Background:
Proteus syndrome is a rare overgrowth disorder. Most people begin to have symptoms between 6 months and 2 years of age. There are very few living adults with this disease. There is also no known treatment for it. Researchers want to see if a new drug can slow down or stop overgrowth in people with Proteus syndrome.
Objective:
To learn if miransertib is a safe and effective treatment for Proteus syndrome.
Eligibility:
People ages 3 and older with Proteus syndrome.
Design:
Participants will be screened with a medical checkup. They will answer questions about their medical history and current health. They will have a physical exam with vital signs. They will have an electrocardiogram to measure their heartbeat. They will give blood and urine samples. They will repeat the screening tests during the study.
Participants will take a miransertib pill once a day. They will bring their empty pill bottles with them to the NIH when they visit. If they can t swallow a pill, researchers will try to find other ways for them to take the drug.
Participants will have X-rays, ultrasounds, and imaging scans. Photos may be taken of their feet and other parts of the body that have or develop signs of Proteus syndrome.
Participants will have lung function tests to measure how much and how fast air moves out of their lungs.
Participants will complete surveys about their levels of pain, physical functioning, and quality of life.
Participants may have additional tests performed to assess their individual disease. They may have consultations with other specialists.
Participation lasts about 4 years. Participants will have 20-30 visits at the NIH.

开始日期2022-05-20

申办/合作机构

National Human Genome Research Institute

NCT04980872 / Active, not recruiting临床2期

A Multicenter, Open-label, Phase 2, Extension Trial to Study the Long-term Safety in Participants With PROS or Proteus Syndrome Who Are Currently Being Treated With Miransertib in Other Studies

This is a study of the safety and tolerability of oral miransertib (MK-7075) administered to participants at least 2 years of age with phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA)-related overgrowth spectrum (PROS) or Proteus Syndrome (PS). This is an extension of other miransertib studies (MK-7075-002 [NCT03094832] or ArQule CU/EAP [NCT03317366]), and may also enroll participants who are approved for MK-7075-002 but have not yet started miransertib therapy.

开始日期2021-11-02

申办/合作机构

Merck Sharp & Dohme Corp.

NCT03094832 / Terminated临床1/2期

A Phase 1/2 Study of ARQ 092 (Miransertib) in Subjects With PIK3CA-related Overgrowth Spectrum and Proteus Syndrome

This is an open label, Phase 1/2 study of oral miransertib (MK-7075) administered to participants at least 2 years of age with phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha (PIK3CA)-related Overgrowth Spectrum (PROS) and Proteus Syndrome (PS) (MOSAIC).

开始日期2017-05-16

申办/合作机构

Worldwide Clinical Trials LLC

100 项与 Miransertib 相关的临床结果

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100 项与 Miransertib 相关的转化医学

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100 项与 Miransertib 相关的专利（医药）

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项与 Miransertib 相关的文献（医药）

2024-10-01·VIRUS RESEARCH

A conserved role for AKT in the replication of emerging flaviviruses in vertebrates and vectors

Article

作者: Mas, Antonio ; Palmero Casanova, Blanca ; Sabariegos, Rosario ; Maringer, Kevin ; Albentosa González, Laura

One third of all emerging infectious diseases are vector-borne, with no licensed antiviral therapies available against any vector-borne viruses. Zika virus and Usutu virus are two emerging flaviviruses transmitted primarily by mosquitoes. These viruses modulate different host pathways, including the PI3K/AKT/mTOR pathway. Here, we report the effect on ZIKV and USUV replication of two AKT inhibitors, Miransertib (ARQ-092, allosteric inhibitor) and Capivasertib (AZD5363, competitive inhibitor) in different mammalian and mosquito cell lines. Miransertib showed a stronger inhibitory effect against ZIKV and USUV than Capivasertib in mammalian cells, while Capivasertib showed a stronger effect in mosquito cells. These findings indicate that AKT plays a conserved role in flavivirus infection, in both the vertebrate host and invertebrate vector. Nevertheless, the specific function of AKT may vary depending on the host species. These findings indicate that AKT may be playing a conserved role in flavivirus infection in both, the vertebrate host and the invertebrate vector. However, the specific function of AKT may vary depending on the host species. A better understanding of virus-host interactions is therefore required to develop new treatments to prevent human disease and new approaches to control transmission by insect vectors.

