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Voxtalisib is an orally available, investigational small molecule that acts as a dual inhibitor of phosphoinositide 3-kinase (PI3K) and mammalian target of rapamycin (mTOR). It inhibits all class I PI3K isoforms (α, β, γ, δ) and both mTORC1 and mTORC2 complexes. By targeting these kinases in the PI3K/mTOR signaling pathway, voxtalisib disrupts cellular processes critical for cancer cell growth and survival. The drug was developed for the treatment of various cancers including lymphoma, glioblastoma, breast cancer, melanoma, chronic lymphocytic leukemia (CLL), mantle-cell lymphoma (MCL), diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), ovarian cancer, solid tumors and others. Clinical trials showed some efficacy in follicular lymphoma but limited activity in other aggressive lymphomas or CLL/SLL. Voxtalisib development has been discontinued for all indications[1][2][6][9].
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