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NCT01420081

A Study Of Two Dual PI3K/mTOR Inhibitors, PF-04691502 And PF-05212384 In Patients With Recurrent Endometrial Cancer

Terminated Phase 2 Results posted Last updated 8 January 2019
What this trial tests

Phase 2 trial testing PF-05212384 in Endometrial Neoplasms in 67 participants. Terminated before completion.

Timeline
19 January 2012
Primary endpoint
30 April 2014
25 December 2015

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment67
Start date19 January 2012
Primary completion30 April 2014
Estimated completion25 December 2015
Sites51 locations across Japan, Russia, United Kingdom, Poland, Canada, Australia, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, female only, with Endometrial Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clinical Benefit Response for PF-04691502 Primary · 16 weeks from Cycle 1 Day 1

Clinical benefit response was defined as best overall response of complete response (CR), partial response (PR) or stable disease (SD) for at least 16 weeks from Cycle 1 Day 1 (C1D1) to the first time of disease progression. The outcome data table below presents the number of participants with clinical benefit response as "yes" or "no". On 09 Oct 2012, Pfizer decided to stop enrollment into PF-04691502. While tumor assessment for PF-04691502 was included as a listing in the final report, formal efficacy analysis for PF-04691502 was not performed.

Participants with "Yes" response
GroupValue95% CI
PF-04691502 (PI3K Basal)1
PF-04691502 (PI3K Activated)0
Participants with "No" response
GroupValue95% CI
PF-04691502 (PI3K Basal)3
PF-04691502 (PI3K Activated)11
Percentage of Participants With Clinical Benefit Response for PF-05212384 Primary · 16 weeks from Cycle 1 Day 1

Clinical benefit response was defined as best overall response of complete response (CR), partial response (PR) or stable disease (SD) for at least 16 weeks from Cycle 1 Day 1 (C1D1) to the first time of disease progression. The primary analysis is based on the clinical benefit rate which is calculated as proportion of participants with a clinical benefit response relative to total number of response evaluable participants. Per RECIST v1.1 for target lesions: CR defined as disappearance of all target lesions; PR defined as \>=30% decrease in the sum of the longest diameter of target lesions; S

GroupValue95% CI
PF-05212384 (PI3K Basal)52.628.9 – 75.6
PF-05212384 (PI3K Activated)26.39.1 – 51.2
PF-05212384 (PI3K Basal + Activated)39.524.0 – 56.6
Objective Response for PF-04691502 Secondary · Randomization to objective progression, death or last tumor assessment without progression (up to 12 months)

Objective response is defined as CR or PR. CR: Complete response: 2 or more objective statuses of CR a minimum of 4 weeks apart documented before PD. Partial response: 2 or more objective statuses of PR or better a minimum of 4 weeks apart documented before PD, but not qualifying as CR. Per RECIST v1.1 for target lesions: CR defined as disappearance of all target lesions; PR defined as \>=30% decrease in the sum of the longest diameter of target lesions. The outcome data table below presents the number of participants with objective response as "yes" or "no". On 09 Oct 2012, Pfizer decided to

Participants with "Yes" response
GroupValue95% CI
PF-04691502 (PI3K Basal)0
PF-04691502 (PI3K Activated)0
Participants with "No" response
GroupValue95% CI
PF-04691502 (PI3K Basal)4
PF-04691502 (PI3K Activated)11
Percentage of Participants With Objective Response for PF-05212384 Secondary · Randomization to objective progression, death or last tumor assessment without progression (up to 12 months)

Objective response is defined as CR or PR. CR: Complete response: 2 or more objective statuses of CR a minimum of 4 weeks apart documented before PD. Partial response: 2 or more objective statuses of PR or better a minimum of 4 weeks apart documented before PD, but not qualifying as CR. Per RECIST v1.1 for target lesions: CR defined as disappearance of all target lesions; PR defined as \>=30% decrease in the sum of the longest diameter of target lesions.

