Publications by authors named "Emma J Dean"

Article Synopsis
  • This Phase I clinical trial evaluated AZD5363, an oral pan-AKT inhibitor, to assess its safety, tolerability, and pharmacokinetics in patients with advanced solid tumors.
  • The study found maximum tolerated doses (MTDs) to be 320, 480, and 640 mg for different dosing schedules, with common side effects including diarrhea and nausea.
  • Although the recommended Phase II dose of 480 mg led to some reductions in tumor size for patients with certain mutations, the observed response rates were below the threshold to continue enrollment in those cohorts.
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Article Synopsis
  • This study investigated the effectiveness of AZD5363, a drug that inhibits the AKT kinase, specifically in patients with cancer caused by AKT1 E17K mutations, which are found in various cancers but at low rates.! -
  • In a trial involving 58 patients with advanced cancer, those with AKT1 E17K mutations experienced a median progression-free survival (PFS) of 5.5 months, with variations depending on cancer type, highlighting the drug's potential effectiveness.! -
  • The study also identified that specific genetic changes and lower levels of AKT1 E17K in the blood were linked to better treatment responses, while common side effects included hyperglycemia, diarrhea, and rash,
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Purpose: Receptor tyrosine kinases c-Met and Ron transduce signals regulating cell migration and matrix invasion. This phase I dose-escalation trial tested golvatinib, a highly potent, small-molecule, ATP-competitive inhibitor of c-Met and multiple members of the Eph receptor family plus c-Kit and Ron.

Experimental Design: Patients with advanced solid tumors received golvatinib orally, once daily, continuously.

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Small cell lung cancer (SCLC) is an aggressive disease in which, after initial sensitivity to platinum/etoposide chemotherapy, patients frequently relapse with drug-resistant disease. Deregulation of the Bcl-2 pathway is implicated in the pathogenesis of SCLC, and early phase studies of Bcl-2 inhibitors have been initiated in SCLC. Obatoclax is a small-molecule drug designed to target the antiapoptotic Bcl-2 family members to a proapoptotic effect.

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Dysregulation of apoptosis has been shown to contribute to many diseases, including cancer formation, development and resistance, as well as neurodegenerative and autoimmune disorders. One mechanism through which tumour cells are believed to acquire resistance to apoptosis is by overexpression of X-linked inhibitor of apoptosis protein (XIAP), which belongs to a family of inhibitor of apoptosis proteins. When XIAP is overexpressed, cancer cells are rendered resistant to apoptosis, both intrinsically and in response to chemotherapy and radiotherapy.

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Lung cancer is the leading cause of cancer death worldwide. Despite the introduction of new agents and schedules, chemotherapy still obtains unsatisfactory overall response rates, rare complete remissions and responses of relatively short duration. The inhibitor of apoptosis proteins (IAPS) are a family of caspase inhibitors that selectively bind and inhibit caspases-3, -7, and -9.

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Breast cancer is the most prevalent cancer in women and, currently, there is no standard of care for the treatment of metastatic disease. Treatment options are based on a number of tumor- and patient-related factors. This review explores some of these options, including the use of hormonal manipulation in the treatment of hormone-positive disease, current chemotherapy options and the use of targeted therapies, such as trastuzumab.

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