2024-10-01·ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY

Hesperetin alleviates aflatoxin B1 induced liver toxicity in mice: Modulating lipid peroxidation and ferritin autophagy

Article

作者: Dong, Yulan ; Song, Chao ; Chen, Yaoxing ; Cao, Jing ; Wang, Zixu

One of the ways Aflatoxin B1 damages the liver is through ferroptosis. Ferroptosis is characterized by the build-up of lipid peroxides and reactive oxygen species (ROS) due to an excess of iron. Dietary supplements have emerged as a promising strategy for treating ferroptosis in the liver. The flavonoid component hesperetin, which is mostly present in citrus fruits, has a number of pharmacological actions, such as those against liver fibrosis, cancer, and hyperglycemia. However, hesperetin's effects and mechanisms against hepatic ferroptosis are still unknown. In this study, 24 male C57BL/6 J mice were randomly assigned to CON, AFB1 (0.45 mg/kg/day), and AFB1+ hesperetin treatment groups (40 mg/kg/day). The results showed that hesperetin improved the structural damage of the mouse liver, down-regulated inflammatory factors (Cxcl1, Cxcl2, CD80, and F4/80), and alleviated liver fibrosis induced by aflatoxin B1. Hesperetin reduced hepatic lipid peroxidation induced by iron accumulation by up-regulating the levels of antioxidant enzymes (GPX4, GSH-Px, CAT, and T-AOC). It is worth noting that hesperetin not only improved lipid peroxidation but also maintained the dynamic balance of iron ions by reducing ferritin autophagy. Mechanistically, hesperetin's ability to regulate ferritin autophagy mostly depends on the PI3K/AKT/mTOR/ULK1 pathway. In AFB1-induced HepG2 cells, the addition of PI3K inhibitor (LY294002) and AKT inhibitor (Miransertib) confirmed that hesperetin regulated the PI3K/AKT/mTOR/ULK1 pathway to inhibit ferritin autophagy and reduced the degradation of ferritin in lysosomes. In summary, our results suggest that hesperetin not only regulates the antioxidant system but also inhibits AFB1-induced ferritin hyperautophagy, thereby reducing the accumulation of iron ions to mitigate lipid peroxidation. This work provides a fresh perspective on the mechanism behind hesperetin and AFB1-induced liver damage in mice.

2024-06-01·World Journal of Oncology

Synergistic Effects of Neratinib in Combination With Palbociclib or Miransertib in Brain Cancer Cells

Article

作者: Ashkan, Keyoumars ; Modjtahedi, Helmout ; Mulliqi, Ermira ; Morgan, Anna ; Khelwatty, Said

Background:

Aberrant expression and activation of epidermal growth factor receptor (EGFR) resulted in approval of several forms of EGFR inhibitors in the treatment of patients with a wide range of epithelial cancers. However, no EGFR inhibitor has yet been approved for the treatment of patients with brain cancer, indicating that targeting EGFR alone may not be sufficient in some patients.

Methods:

In this study, we investigated the role of all members of the EGFR family, other growth factor receptors, cell-cycle proteins, and downstream cell signaling pathways (e.g., mitogen-activated protein kinase (MAPK), serine/threonine protein kinase (AKT), signal transducer and activator of transcription (STAT3), Src, Abelson murine leukemia viral oncogene homolog (Abl)) on the growth of a panel of human brain cancer cell lines (HBCCLs). We examined the growth response of HBCCLs to treatment with 17 targeted agents compared to two cytotoxic drugs.

Results:

Of the targeted agents, the irreversible pan-human epidermal growth factor receptor (HER) inhibitors neratinib and afatinib were more effective than erlotinib and lapatinib at inhibiting the growth of all HBCCLs, and the cyclin-dependent kinase (CDK)1/2/5/9 inhibitor dinaciclib was the most potent targeted agent. We found that treatment with Src/Abl/c-kit inhibitor dasatinib, signal transducer and activator of transcription (STAT3) inhibitor stattic, Abl/platelet-derived growth factor receptor (PDGFR)α/vascular endothelial growth factor (VEGFR)2/fibroblast growth factor receptor (FGFR)1 inhibitor ponatinib, and the tropomyosin receptor kinase (TRK)/ROS proto-oncogene 1 receptor tyrosine kinase (ROS)/anaplastic lymphoma kinase (ALK) inhibitor entrectinib, also inhibited the growth of all HBCCLs. Interestingly, these agents were more effective in inhibiting growth of HBCCLs when proliferating at a slower rate. In addition to inhibiting the proliferation of HBCCLs, treatment with neratinib, dinaciclib, dasatinib, stattic and trametinib inhibited the migration of brain tumor cell line A172.