GroupValue95% CI
PF-05212384 (PI3K Basal)21.16.1 – 45.6
PF-05212384 (PI3K Activated)15.83.4 – 39.6
PF-05212384 (PI3K Basal + Activated)18.47.7 – 34.3
Progression Free Survival for PF-04691502 Secondary · From Cycle 1 Day 1 to objective progressive disease or death due to any cause whichever occurs first (up to 12 months)

PFS is defined as the time from the date of cycle 1 day 1 to the date that objective progressive disease is documented or death due to any cause, whichever occurs first. PFS was characterized in terms of the median. Approximate 95% confidence interval corresponding to this estimate was computed. Progression is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions with a minimum absolute increase of 5 mm, or an unequivocal progression of non-target lesion, or the appearance of new lesions. On 09 Oct 2012, Pfizer decided to stop enrollment into PF-0469

Participant 1
GroupValue95% CI
PF-04691502 (PI3K Basal)1
PF-04691502 (PI3K Activated)0
Participant 2
GroupValue95% CI
PF-04691502 (PI3K Basal)108
PF-04691502 (PI3K Activated)0
Participant 3
GroupValue95% CI
PF-04691502 (PI3K Basal)50
PF-04691502 (PI3K Activated)0
Participant 4
GroupValue95% CI
PF-04691502 (PI3K Basal)199
PF-04691502 (PI3K Activated)0
Participant 5
GroupValue95% CI
PF-04691502 (PI3K Basal)0
PF-04691502 (PI3K Activated)54
Participant 6
GroupValue95% CI
PF-04691502 (PI3K Basal)0
PF-04691502 (PI3K Activated)55
Participant 7
GroupValue95% CI
PF-04691502 (PI3K Basal)0
PF-04691502 (PI3K Activated)51
Participant 8
GroupValue95% CI
PF-04691502 (PI3K Basal)0
PF-04691502 (PI3K Activated)1
Progression Free Survival for PF-05212384 Secondary · From Cycle 1 Day 1 to objective progressive disease or death due to any cause whichever occurs first (up to 12 months)

PFS is defined as the time from the date of cycle 1 day 1 to the date that objective progressive disease is documented or death due to any cause, whichever occurs first. PFS was characterized in terms of the median. Approximate 95% confidence interval corresponding to this estimate was computed. Progression is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions with a minimum absolute increase of 5 mm, or an unequivocal progression of non-target lesion, or the appearance of new lesions.

GroupValue95% CI
PF-05212384 (PI3K Basal)112.059.0 – 167.0
PF-05212384 (PI3K Activated)89.056.0 – 172.0
PF-05212384 (PI3K Basal + Activated)108.062.0 – 149.0
Percentage of Participants With Progression Free Survival (PFS) at 6 Months for PF-05212384 Secondary · 6 months

Progression free survival is defined as the time from the date of cycle 1 day 1 to the date that objective progressive disease is documented or death due to any cause, whichever occurs first. PFS was characterized in terms of the probability of remaining progression-free at 6 months (based on Kaplan-Meier estimates). Progression is defined using RECIST v1.1, as a 20% increase in the sum of the longest diameter of target lesions with a minimum absolute increase of 5 mm, or an unequivocal progression of non-target lesion, or the appearance of new lesions.

GroupValue95% CI
PF-05212384 (PI3K Basal)23.27.3 – 44.1
PF-05212384 (PI3K Activated)25.07.8 – 47.2
PF-05212384 (PI3K Basal + Activated)24.311.6 – 39.5
Level of Each Pharmacodynamic Parameter at Specified Timepoints- Glucose (mg/dL) Secondary · Baseline (Day -3) and Cycle1 to Cycle 5 where each cycle consist of 28 days

PD biomarkers are measured at screening (baseline) and multiple time points post baseline. Baseline is defined as the last measurement prior to dosing, which is the measurement at screening or the cycle 1 day 1 pre-dose measurement if collected. This outcome measure will be updated once the data is available with the supplemental clinical study report.

