Drug intelligence / Profile preview

LOXO-783 + abemaciclib + anastrozole + exemestane + letrozole

Development stage
Unknown
Lead developer
Eli Lilly
Modality
Small Molecules
Administration
Oral
01

Overview

This drug is a **combination regimen** comprised of LOXO-783, abemaciclib, anastrozole, exemestane, and letrozole, under investigation for the treatment of advanced or metastatic breast cancer and other solid tumors harboring the PIK3CA H1047R mutation. - **LOXO-783** is an investigational, oral, allosteric, brain-penetrant inhibitor highly selective for the PI3Kα H1047R mutant, developed to improve tolerability and efficacy versus nonselective PI3K inhibitors by sparing wild-type PI3Kα and the associated toxicities such as hyperglycemia and rash[1][3][5]. - **Abemaciclib** is a small-molecule inhibitor of cyclin-dependent kinases 4 and 6 (CDK4/6), used mainly in hormone receptor-positive, HER2-negative breast cancer, and blocks cell cycle progression by preventing retinoblastoma protein phosphorylation[4][6]. - **Anastrozole, exemestane, and letrozole** are nonsteroidal and steroidal aromatase inhibitors that reduce estrogen synthesis, thereby inhibiting growth of hormone receptor-positive breast cancers. The regimen targets **multiple pathways driving tumor growth and survival**, including PI3Kα signaling and estrogen-dependent proliferation. Clinical trials are investigating the safety, tolerability, and efficacy of this multi-agent approach, particularly for patients with breast cancer carrying the PIK3CA H1047R mutation[1][3][5][7].

Other names
LOXO-783LOXO783LOXO 783abemaciclibanastrozoleexemestaneletrozole
02

Targets

CYP19A1 (Aromatase)Cyclin-dependent kinase 2–cyclin A or E complexCDK6 (Cyclin-dependent kinase 6)DYRK1A (Dual-specificity tyrosine-phosphorylation-regulated kinase 1A)CDK4 (Cyclin-dependent kinase 4)CDK1 (Cyclin-dependent kinase 1)HIPK3AR (Adrenergic receptors)PIK3CA H1047R (Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA), H1047R mutant)

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