Conclusions:

Notably, we found that treatment with neratinib in combination with palbociclib (CDK4/6 inhibitor), or miransertib (AKT1/2/3 inhibitor) resulted in synergistic growth inhibition of all HBCCLs. Our results support that repurposing drugs like neratinib in combination with the palbociclib or miransertib may be of therapeutic potential in brain cancer and warrants further investigations.

项与 Miransertib 相关的新闻（医药）

2023-04-27

·FierceBiotech

Merck reveals HIV combo trial is back in the running after FDA partial hold lifted

Merck executives said on a first-quarter earnings call that the company is restarting a phase 2 trial testing a combination of islatravir and Gilead’s lenacapavir. The middle of Merck & Co.’s clinical batting order took center stage on the company’s first-quarter earnings call, including a phase 2 HIV combo therapy that once again returned to the lineup. The Big Pharma has resumed a phase 2 study of MK-8591D, an oral regimen of islatravir and Gilead’s Sunlenca, executives said on a call with analysts Thursday. Gilead's drug was approved in December as a twice-yearly treatment for patients with multi-drug resistant HIV. The two companies decided to slam the brakes on the trial back in November 2021 after dosing was stopped in a related study testing a combo of islatravir and another drug called MK-8507. At the time, Merck disclosed that the islatravir-MK-8507 combo spurred a reduction in patients’ lymphocyte and CD4+ T-cell levels. But now islatravir is being revived, with an FDA hold on the trial having been lifted after an amended protocol using a lower dose of islatravir was agreed to, according to a Merck spokesperson. In addition, the company is launching multiple new phase 3 studies testing the med with its FDA-approved HIV drug Pifeltro. “We are committed to advancing the science to offer new treatment options for the treatment of HIV,” Dean Li, M.D., Ph.D., president of Merck Research Labs, said on the call. But elsewhere the company is reevaluating priorities. A spokesperson confirmed to Fierce Biotech that MK-7075, a treatment for overgrowth syndrome that did not appear in the company's earnings presentation, is "not currently active." The med is still in development but is being deprioritized, the spokesperson explained. The mid-stage pipeline updates come as Merck’s executives touted internal and external victories meant to assure investors that its post-Keytruda plans were materializing. Less than two weeks ago, the company announced it was buying Prometheus Biosciences for $10.8 billion, an immunology company with a promising lead asset developed to treat ulcerative colitis and Crone’s disease that recently posted a phase 2 victory. That med, PRA023, is set to do battle with a competitor from Roivant that's so far performed similarly. The deal echoes Merck’s $11.5 billion acquisition of Acceleron Pharma in September 2021, which handed the New Jersey pharma keys to cardiovascular med sotatercept, now a potential crown jewel. After diving deeper into the med’s phase 3 victory, Merck executives said today that they plan to file for U.S. approval in the third quarter for patients with pulmonary arterial hypertension. Chief Medical Officer Eliav Barr, M.D., previously told Fierce Biotech that he expects the drug to launch in early 2024. The sum of the Big Pharma’s recent deals and internal development had CEO Rob Davis sounding confident that Merck is well-situated to thrive beyond Keytruda’s expected loss of exclusivity in 2028. “I am no longer focusing on 2028,” he said on the call. “I am looking at 'how do we have sustainable growth well into the next decade.'"

