MetAP2 Inhibitor Combinations for Breast Cancer With Lower Hyperglycemia
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Solution Overview
Problem
Current treatments for triple-negative breast cancer (TNBC) and breast cancer with PIK3CA gene mutations are ineffective and induce dangerous side-effects, necessitating improved compositions and methods for treatment.
Innovation Solution
Combining MetAP2 inhibitors with eribulin, fulvestrant, alpelisib, or other therapeutic agents to treat cancer and mitigate treatment-induced hyperglycemia.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If cytotoxic chemotherapy is used to treat TNBC, then cancer cells are killed, but patient survival is limited and side effects occur
Solution Approach 1:
The patent changes the therapeutic parameter from cytotoxic chemotherapy to MetAP2 inhibition, targeting a different molecular pathway (methionine metabolism) to achieve cancer cell death while avoiding the side effects associated with traditional chemotherapy agents
Solution Approach 2:
The patent introduces MetAP2 inhibitors as an intermediary mechanism that blocks methionine metabolism in cancer cells, providing a novel pathway for treatment that does not rely on direct cytotoxic damage to cellular structures
2Reliability
If PI3Kα inhibitors are used to treat PIK3CA mutated breast cancer, then tumor growth is inhibited, but dangerous side effects such as hyperglycemia andhyperinsulinemia occur
Solution Approach 1:
The patent changes the therapeutic parameter from PI3Kα inhibition to MetAP2 inhibition, targeting methionine metabolism instead of the PI3K pathway, thereby achieving anti-tumor effects while avoiding metabolic side effects like hyperglycemia andhyperinsulinemia
Solution Approach 2:
The patent exploits the high methionine dependency of PIK3CA-mutated cancer cells as a vulnerability, using MetAP2 inhibitors to block their methionine metabolism and achieve selective toxicity against tumor cells while sparing normal cells from metabolic disruption
3Reliability
If hormonal therapy is used for ER-positive breast cancer, then tumor growth is controlled, but treatment resistance develops in certain subtypes
Solution Approach 1:
The patent changes the therapeutic parameter from hormonal pathway modulation to methionine metabolism inhibition, providing a mechanism that is effective across different breast cancer subtypes including those resistant to hormonal therapy
Solution Approach 2:
The patent develops MetAP2 inhibitors with universal applicability across multiple breast cancer subtypes (TNBC, ER-positive, PIK3CA-mutated), overcoming the subtype-specific limitations of hormonal therapy and other targeted approaches
Data Source
AI summary
The present disclosure provides pharmaceutical combinations comprising MetAP2 inhibitors for the treatment of cancer.


