Table 1:
Classes of PI3K Pathway Inhibitors
Class | Drug Target(s) | Drugs | Common Toxicities by Class |
---|---|---|---|
mTORC1 (mammalian target of rapamycin complex 1) inhibitors | mTORC1 kinase | Everolimus Temsirolimus Deforolimus | Stomatitis Rash Pneumonitis Hyperglycemia Immunosuppression |
mTORC1/mTORC2 inhibitors | mTORC1/mTORC2 kinases | Sapanisertib (TAK-228) AZD2014 | Hyperglycemia Rash Stomatitis Diarrhea |
Pan-pi3k inhibitors | All class ia pi3kS | Buparlisib (BKM120) Pilaralisib (XL147) Pictilisib (GDC-0941) GDC-0084 | Hyperglycemia Rash Neutropenia Neuropsychiatric effects (confusion, depression, anxiety) Hepatotoxicity Diarrhea |
Pan-Akt inhibitors | Three isoforms of Akt (Akt1, 2, and 3) | Capivasertib (AZD5363) Ipatasertib (GDC0068) MK2206 | Rash Hyperglycemia |
Dual pi3k and mTOR inhibitors | p110 subunit of pi3k and mTOR | Dactolisib (BEZ235) Voxtalisib (XL765) Gedatolisib Bimiralisib (PQR309) | Stomatitis Hyperglycemia Immunosuppression |
Isoform-specific pi3k inhibitors | pi3k p110α isoform | Alpelisib(BYL719) Taselisib (GDC-0032) Serabelisib (MLN1117) MEN1611 GDC-0077 | Hyperglycemia Rash Diarrhea Pneumonitis |
pi3k p110δ isoform | Idelalisib (CAL-101) Duvelisib (IPI-145) | Hyperglycemia Rash Diarrhea Hypertension | |
pi3k p110α and p110δ isoforms | Copanlisib | Hyperglycemia Hypertension Diarrhea Neutropenia |