Skip to main content

Many Receiving Alpelisib for Metastatic Breast Cancer Have Hyperglycemia

Medically reviewed by Drugs.com.

By Elana Gotkine HealthDay Reporter

MONDAY, Sept. 25, 2023 -- For patients with metastatic breast cancer receiving the PI3K inhibitor alpelisib, hyperglycemia often occurs, with a median time to onset of 16 days, according to a study published online Sept. 25 in Cancer.

Sherry Shen, M.D., from the Memorial Sloan Kettering Cancer Center in New York City, and colleagues describe the incidence, risk factors, and treatment of alpelisib‐associated hyperglycemia among patients with metastatic breast cancer who received alpelisib from 2013 to 2021.

Data were included for 247 patients; 152 (61.5 percent) developed any-grade hyperglycemia and 72 (29.2 percent) developed grade 3 to 4 hyperglycemia. There was a median of 16 days to hyperglycemia onset. The researchers found that 100 patients (40.5 percent) received alpelisib in a clinical trial; significantly higher rates of hyperglycemia were seen for patients treated as standard care versus in a clinical trial (any-grade hyperglycemia: 80.3 versus 34.0 percent; grade 3 to 4 hyperglycemia: 40.2 to 13.0 percent). There was a significant association seen for baseline hemoglobin A1c with development of hyperglycemia and alpelisib dose reduction/discontinuation. One hundred one (40.9 percent) of those who developed hyperglycemia received treatment, most often with metformin. Overall, 49 patients (19.8 percent) received referral to an endocrinologist, which was associated with prescription of sodium glucose cotransporter 2 inhibitor treatment.

"If a patient is identified to have a PI3KCA mutation and thus eligible for treatment with alpelisib, we should be checking hemoglobin A1c level and partnering with the patient's primary care physician and/or endocrinologist to optimize their blood sugar levels," Shen said in a statement. "This needs to be done months before initiating alpelisib, because once alpelisib is started, hyperglycemia usually develops within the first two weeks of treatment."

One author disclosed ties to pharmaceutical companies, including Novartis, the manufacturer of alpelisib.

Abstract/Full Text (subscription or payment may be required)

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2024 HealthDay. All rights reserved.

Posted September 2023

Read this next

Large Language Models Fall Short in Breast Imaging Classification

FRIDAY, May 10, 2024 -- Large language models (LLMs) appear to fall short in classification of breast imaging, which can have a negative impact on clinical management, according...

Racial, Ethnic Differences Seen in Breast Cancer Treatment Declination

THURSDAY, May 9, 2024 -- For patients with breast cancer, there are racial and ethnic differences in treatment declination, according to a study published online May 9 in JAMA...

Text Message Outreach Can Help Increase Mammogram Completion Rates

MONDAY, May 6, 2024 -- Text messaging women after initial outreach for breast cancer screening increases mammogram completion rates, according to a study published online May 6 in...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.