Baseline
GroupValue95% CI
PF-05212384 (PI3K Basal)98.5± 12.76
PF-05212384 (PI3K Activated)101.7± 26.56
PF-05212384 (PI3K Basal + Activated)100.1± 20.60
Cycle 1 Day 15 (n=18,17,35)
GroupValue95% CI
PF-05212384 (PI3K Basal)105.3± 18.44
PF-05212384 (PI3K Activated)117.2± 61.04
PF-05212384 (PI3K Basal + Activated)111.1± 44.26
Cycle 1 Day 22 (n=2,1,3)
GroupValue95% CI
PF-05212384 (PI3K Basal)103.0± 16.34
PF-05212384 (PI3K Activated)120.1± 0
PF-05212384 (PI3K Basal + Activated)108.7± 15.19
Cycle 2 Day 1 (n=17,14,31)
GroupValue95% CI
PF-05212384 (PI3K Basal)103.7± 19.31
PF-05212384 (PI3K Activated)114.0± 39.42
PF-05212384 (PI3K Basal + Activated)108.3± 29.99
Cycle 2 Day 15 (n=17,8,25)
GroupValue95% CI
PF-05212384 (PI3K Basal)104.8± 13.94
PF-05212384 (PI3K Activated)106.4± 19.36
PF-05212384 (PI3K Basal + Activated)105.3± 15.47
Cycle 3 Day 1 (n=14,10,24)
GroupValue95% CI
PF-05212384 (PI3K Basal)100.6± 16.29
PF-05212384 (PI3K Activated)125.9± 74.50
PF-05212384 (PI3K Basal + Activated)111.1± 49.85
Cycle 4 Day 1 (n=12,7,19)
GroupValue95% CI
PF-05212384 (PI3K Basal)96.3± 10.40
PF-05212384 (PI3K Activated)98.9± 10.20
PF-05212384 (PI3K Basal + Activated)97.3± 10.12
Cycle 5 Day 1 (n=9,4,13)
GroupValue95% CI
PF-05212384 (PI3K Basal)103.2± 15.17
PF-05212384 (PI3K Activated)112.2± 24.37
PF-05212384 (PI3K Basal + Activated)106.0± 17.90
Level of Each Pharmacodynamic Parameter at Specified Timepoints- Insulin (UIU/mL) Secondary · Baseline (Day -3) and Cycle1 to Cycle 5 where each cycle consist of 28 days

PD biomarkers are measured at screening (baseline) and multiple time points post baseline. Baseline is defined as the last measurement prior to dosing, which is the measurement at screening or the cycle 1 day 1 pre-dose measurement if collected. This outcome measure will be updated once the data is available with the supplemental clinical study report.

Baseline
GroupValue95% CI
PF-05212384 (PI3K Basal)15.2± 12.68
PF-05212384 (PI3K Activated)14.4± 7.03
PF-05212384 (PI3K Basal + Activated)14.8± 10.36
Cycle 1 Day 15 (n=16,12,28)
GroupValue95% CI
PF-05212384 (PI3K Basal)23.6± 14.69
PF-05212384 (PI3K Activated)35.9± 37.05
PF-05212384 (PI3K Basal + Activated)28.9± 26.79
Cycle 1 Day 22 (n=2,1,3)
GroupValue95% CI
PF-05212384 (PI3K Basal)57.6± 51.18
PF-05212384 (PI3K Activated)29.1± 0
PF-05212384 (PI3K Basal + Activated)48.1± 39.75
Cycle 2 Day 1 (n=17,10,27)
GroupValue95% CI
PF-05212384 (PI3K Basal)30.3± 28.92
PF-05212384 (PI3K Activated)28.9± 27.85
PF-05212384 (PI3K Basal + Activated)29.8± 27.99
Cycle 2 Day 15 (n=14,6,20)
GroupValue95% CI
PF-05212384 (PI3K Basal)28.2± 29.56
PF-05212384 (PI3K Activated)21.9± 10.49
PF-05212384 (PI3K Basal + Activated)26.3± 25.21
Cycle 3 Day 1 (n=13,9,22)
GroupValue95% CI
PF-05212384 (PI3K Basal)20.7± 13.65
PF-05212384 (PI3K Activated)35.1± 38.66
PF-05212384 (PI3K Basal + Activated)26.6± 26.99
Cycle 4 Day 1 (n=11,6,17)
GroupValue95% CI
PF-05212384 (PI3K Basal)17.1± 10.04
PF-05212384 (PI3K Activated)24.8± 32.32
PF-05212384 (PI3K Basal + Activated)19.8± 20.10
Cycle 5 Day 1 (n=7,4,11)
GroupValue95% CI
PF-05212384 (PI3K Basal)17.0± 15.56
PF-05212384 (PI3K Activated)15.7± 6.20
PF-05212384 (PI3K Basal + Activated)16.5± 12.54
Level of Each Pharmacodynamic Parameter at Specified Timepoints- Glycosylated Hemoglobin (HbA1c) Secondary · Baseline (Day -3) and Cycle1 to Cycle 5 where each cycle consist of 28 days

