Difference between revisions of "Alpelisib (Piqray)"

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==History of changes in FDA indication==
 
==History of changes in FDA indication==
*2019-05-24: Approved in combination with fulvestrant for postmenopausal women, and men, with [[Biomarkers#HR|hormone receptor (HR)]]-[[Biomarkers#Expression|positive]], [[Biomarkers#HER2|human epidermal growth factor receptor 2 (HER2)]]-[[Biomarkers#Normal_expression|negative]], [[Biomarkers#PIK3CA|PIK3CA]]-[[Biomarkers#SNV|mutated]], [[Contexts#Advanced_or_metastatic|advanced or metastatic]] [[breast cancer]] as detected by an FDA-approved test [[Contexts#Subsequent-line_therapy|following progression]] on or after an [[Regimen_classes#Endocrine-based_regimen|endocrine-based regimen]]. ''(Based on [https://clinicaltrials.gov/study/NCT02437318 Clinical Trial Registry] SOLAR-1])''
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*2019-05-24: Approved in combination with fulvestrant for postmenopausal women, and men, with [[Biomarkers#HR|hormone receptor (HR)]]-[[Biomarkers#Expression|positive]], [[Biomarkers#HER2|human epidermal growth factor receptor 2 (HER2)]]-[[Biomarkers#Normal_expression|negative]], [[Biomarkers#PIK3CA|PIK3CA]]-[[Biomarkers#SNV|mutated]], [[Contexts#Advanced_or_metastatic|advanced or metastatic]] [[breast cancer]] as detected by an FDA-approved test [[Contexts#Subsequent-line_therapy|following progression]] on or after an [[Regimen_classes#Endocrine-based_regimen|endocrine-based regimen]]. ''(Based on [https://clinicaltrials.gov/study/NCT02437318 NCT02437318] SOLAR-1])''
 
==History of changes in EMA indication==
 
==History of changes in EMA indication==
 
*2020-07-27: Initial authorization
 
*2020-07-27: Initial authorization

Revision as of 12:15, 4 July 2023

Mechanism of action

From NCI Drug Dictionary: An orally bioavailable phosphatidylinositol 3-kinase (PI3K) inhibitor with potential antineoplastic activity. Alpelisib specifically inhibits PIK3 in the PI3K/AKT kinase (or protein kinase B) signaling pathway, thereby inhibiting the activation of the PI3K signaling pathway. This may result in inhibition of tumor cell growth and survival in susceptible tumor cell populations.

Diseases for which it is used

Patient drug information

History of changes in FDA indication

History of changes in EMA indication

  • 2020-07-27: Initial authorization

History of changes in Health Canada indication

  • 2020-03-11: Initial notice of compliance in combination with fulvestrant for the treatment of postmenopausal women, and men, with hormone receptor-positive, HER2-negative, PIK3CA-mutated advanced or metastatic breast cancer after disease progression following an endocrine-based regimen.

Also known as

  • Code name: BYL719
  • Brand name: Piqray

References