Targeting the PI3K/AKT/mTOR pathway with MLN0128 (mTORC1/2 inh) and MLN1117 (PI3K alpha inh) in bladder cancer: Rational for its testing in clinical trials.

Authors

null

Alejandro Martinez

University Hospital del Mar, IMIM, Barcelona, Spain

Alejandro Martinez , Anna Hernandez , Oriol Arpi , Silvia Menendez , Natalia Iarchouk , Elena Gavilan , Beatriz Bellosillo , Montserrat Arumí , Federico Rojo , Stephanie A. Mullane , Toni K. Choueiri , Ana Rovira , Joan Albanell , Rachael Brake , Joaquim Bellmunt

Organizations

University Hospital del Mar, IMIM, Barcelona, Spain, Cancer Research Program, IMIM (Hospital del Mar Research Institute), Medical Oncology Department, Hospital del Mar, Barcelona, Spain, Takeda Pharmaceuticals International Co., Cambridge, MA, Molecular Cytogenetics Laboratory, Department of Pathology, University Hospital del Mar, Barcelona, Spain, Hospital del Mar, IMIM, Barcelona, Spain, University Hospital del Mar, IMIM, Madrid, Spain, Bladder Cancer Center, Dana-Farber Cancer Institute, Brigham and Women's Cancer Center, Boston, MA, Dana-Farber Cancer Institute, Boston, MA, Department of Medical Oncology, University Hospital del Mar-IMIM, Barcelona, Spain

Research Funding

No funding sources reported

Background: PI3K/AKT/mTOR pathway is a promising target for cancer treatment being commonly deregulated in human bladder tumors and resulting in the promotion of tumor cell growth, survival, and resistance to chemotherapy. The aim of this study is to characterize the effects of MLN0128, a novel mammalian target of rapamycin (mTOR) complex 1 and 2 (mTORC1/2) dual inhibitor, and MLN1117, an orally bioavailable inhibitor of the class I phosphoinositide 3-kinase (PI3K) alpha isoform that may be more efficacious and less toxic than pan-PI3K inhibitors as bladder cancer therapies. Methods: We evaluated the effects of MLN0128 and MLN1117 both as single agents and in combination with each other or with a SOC chemotherapy agent (paclitaxel). The effects of the agents alone or in combination were analysed in a panel of six bladder cancer cell lines and in tumor xenografts. These models were selected based on specific genomic alterations that could be considered as potential therapeutic targets (PIK3CA and TSC mutations). Molecular effects of both agents and the combinations on cell-cycle, apoptosis, autophagy and on cell viability were tested in the bladder cancer cell lines. The in vivo effects on tumor growth inhibition were also assessed. Results: Both MLN0128 and MLN1117 inhibit the PI3K/AKT/mTOR pathway and reduce cell proliferation in bladder cancer cell lines with diverse genetic backgrounds. Combination of MLN0128 + MLN1117 produced synergistic antiproliferative effects in cell lines and improved the effect of each drug alone in vitro and in vivo, with no signs of toxicity in these models. Similar effects were observed with the combination of paclitaxel + MLN0128. Conclusions: Our results show that MLN0128 and MLN1117 are promising investigational agents that might be of value for bladder cancer patients. Further investigation as novel anti-cancer agents alone or in combination with chemotherapy in clinical trials in humans is warranted.

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Abstract Details

Meeting

2015 Genitourinary Cancers Symposium

Session Type

Poster Session

Session Title

General Poster Session B: Prostate, Penile, Testicular, and Urethral Cancers, and Urothelial Carcinoma

Track

Urothelial Carcinoma,Prostate Cancer,Penile, Urethral, and Testicular Cancers

Sub Track

Urothelial Carcinoma

Citation

J Clin Oncol 33, 2015 (suppl 7; abstr 369)

DOI

10.1200/jco.2015.33.7_suppl.369

Abstract #

369

Poster Bd #

H6

Abstract Disclosures

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