PD biomarkers are measured at screening (baseline) and multiple time points post baseline. Baseline is defined as the last measurement prior to dosing, which is the measurement at screening or the cycle 1 day 1 pre-dose measurement if collected. This outcome measure will be updated once the data is available with the supplemental clinical study report.

Baseline (n=15,14,29)
GroupValue95% CI
PF-05212384 (PI3K Basal)7.8± 8.58
PF-05212384 (PI3K Activated)7.5± 6.15
PF-05212384 (PI3K Basal + Activated)7.7± 7.37
Cycle 1 Day 15 (n=4,2,6)
GroupValue95% CI
PF-05212384 (PI3K Basal)14.7± 19.00
PF-05212384 (PI3K Activated)7.1± 1.34
PF-05212384 (PI3K Basal + Activated)12.2± 15.25
Cycle 2 Day 1 (n=15,13,28)
GroupValue95% CI
PF-05212384 (PI3K Basal)8.4± 9.66
PF-05212384 (PI3K Activated)6.7± 1.16
PF-05212384 (PI3K Basal + Activated)7.6± 7.05
Cycle 2 Day 15 (n=3,0,3)
GroupValue95% CI
PF-05212384 (PI3K Basal)6.7± 0.71
PF-05212384 (PI3K Activated)NA± NA
PF-05212384 (PI3K Basal + Activated)6.7± 0.71
Cycle 3 Day 1 (n=10,4,14)
GroupValue95% CI
PF-05212384 (PI3K Basal)6.0± 0.78
PF-05212384 (PI3K Activated)7.3± 1.70
PF-05212384 (PI3K Basal + Activated)6.4± 1.19
Cycle 4 Day 1 (n=12,7,19)
GroupValue95% CI
PF-05212384 (PI3K Basal)8.9± 10.13
PF-05212384 (PI3K Activated)6.9± 1.05
PF-05212384 (PI3K Basal + Activated)8.2± 8.01
Cycle 5 Day 1 (n=8,2,10)
GroupValue95% CI
PF-05212384 (PI3K Basal)5.9± 0.89
PF-05212384 (PI3K Activated)31.5± 36.06
PF-05212384 (PI3K Basal + Activated)11.0± 16.17
Level of Each Pharmacodynamic Parameter at Specified Timepoints- Cholesterol (mg/dL) Secondary · Baseline (Day -3) and Cycle1 to Cycle 3 where each cycle consist of 28 days

PD biomarkers are measured at screening (baseline) and multiple time points post baseline. Baseline is defined as the last measurement prior to dosing, which is the measurement at screening or the cycle 1 day 1 pre-dose measurement if collected. This outcome measure will be updated once the data is available with the supplemental clinical study report.

Baseline (n=11,4,15)
GroupValue95% CI
PF-05212384 (PI3K Basal)213± 54.48
PF-05212384 (PI3K Activated)186.5± 52.43
PF-05212384 (PI3K Basal + Activated)205.9± 53.45
Cycle 1 Day 28 (n=15,7,22)
GroupValue95% CI
PF-05212384 (PI3K Basal)214.9± 49.15
PF-05212384 (PI3K Activated)161.6± 86.51
PF-05212384 (PI3K Basal + Activated)198.0± 66.28
Cycle 2 Day 28 (n=16,6,22)
GroupValue95% CI
PF-05212384 (PI3K Basal)229.8± 44.31
PF-05212384 (PI3K Activated)127.9± 108.69
PF-05212384 (PI3K Basal + Activated)202.0± 79.83
Cycle 3 Day 28 (n=11,4,15)
GroupValue95% CI
PF-05212384 (PI3K Basal)230.5± 48.63
PF-05212384 (PI3K Activated)137.6± 107.02
PF-05212384 (PI3K Basal + Activated)205.7± 77.15
Level of Each Pharmacodynamic Parameter at Specified Timepoints- Triglycerides (mg/dL) Secondary · Baseline (Day -3) and Cycle1 to Cycle 3 where each cycle consist of 28 days

