Evidence map›Paper›PMID 25370471›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

First-in-human phase I study of pictilisib (GDC-0941), a potent pan-class I phosphatidylinositol-3-kinase (PI3K) inhibitor, in patients with advanced solid tumors.

Debashis Sarker, Joo Ern Ang, Richard Baird, Rebecca Kristeleit, Krunal Shah, Victor Moreno, Paul A Clarke, Florence I Raynaud, Gallia Levy, Joseph A Ware and 12 more

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 189 papers.

0numbers the graph read from it
0cells of the map it votes in
189citing papers in PubMed
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

189 citing papers in PubMed, 356 citations in OpenAlex.

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  11. Thieno[3,2-International journal of molecular sciences · 2026
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  19. Advancing influenza virus treatment:Materials today. Bio · 2025
    Article
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129 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 1 institution in 1 country.

Debashis Sarker *The Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Joo Ern Ang *The Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Richard BairdThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Rebecca KristeleitThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Krunal ShahThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Victor MorenoThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Paul A ClarkeThe Institute of Cancer Research, London, United Kingdom.
Florence I RaynaudThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Gallia LevyGenentech Inc., South San Francisco, California, United States of America.
Joseph A WareGenentech Inc., South San Francisco, California, United States of America.
Kathryn MazinaGenentech Inc., South San Francisco, California, United States of America.
Ray LinGenentech Inc., South San Francisco, California, United States of America.
Jenny WuGenentech Inc., South San Francisco, California, United States of America.
Jill FredricksonGenentech Inc., South San Francisco, California, United States of America.
Jill M SpoerkeGenentech Inc., South San Francisco, California, United States of America.
Mark R LacknerGenentech Inc., South San Francisco, California, United States of America.
Yibing YanGenentech Inc., South San Francisco, California, United States of America.
Lori S FriedmanGenentech Inc., South San Francisco, California, United States of America.
Stan B KayeThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Mika K DerynckGenentech Inc., South San Francisco, California, United States of America.
Paul WorkmanThe Institute of Cancer Research, London, United Kingdom.
Johann S de BonoThe Royal Marsden National Health Service (NHS) Foundation Trust, Sutton, Surrey, United Kingdom.
Institute of Cancer Research · GB

Funding

Cancer Research UK 11566Cancer Research UK 16057Cancer Research UK A15573Medical Research Council G0502133Wellcome TrustWellcome Trust 090952/Z/09/Z
6 · The paper itself

Abstract

purposeThis first-in-human dose-escalation trial evaluated the safety, tolerability, maximal-tolerated dose (MTD), dose-limiting toxicities (DLT), pharmacokinetics, pharmacodynamics, and preliminary clinical activity of pictilisib (GDC-0941), an oral, potent, and selective inhibitor of the class I phosphatidylinositol-3-kinases (PI3K). PATIENTS AND

methodsSixty patients with solid tumors received pictilisib at 14 dose levels from 15 to 450 mg once-daily, initially on days 1 to 21 every 28 days and later, using continuous dosing for selected dose levels. Pharmacodynamic studies incorporated (18)F-FDG-PET, and assessment of phosphorylated AKT and S6 ribosomal protein in platelet-rich plasma (PRP) and tumor tissue.

resultsPictilisib was well tolerated. The most common toxicities were grade 1-2 nausea, rash, and fatigue, whereas the DLT was grade 3 maculopapular rash (450 mg, 2 of 3 patients; 330 mg, 1 of 7 patients). The pharmacokinetic profile was dose-proportional and supported once-daily dosing. Levels of phosphorylated serine-473 AKT were suppressed >90% in PRP at 3 hours after dose at the MTD and in tumor at pictilisib doses associated with AUC >20 h·μmol/L. Significant increase in plasma insulin and glucose levels, and >25% decrease in (18)F-FDG uptake by PET in 7 of 32 evaluable patients confirmed target modulation. A patient with V600E BRAF-mutant melanoma and another with platinum-refractory epithelial ovarian cancer exhibiting PTEN loss and PIK3CA amplification demonstrated partial response by RECIST and GCIG-CA125 criteria, respectively.

conclusionPictilisib was safely administered with a dose-proportional pharmacokinetic profile, on-target pharmacodynamic activity at dose levels ≥100 mg and signs of antitumor activity. The recommended phase II dose was continuous dosing at 330 mg once-daily.

Indexed as

Phosphoinositide-3 Kinase InhibitorsAdministration, OralAdultAgedDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleHumansIndazolesMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPhosphatidylinositol 3-KinasesProtein Kinase InhibitorsProto-Oncogene Proteins B-raf2-(1H-indazol-4-yl)-6-(4-methanesulfonylpiperazin-1-ylmethyl)-4-morpholin-4-ylthieno(3,2-d)pyrimidineBRAF protein, humanIndazolesPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsProto-Oncogene Proteins B-rafSulfonamides

Identifiers

PMID25370471
PMCPMC4287394
OpenAlexW2128855114

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.