Drug intelligence / Profile preview

buparlisib + buserelin + bicalutamide

Development stage
Unknown
Lead developer
Novartis
Modality
Peptides, Small Molecules
Administration
Oral, Subcutaneous
01

Overview

This investigational combination therapy is being evaluated by the Institut Paoli-Calmettes for the treatment of non-castrate metastatic prostate cancer (NCMPC). The regimen consists of three distinct pharmacological agents: buparlisib (BKM120), an oral pan-class I phosphatidylinositol-3-kinase (PI3K) inhibitor; buserelin (Suprefact), a luteinizing hormone-releasing hormone (LH-RH) agonist; and bicalutamide, a non-steroidal androgen receptor antagonist. The therapeutic rationale is based on the reciprocal feedback regulation between the androgen receptor (AR) and PI3K pathways in prostate cancer. By simultaneously inhibiting androgen production (via buserelin), blocking AR binding (via bicalutamide), and suppressing PI3K signaling (via buparlisib), the combination aims to delay or prevent the development of castration resistance in patients with hormone-sensitive metastatic disease.

Brand names
Casodex
Other names
BKM120 + suprefact + bicalutamidebuparlisib + buserelin + bicalutamideBKM120 + LH-RH agonists + bicalutamide
02

Targets

PIK3CA (Phosphoinositide 3-kinase alpha)GnRHR (Gonadotropin-releasing hormone receptor)AR (Adrenergic receptors)

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