Drug intelligence / Profile preview

buparlisib + trastuzumab

Development stage
Unknown
Lead developer
Novartis
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

Buparlisib + trastuzumab is a combination therapy consisting of buparlisib, an oral pan-class I phosphoinositide 3-kinase (PI3K) inhibitor, and trastuzumab, a monoclonal antibody targeting the human epidermal growth factor receptor 2 (HER2). This regimen has been investigated primarily in patients with HER2-positive advanced or metastatic breast cancer who have developed resistance to prior trastuzumab-based therapies. Buparlisib inhibits the PI3K/AKT/mTOR signaling pathway, which is often implicated in resistance to HER2-targeted treatments. Trastuzumab binds to the extracellular domain of HER2, inhibiting downstream signaling and mediating antibody-dependent cellular cytotoxicity. Clinical studies have shown that this combination has an acceptable safety profile but limited efficacy as a chemotherapy-free regimen in heavily pretreated populations; common adverse events include diarrhea, nausea, rash, hyperglycemia, and elevated liver enzymes[1][2][3]. The combination has also been explored with capecitabine for patients with brain metastases[1][3].

Other names
buparlisib and trastuzumabBKM120 and trastuzumabBKM-120 and trastuzumabBKM 120 and trastuzumab
02

Targets

Class I phosphoinositide 3-kinase catalytic subunitsERBB2 (Erb-b2 receptor tyrosine kinase 2)

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