PD biomarkers are measured at screening (baseline) and multiple time points post baseline. Baseline is defined as the last measurement prior to dosing, which is the measurement at screening or the cycle 1 day 1 pre-dose measurement if collected. This outcome measure will be updated once the data is available with the supplemental clinical study report.

Baseline (n=11,4,15)
GroupValue95% CI
PF-05212384 (PI3K Basal)104.2± 40.95
PF-05212384 (PI3K Activated)133.4± 25.75
PF-05212384 (PI3K Basal + Activated)112.0± 38.96
Cycle 1 Day 28 (n=15,7,22)
GroupValue95% CI
PF-05212384 (PI3K Basal)136.9± 70.03
PF-05212384 (PI3K Activated)134.5± 57.21
PF-05212384 (PI3K Basal + Activated)136.1± 64.85
Cycle 2 Day 28 (n=16,6,22)
GroupValue95% CI
PF-05212384 (PI3K Basal)133.2± 71.40
PF-05212384 (PI3K Activated)117.1± 62.77
PF-05212384 (PI3K Basal + Activated)128.8± 68.07
Cycle 3 Day 28 (n=10,4,14)
GroupValue95% CI
PF-05212384 (PI3K Basal)119.9± 64.22
PF-05212384 (PI3K Activated)130.4± 58.01
PF-05212384 (PI3K Basal + Activated)122.9± 60.47

Adverse events — posted to ClinicalTrials.gov

Time frame: Maximum of treatment duration (i.e., 21 to 169 days for the PF 04691502 [PI3K basal and activated], 29 to 345 days for PF 05212384 PI3K basal and 1 to 400 days for PF 05212384 PI3K activated) + 28 days across all participants.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-04691502 8 mg (PI3K Basal)
Serious: 3/5 (60%)
Deaths:
PF-04691502 6 mg (PI3K Basal)
Serious: 1/1 (100%)
Deaths:
PF-04691502 8 mg (PI3K Activated)
Serious: 7/9 (78%)
Deaths:
PF-04691502 6 mg (PI3K Activated)
Serious: 1/3 (33%)
Deaths:
PF-05212384 154 mg (PI3K Basal)
Serious: 3/21 (14%)
Deaths:
PF-05212384 154 mg (PI3K Activated)
Serious: 10/19 (53%)
Deaths:
Lead-in-cohort (LIC) PF-04691502 (4 mg)
Serious: 1/3 (33%)
Deaths:
LIC PF-05212384 (89 mg)
Serious: 0/3 (0%)
Deaths:
LIC PF-05212384 (154 mg)
Serious: 1/3 (33%)
Deaths:

Serious adverse events (32 terms)

ReactionSystemPF-04691502 8 mg (PI3K Bas…PF-04691502 6 mg (PI3K Bas…PF-04691502 8 mg (PI3K Act…PF-04691502 6 mg (PI3K Act…PF-05212384 154 mg (PI3K B…PF-05212384 154 mg (PI3K A…Lead-in-cohort (LIC) PF-04…LIC PF-05212384 (89 mg)LIC PF-05212384 (154 mg)
DiarrhoeaGastrointestinal disorders
Disease ProgressionGeneral disorders
PneumoniaInfections and infestations
Urinary Tract InfectionInfections and infestations
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders
Cardiac FailureCardiac disorders
Large Intestinal ObstructionGastrointestinal disorders
NauseaGastrointestinal disorders
Oral PainGastrointestinal disorders
StomatitisGastrointestinal disorders
VomitingGastrointestinal disorders
ChillsGeneral disorders
Lung InfectionInfections and infestations
Pneumocystis Jirovecii PneumoniaInfections and infestations
PyelonephritisInfections and infestations
Skin InfectionInfections and infestations
Lymphocyte Count DecreasedInvestigations
Diabetic KetoacidosisMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
FistulaMusculoskeletal and connective tissue disorders
Gastric CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular AccidentNervous system disorders
Acute Kidney InjuryRenal and urinary disorders
Other adverse events (223 terms — click to expand)