临床2期并购临床3期上市批准

2022-10-26

·BiG生物创新社

金坚团队：首个靶向AKT变构位点的PROTAC

西奈山伊坎医学院金坚教授团队长期深耕于靶向蛋白降解领域，致力于蛋白降解药物的设计与开发，以及推进这些技术的临床应用与转化。该团队已经成功开发了多种靶点的PROTAC，克服了传统小分子药物的种种缺陷，为靶向蛋白降解领域的研发不断注入强心剂。包括：组蛋白甲基转移酶NSD家族NSD2/3，激酶家族AKT和ALK，EGFR以及表观遗传家族靶点EZH2等。此外，金坚教授团队也开发了其他新型PROTAC技术：1、叶酸笼罩的Folate-Caged PROTACs，该类PROTAC进一步提高了PROTAC的细胞选择性。2、基于寡核苷酸链的TF-PROTACs，成功实现了对不可成药转录因子的降解。3、光诱导PROTACopto-PROTAC，实现了PROTAC的可控激活。4、靶向WDR5 和Ikaros的双靶点PROTAC5、开发新型的E3连接酶KEAP1配体，并成功用于BRD3/4的降解。进一步拓展了靶向蛋白质降解的有限工具箱。前言AKT是癌症治疗的一个重要靶点。近年来，在开发ATP竞争性的活性位点和变构位点的AKT抑制剂方面取得了重大进展，多款AKT小分子抑制剂获批临床。此外，研究人员也开发了多种基于AKT活性位点的PROTAC，包括MS21。MS21可以有效诱导PI3K/pten通路突变的肿瘤细胞中AKT的降解，并有效抑制肿瘤细胞增殖生长，但在KRAS/BRAF突变细胞中却显得束手无策，无法降解AKT蛋白。近日，西奈山伊坎医学院金坚教授团队和Ramon E. Parsons团队在知名药物化学期刊JMC上发表题为“Novel Allosteric Inhibitor-Derived AKT Proteolysis Targeting Chimeras (PROTACs) Enable Potent and Selective AKT Degradation in KRAS/BRAF Mutant Cells”的文章。作者开发了首个基于变构位点的新型AKT PROTAC 62，并且化合物62在KRAS/BRAF突变的癌细胞以及PI3k/pten突变的癌细胞中均显示出强效的AKT降解活性和抗增殖活性。此外，62在通过腹腔内给药的小鼠体内表现出良好的生物利用度和PK性质。作者 | 缪可研AKT靶点介绍AKT（蛋白激酶b）是一种丝氨酸/苏氨酸激酶，属于丝氨酸蛋白激酶家族。AKT作为人类癌症中最常见的PI3K/AKT/m-TOR信号级联的中心节点，在调节癌症特征中发挥关键作用，如细胞增殖、代谢、转移、侵袭性和肿瘤细胞的存活（图1）。AKT由三个高度同源的亚型组成，AKT1/2/3，它们都有三个进化上保守的结构域：一个N端PH结构域，一个中心激酶催化结构域和一个C端调控结构域。研究表明，AKT的过度活化和过表达与许多总体预后较差的人类癌症有关。图1.AKT介导的信号通路AKT小分子抑制剂研究进展AKT是一种极具临床潜力的药物靶点。在过去数十年来，基于AKT领域的药物研发已经取得了积极的研究成果，多款AKT小分子抑制剂相继获批临床，包括靶向AKT活性位点的小分子抑制剂：GSK690693、GDC-0068、AZD5363和靶向AKT变构位点的抑制剂：MK-2206、ARQ-092、TAS-117。进展最快的是罗氏的GDC-0068和阿斯利康的AZD5363，目前均处于临床三期。然而，基于活性位点的AKT抑制剂具有严重的副作用，包括高血糖、血小板减少和感染，而AKT变构抑制剂在人体临床试验中也表现出有限的疗效。图2.进入临床试验的AKT小分子抑制剂已报道的基于活性位点抑制剂的AKT PROTAC基于靶向蛋白水解嵌合体PROTAC或分子胶的靶向蛋白降解技术（TPD）是一种通过降解致病靶蛋白来治疗疾病的治疗策略。通常，由PROTAC或分子胶诱导的泛素−蛋白酶体系统（UPS）介导的降解可以同时靶向癌蛋白的催化和非催化结构域，这可能产生比小分子激酶抑制剂更大的疗效。近年来，研究人员已经开发了多种靶向活性位点的AKT PROTAC（图3），其中，MS21是已报道最有效的AKT降解剂，然而MS21不能有效诱导携带KRAS或BRAF突变的癌细胞中AKT的降解。