Di Leo, A.; Johnston, S.; Lee, K. S.; Ciruelos, E.; Lønning, P. E.; Janni, W.; O'Regan, R.; Mouret-Reynier, M. A.; Kalev, D.; Egle, D.; Csőszi, T.; Bordonaro, R.; Decker, T.; Tjan-Heijnen VCG; Blau, S.; Schirone, A.; Weber, D.; El-Hashimy, M.; Dharan, B.; Sellami, D.; Bachelot, T. (2018). "Buparlisib plus fulvestrant in postmenopausal women with hormone-receptor-positive, HER2-negative, advanced breast cancer progressing on or after mTOR inhibition (BELLE-3): A randomised, double-blind, placebo-controlled, phase 3 trial". The Lancet. Oncology. 19 (1): 87–100. doi:10.1016/S1470-2045(17)30688-5. PMID   29223745.
  5. Clinical trial number NCT01633060 for "A Phase III Study of BKM120 With Fulvestrant in Patients With HR+,HER2-, AI Treated, Locally Advanced or Metastatic Breast Cancer Who Progressed on or After mTORi (BELLE-3)" at ClinicalTrials.gov
  6. Martín, M.; Chan, A.; Dirix, L.; O'Shaughnessy, J.; Hegg, R.; Manikhas, A.; Shtivelband, M.; Krivorotko, P.; Batista López, N.; Campone, M.; Ruiz Borrego, M.; Khan, Q. J.; Beck, J. T.; Ramos Vázquez, M.; Urban, P.; Goteti, S.; Di Tomaso, E.; Massacesi, C.; Delaloge, S. (2017). "A randomized adaptive phase II/III study of buparlisib, a pan-class I PI3K inhibitor, combined with paclitaxel for the treatment of HER2- advanced breast cancer (BELLE-4)". Annals of Oncology. 28 (2): 313–320. doi: 10.1093/annonc/mdw562 . PMID   27803006.
  7. Clinical trial number NCT01572727 for "A Study of the Experimental Drug BKM120 With Paclitaxel in Patients With HER2 Negative, Locally Advanced or Metastatic Breast Cancer, With or Without PI3K Activation (BELLE-4)" at ClinicalTrials.gov
  8. Clinical trial number NCT04338399 for "The BURAN Study of Buparlisib in Patients With Recurrent or Metastatic HNSCC (BURAN)" at ClinicalTrials.gov