ReactionSystemPF-04691502 8 mg (PI3K Bas…PF-04691502 6 mg (PI3K Bas…PF-04691502 8 mg (PI3K Act…PF-04691502 6 mg (PI3K Act…PF-05212384 154 mg (PI3K B…PF-05212384 154 mg (PI3K A…Lead-in-cohort (LIC) PF-04…LIC PF-05212384 (89 mg)LIC PF-05212384 (154 mg)
NauseaGastrointestinal disorders
Mucosal InflammationGeneral disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Decreased AppetiteMetabolism and nutrition disorders
DysgeusiaNervous system disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
AstheniaGeneral disorders
HyperglycaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
StomatitisGastrointestinal disorders
Oedema PeripheralGeneral disorders
Urinary Tract InfectionInfections and infestations
Rash Maculo-PapularSkin and subcutaneous tissue disorders
Abdominal PainGastrointestinal disorders
Dry MouthGastrointestinal disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
SomnolenceNervous system disorders
HypertensionVascular disorders
Oral HerpesInfections and infestations
RhinitisInfections and infestations
Weight DecreasedInvestigations
HypertriglyceridaemiaMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
HaematuriaRenal and urinary disorders
Vaginal HaemorrhageReproductive system and breast disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Oropharyngeal PainRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
HyperhidrosisSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
VertigoEar and labyrinth disorders

Most-reported serious reactions: Diarrhoea, Disease Progression, Pneumonia, Urinary Tract Infection, Pneumonitis, Pulmonary Embolism, Cardiac Failure, Large Intestinal Obstruction.

Data from ClinicalTrials.gov NCT01420081 adverse events section.

Sponsor's own description

This study will investigate the individual safety and efficacy of two dual PI3K/mTOR inhibitors in patients with recurrent endometrial cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting mTOR for cancer therapy.
    Hua H, Kong Q, Zhang H, Wang J, et al · · 2019 · cited 678× · PMID 31277692 · DOI 10.1186/s13045-019-0754-1
  2. Multifaceted role of mTOR (mammalian target of rapamycin) signaling pathway in human health and disease.
    Panwar V, Singh A, Bhatt M, Tonk RK, et al · · 2023 · cited 628× · PMID 37779156 · DOI 10.1038/s41392-023-01608-z
  3. Role of PI3K/AKT pathway in cancer: the framework of malignant behavior.
    Jiang N, Dai Q, Su X, Fu J, et al · · 2020 · cited 419× · PMID 32333246 · DOI 10.1007/s11033-020-05435-1
  4. Ras/Raf/MEK/ERK and PI3K/PTEN/Akt/mTOR cascade inhibitors: how mutations can result in therapy resistance and how to overcome resistance.
    McCubrey JA, Steelman LS, Chappell WH, Abrams SL, et al · · 2012 · cited 242× · PMID 23085539 · DOI 10.18632/oncotarget.659
  5. Targeted therapies in gynecological cancers: a comprehensive review of clinical evidence.
    Wang Q, Peng H, Qi X, Wu M, et al · · 2020 · cited 114× · PMID 32728057 · DOI 10.1038/s41392-020-0199-6
  6. First-in-Human Study of PF-05212384 (PKI-587), a Small-Molecule, Intravenous, Dual Inhibitor of PI3K and mTOR in Patients with Advanced Cancer.
    Shapiro GI, Bell-McGuinn KM, Molina JR, Bendell J, et al · · 2015 · cited 99× · PMID 25652454 · DOI 10.1158/1078-0432.ccr-14-1306
  7. Targeting the RAS oncogene.
    Takashima A, Faller DV. · · 2013 · cited 95× · PMID 23360111 · DOI 10.1517/14728222.2013.764990
  8. The genomics and genetics of endometrial cancer.
    O'Hara AJ, Bell DW. · · 2012 · cited 86× · PMID 22888282 · DOI 10.2147/agg.s28953

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