为了克服MS21等靶向活性位点PROTAC在携带KRAS/BRAF突变的癌细胞较差的降解AKT能力。作者另辟蹊径，试图从AKT的变构抑制剂切入，开发新型的靶向变构位点的AKT降解剂。图3.已报道的靶向活性位点的AKT PROTAC下面让我们一起走进这篇文献：1. 基于ARQ-092 PROTAC的设计思路及合成研究表明，与ATP竞争性结合的AKT活性位点抑制剂优先结合激活的AKT（磷酸化的AKT，p-AKT）。由于在KRAS/BRAF突变的肿瘤细胞系中，磷酸化AKT蛋白水平较低，这就影响了与ATP竞争性结合的活性位点抑制剂的效果，从而导致耐药。与靶向活性位点抑制剂不同，AKT变构抑制剂可以结合并稳定AKT的失活形式。因此，靶向AKT变构位点的PROTAC有可能在含有KRAS/BRAF突变的癌细胞中参与结合失活的AKT，这就可能诱导MS21耐药肿瘤细胞系中AKT的降解。首先，作者选取了AKT变构抑制剂ARQ-092作为AKT PROTAC的靶头化合物，随后通过对ARQ-092与AKT1的晶体复合物进行分析，作者发现ARQ-092中的左侧苯环伸向溶剂区（图4）。因此，作者选用该位点作为连接位点进行衍生化，分别合成了末端是羧基和氨基的化合物1（末端羧基）和2（末端氨基）。随后，作者基于化合物1和2开展PROTAC合成工作。图4. ARQ-092与AKT1的晶体复合物及化合物1和2的化学结构VHL配体VHL-1和CRBN配体泊马度胺是最常用的两种E3泛素连接酶配体。作者同时采用这两种E3配体，分别合成了基于VHL配体和CRBN配体两种类型的AKT PROTAC。最先开展的是基于化合物1（末端羧基）的PROTAC合成（图5）。其中，化合物3-20是基于VHL配体的PROTAC，作者分别合成了不同长度的聚乙二醇和烷烃链两种类型PROTAC。同时作者也合成了基于泊马度胺的PROTAC 21-32，同样采用了不同长度的聚乙二醇和烷烃链两种连接链类型。图5.基于化合物1的AKT PROTAC接下来，作者合成了基于化合物2（末端氨基）PROTAC 33-61（图6）。其中，化合物33-49是基于VHL配体的PROTAC，化合物50-61是基于泊马度胺的PROTAC。并且作者同样也考察了不同长度的聚乙二醇和烷烃链的连接链类型，其中化合物33-41和57-61是聚乙二醇类型的PROTAC，化合物42-49和50-56是烷烃链类型的PROTAC。图6.基于化合物2的AKT PROTAC2. PROTAC蛋白降解能力初筛实验接下来，作者在PC3细胞系（人前列腺癌细胞）上筛选合成的PROTAC 3-61对AKT蛋白的降解能力（图7）。蛋白降解实验表明基于VHL配体的PROTAC比基于泊马度胺的PROTAC具有更强的降解能力，且烷烃链比聚乙二醇链更有效。作者从构效关系研究发现了PROTAC 20、48和49具有较强的AKT降解能力，并可以有效抑制下游信号传导，如：p-akt、p-pras40和p-s6。图7. 化合物3-61的蛋白降解实验3. 基于最优化合物20的进一步结构优化及后续生物活性研究有研究表明，VHL-2（VHL-1中苄位甲基取代的结构）对VHL具有更高的亲和力。因此，作者选用了降解活性最好的PROTAC 20进行进一步结构改造，将20中的VHL-1替换成具有更高亲和力的VHL-2，得到了PROTAC 62。作者也分别合成了化合物63和64作为阴性对照化合物（图8）。图8. PROTAC 62及阴性对照63和64的化学结构首先，作者分别测试了PROTAC 62、63、64及靶头化合物ARQ-092对AKT三种不同亚型（AKT1、AKT2、AKT3）的酶抑制活性（图9）。实验结果显示，相较于靶头化合物ARQ-092，PROTAC表现出减弱的抑制活性，但对于AKT1/2/3都具有抑制活性。图9. PROTAC 62、63、64及ARQ-092的酶活测试接下来，作者测试了PROTAC 62、63、64在MS21（已报道的降解活性最好的靶向活性位点PROTAC）耐药且KRAS突变的结直肠癌细胞系SW620的降解活性（图10）。