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The PI3Kδ inhibitor roginolisib (IOA-244) preserves T-cell function and activity

Published inMolecular oncology, vol. 20, no. 6, p. 1612-1625
Publication date2026-06
First online date2026-01-22
Abstract

PI3K inhibitors (PI3Ki) have shown promise in some hematological cancers, but further development has been hampered by reports of serious immune-related adverse effects. Thus, identification of effective PI3Ki lacking these adverse effects is desirable. Here, we evaluated the in vitro effects of the investigational PI3Ki roginolisib (IOA-244) and the approved PI3Ki idelalisib on immune cells and leukemic cells. Roginolisib inhibited chronic lymphocytic leukemia cell signaling and viability in a manner comparable to idelalisib. Both drugs specifically inhibited PI3K-signaling in T cells, validating their on-target effects. Both idelalisib and roginolisib reduced regulatory T-cell frequency in a concentration-dependent manner, with idelalisib demonstrating greater potency. Both inhibitors also reduced T-cell activation and proliferation, but to differing extents. However, only idelalisib induced a pronounced impairment of CD8+ T-cell cytotoxic function. Furthermore, idelalisib treatment promoted differentiation of conventional CD4+ T cells into Th1, Th2, and Th17 subsets-a response not observed with roginolisib. In summary, roginolisib functions as an effective PI3K inhibitor on leukemic cells while preserving T-cell functions, posing it as an alternative to current PI3K inhibitors.

Keywords
  • CD4+ T helper cell
  • CD8+ cytotoxicity
  • PI3K inhibitor
  • T‐cell function
  • Chronic lymphocytic leukemia
  • Regulatory T cells
Funding
  • Kreftforeningen [215850]
  • Kreftforeningen [298910]
  • Research Council of Norway (EP PerMed, CLL-OUTCOME) [332640]
  • Fondsstiftelsen [342369]
  • Stiftelsen Kristian Gerhard Jebsen [19]
  • Regional Health Authority for South-Eastern Norway [2025081]
  • Regional Health Authority for South-Eastern Norway [2020045]
  • Research Council of Norway (ERA PerMed, CLL-CLUE) [322898]
  • Research Council of Norway (RCN-FRIPRO) [315538]
  • Research Council of Norway (Norwegian Centre for Clinical Cancer Research, MATRIX) [328827]
Citation (ISO format)
SOLLI, Elise et al. The PI3Kδ inhibitor roginolisib (IOA-244) preserves T-cell function and activity. In: Molecular oncology, 2026, vol. 20, n° 6, p. 1612–1625. doi: 10.1002/1878-0261.70203
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Article (Published version)
Identifiers
Journal ISSN1574-7891
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Creation03/02/2026 10:23:20
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