Alpelisib (** Piqray (brand name), alpelisib (generic name) **)

Other Medications

EU Experimental ES Not available 2 Clinical Trials

Description

Alpelisib is a medication currently being studied in clinical trials for certain types of colorectal cancer (CRC). It is specifically being investigated for patients whose tumors have a PIK3CA mutation. PIK3CA mutations are changes in a gene that can affect how cancer cells grow and divide. Alpelisib is being tested in combination with capecitabine, a type of chemotherapy, to see if it can help slow down the growth or spread of the cancer. The goal of the trials is to find the best dose of alpelisib and to see how effective this combination is in patients with PIK3CA-mutated CRC. It is not yet approved for use in CRC.

Mechanism of Action

Alpelisib is designed to target a specific protein involved in cell signaling pathways that control cell growth, survival, and division. In some cancers, including those with PIK3CA mutations, this pathway is overactive, contributing to uncontrolled cell growth. Alpelisib works by inhibiting this protein, potentially slowing down or stopping the growth of cancer cells that rely on this pathway. The specific protein targeted by alpelisib is part of the PI3K pathway.

Side Effects

As alpelisib is still in clinical trials for CRC The full range of side effects is still being evaluated. Common side effects observed in trials for other cancers include hyperglycemia (high blood sugar) Rash Diarrhea Nausea Fatigue And decreased appetite. Patients participating in clinical trials are closely monitored for side effects. More specific side effect data from the CRC trials (like NCT04753203) is not yet available publicly But will be reported as the trials progress.

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05564377 Phase 2
Recruiting
Targeted Therapy Directed by Genetic Testing in Treating Patients With Locally Advanced or Advanced Solid Tumors, The ComboMATCH Screening Trial
United States, Puerto Rico
NCT04753203 Phase 1
Unknown
Alpelisib and Capecitabine in Patients With PIK3CA Mutant mCRC Patients
South Korea