实验结果表明，化合物62能够呈现浓度依赖方式有效诱导SW620中的AKT降解，且DC50为23±16 nM，而阴性对照63和64无降解活性。图10.化合物62在sw620中的降解实验随后，作者比较了62和MS21在其他几种携带KRAS或BRAF突变的癌细胞类型中的AKT降解效应（图11）。蛋白质印迹实验发现，化合物62可以有效诱导各种KRAS或BRAF突变的癌细胞中AKT的降解，而MS21表现出较差的AKT降解能力。图11. 62和MS21在各种携带KRAS或BRAF突变的癌细胞蛋白降解实验作者继续在SW620细胞系进行了蛋白降解机制研究（图12），实验结果表明化合物62可以以时间依赖的方式诱导AKT降解，并可以有效抑制磷酸化PRAS40蛋白水平。当加入NAE抑制剂MLN4924或蛋白酶体抑制剂MG132后，可以有效逆转AKT的降解效果。基于上述实验结果，作者认为化合物62诱导AKT蛋白的降解效果依赖于泛素蛋白酶体途径。图12. 蛋白降解机制研究实验为了探究PROTAC 62蛋白质组范围内的降解选择性，作者对化合物62进行了基于全局串联质谱标签TMT定量蛋白分析的蛋白质组学研究，实验结果表明化合物62不能降解其他靶点蛋白，具有较好的靶点选择性（图13）。图13.化合物62的蛋白质组学研究接下来，作者在SW620细胞系上测试了化合物62、靶头化合物ARQ-092、阴性对照64及降解剂MS21的抗增殖活性（图14）。从细胞集落形成实验可以看出，化合物62对SW620抑制活性与ARQ-092相当，而阴性对照化合物64和MS21表现出较弱抑制活性。图14. 化合物62、64、ARQ-092、MS21的细胞集落形成实验最后，作者对化合物62进行了PK研究（图14），评估化合物62在小鼠体内的生物利用度。实验结果发现在给药后0.5 h可达到最大血药浓度（Cmax = 1 μM），血药浓度保持在100 nM以上至少可维持12小时。这些结果表明，化合物62表现出较好的PK性质，在体内可以获得足够的血浆暴露。图14. 化合物62在小鼠血浆浓度测试总结金坚课题组报道了首个靶向变构位点的AKT PROTAC 62，PRORAC 62能够有效诱导KRAS/BRAF突变肿瘤细胞的AKT降解，这可能为靶向活性位点的MS21耐药KRAS/BRAF突变癌症提供一个潜在的策略。同时，化合物62表现出较强的降解活性、较好的靶点选择性以及较好的PK性质，这是靶向AKT PROTAC领域的一大步，也是靶向AKT领域的药物研发的一大步。参考文献1、Novel Allosteric Inhibitor-Derived AKT Proteolysis TargetingChimeras (PROTACs) Enable Potent and Selective AKT Degradation in KRAS/BRAF Mutant Cells.2、Exploiting the PI3K/AKT pathway for cancer drug discovery. Nat. Rev. Drug Discovery 2005, 4 (12), 988−1004.3、Harnessing the E3 Ligase KEAP1 for Targeted Protein Degradation. DOI: 10.1021/jacs.1c04841. J. Am. Chem. Soc.2021, 143, 37, 15073–150834、4、TF-PROTACs Enable Targeted Degradation of Transcription Factors.J. Am. Chem. Soc.2021, 143, 23, 8902–8910. doi.org/10.1021/jacs.1c03852扫码加入BiG生物创新社读者交流群，分享、交流纯粹的行业知识，非诚勿扰！BiGScientific Driven, Making Impact!创新生态丨医药论坛丨行业分析媒体公关丨BiG Webinar联系我们商务：Max 18662346610媒体：Kathy 17621909690

