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阿那沃利西布:首次获批。

Inavolisib: First Approval.

作者信息

Blair Hannah A

机构信息

Springer Nature, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.

出版信息

Drugs. 2025 Feb;85(2):271-278. doi: 10.1007/s40265-024-02136-y. Epub 2025 Jan 28.

DOI:10.1007/s40265-024-02136-y
PMID:39873916
Abstract

Inavolisib (Itovebi) is an orally administered, phosphatidylinositol-3-kinase alpha (PI3Kα) inhibitor being developed by Genentech, a member of the Roche group, for the treatment of solid tumours. On 10 October 2024, inavolisib received its first approval in the USA in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA-mutated, hormone receptor (HR)-positive, human epidermal growth factor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy. In the EU and other countries worldwide, regulatory review of inavolisib is currently underway. This article summarises the milestones in the development of inavolisib leading to this first approval for endocrine-resistant, PIK3CA-mutated, HR-positive, HER2-negative, locally advanced or metastatic breast cancer.

摘要

阿那沃利西布(Itovebi)是一种口服的磷脂酰肌醇-3-激酶α(PI3Kα)抑制剂,由罗氏集团成员基因泰克公司研发,用于治疗实体瘤。2024年10月10日,阿那沃利西布在美国首次获批,与哌柏西利和氟维司群联合用于治疗经美国食品药品监督管理局(FDA)批准的检测方法检测出的、在内分泌辅助治疗期间或之后复发的、具有内分泌抵抗性、PIK3CA突变、激素受体(HR)阳性、人表皮生长因子2(HER2)阴性、局部晚期或转移性乳腺癌的成年患者。在欧盟和世界其他国家,阿那沃利西布的监管审评目前正在进行中。本文总结了阿那沃利西布在研发过程中取得的里程碑事件,这些事件促成了其首次获批用于治疗内分泌抵抗性、PIK3CA突变、HR阳性、HER2阴性、局部晚期或转移性乳腺癌。

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本文引用的文献

1
Inavolisib-Based Therapy in -Mutated Advanced Breast Cancer.伊沙匹隆为基础的疗法治疗 - 突变型晚期乳腺癌。
N Engl J Med. 2024 Oct 31;391(17):1584-1596. doi: 10.1056/NEJMoa2404625.
2
Preclinical assessment of the PI3Kα selective inhibitor inavolisib and prediction of its pharmacokinetics and efficacious dose in human.PI3Kα选择性抑制剂inavolisib的临床前评估及其在人体中的药代动力学和有效剂量预测。
Xenobiotica. 2024 Oct;54(10):808-820. doi: 10.1080/00498254.2024.2415103. Epub 2024 Dec 4.
3
Datopotamab Deruxtecan Versus Chemotherapy in Previously Treated Inoperable/Metastatic Hormone Receptor-Positive Human Epidermal Growth Factor Receptor 2-Negative Breast Cancer: Primary Results From TROPION-Breast01.
达泊托单抗德鲁替康与化疗用于既往治疗过的不可切除/转移性激素受体阳性、人表皮生长因子受体2阴性乳腺癌的疗效比较:TROPION-Breast01研究的主要结果
J Clin Oncol. 2025 Jan 20;43(3):285-296. doi: 10.1200/JCO.24.00920. Epub 2024 Sep 12.
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The emerging role of PI3K inhibitors for solid tumour treatment and beyond.PI3K 抑制剂在实体瘤治疗中的新兴作用及其他方面。
Br J Cancer. 2023 Jun;128(12):2150-2162. doi: 10.1038/s41416-023-02221-1. Epub 2023 Mar 13.
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Discovery of GDC-0077 (Inavolisib), a Highly Selective Inhibitor and Degrader of Mutant PI3Kα.GDC-0077(Inavolisib)的发现,一种突变型PI3Kα的高选择性抑制剂和降解剂。
J Med Chem. 2022 Dec 22;65(24):16589-16621. doi: 10.1021/acs.jmedchem.2c01422. Epub 2022 Dec 1.
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RTK-Dependent Inducible Degradation of Mutant PI3Kα Drives GDC-0077 (Inavolisib) Efficacy.RTK 依赖性诱导降解突变型 PI3Kα 驱动 GDC-0077(Inavolisib)的疗效。
Cancer Discov. 2022 Jan;12(1):204-219. doi: 10.1158/2159-8290.CD-21-0072. Epub 2021 Sep 20.
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PI3K isoform-selective inhibitors: next-generation targeted cancer therapies.PI3K亚型选择性抑制剂:新一代靶向癌症疗法
Acta Pharmacol Sin. 2015 Oct;36(10):1170-6. doi: 10.1038/aps.2015.71. Epub 2015 Sep 14.