蛋白降解靶向嵌合体小分子药物免疫疗法

100 项与 Miransertib 相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D11409	-	-	DB14982

研发状态

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适应症	最高研发状态	国家/地区	公司	日期
生长障碍	临床2期	西班牙	Merck GmbH	2019-09-19
PIK3CA相关的过度生长现象	临床2期	美国	-	2017-05-16
PIK3CA相关的过度生长现象	临床2期	澳大利亚	-	2017-05-16
PIK3CA相关的过度生长现象	临床2期	意大利	-	2017-05-16
PIK3CA相关的过度生长现象	临床2期	西班牙	-	2017-05-16
Proteus综合征	临床2期	美国	-	2017-05-16
Proteus综合征	临床2期	澳大利亚	-	2017-05-16
Proteus综合征	临床2期	意大利	-	2017-05-16
子宫内膜癌	临床1期	美国	ArQule, Inc.	2015-06-09
子宫内膜癌	临床1期	美国	-	2015-06-09

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临床结果

适应症

分期

评价

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT03094832 (MK-7075-002 \| 7075-002 \| MOSAIC, CTgov)	临床1/2期	PIK3CA相关的过度生长现象 \| Proteus综合征	50	Miransertib (Part A: Miransertib PROS/PS)	簾構齋廠構範鑰齋醖壓(構窪餘顧蓋廠顧遞膚襯) = 糧製願淵鹽齋繭窪憲繭壓繭鏇壓艱廠鬱夢觸範 (壓憲窪鑰糧獵醖鬱觸範, 簾網齋壓膚鹹鑰繭繭簾 ~ 觸壓淵網醖齋艱憲鏇醖) 更多	-	2023-03-31
NCT03094832 (MK-7075-002 \| 7075-002 \| MOSAIC, CTgov)	临床1/2期	PIK3CA相关的过度生长现象 \| Proteus综合征	50	Miransertib (Part B: Miransertib PROS (Cohort 1))	簾構齋廠構範鑰齋醖壓(構窪餘顧蓋廠顧遞膚襯) = 觸製窪範憲廠憲膚餘網壓繭鏇壓艱廠鬱夢觸範 (壓憲窪鑰糧獵醖鬱觸範, 淵廠鬱遞窪齋顧蓋選憲 ~ 鏇衊鏇衊鑰鹽網壓簾顧) 更多	-	2023-03-31
NCT03094832 (MK-7075-002 \| 7075-002 \| MOSAIC, Biospace) 人工标引	临床1/2期	PIK3CA相关的过度生长现象 \| Proteus综合征	-	Miransertib	糧壓廠窪繭憲壓遞衊願(夢觸鹽膚淵壓選鹹鹹壓) = mostly Grade 1 or 2 AEs 鹽憲膚觸淵網築齋襯網 (蓋遞齋選網鬱繭膚獵夢 ) 更多	积极	2019-06-17
NCT02594215 (Pubmed \| Am J Hum Genet) 人工标引	N/A	Proteus综合征	6	Miransertib	夢顧獵憲簾蓋積齋獵壓(範願構夢鹹襯衊製艱網) = 50% reduction (5/6) 顧鑰艱鏇鏇遞選鏇淵鹹 (範鏇餘膚壓壓鹹鏇鏇鑰 )	积极	2019-03-07
NCT02476955 (AACR2018) 人工标引	临床1期	卵巢癌 \| 子宫内膜癌 PIK3CA Mutation \| AKT1 Mutation \| ER Positive	11	anastrozole+miransertib	艱憲獵淵選繭壓襯膚醖(憲製糧構窪鹽淵積簾蓋) = 4 pts[rash (n=2), ALT increase (n=1), and hyperglycemia (n=1)] 選蓋製鏇構壓衊網糧艱 (鹽淵遞觸窪衊壓獵齋顧 ) 更多	积极	2018-07-01
NCT02476955 (ASCO2017) 人工标引	临床1期	实体瘤	13	carboplatin+paclitaxel+ARQ 092	構簾壓鏇選範窪艱壓觸(鏇範鬱簾壓膚窪製顧遞) = diarrhea 69%, fatigue 54%, hyperglycemia 31%, maculopapular rash 31%, nausea 23%, mucosal inflammation 23%, anemia 15%, platelet count decreased 15% and hypokalemia 15% 壓鑰鬱網鬱選築蓋廠壓 (鏇觸鹹壓膚醖窪構窪膚 ) 更多	积极	2017-06-05
AACR2013	临床1期	HR阳性/HER2低表达实体瘤	22	ARQ 092	獵鹹鑰齋築選鬱鹹獵鬱(積淵衊觸鹹餘觸醖積範) = 遞範夢鹹鬱齋遞蓋糧製獵窪繭獵夢壓餘憲糧築 (齋簾餘遞膚憲觸憲製鏇 )	-	2013-04-15