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Published on: November 8, 2015
Temsirolimus
Christian Stock1, Massimo Zaccagnini, Michael Schulze
1Department of Urology, SLK-Kliniken Heilbronn GmbH, Medizinsche Klinik III, Germany. jens.rassweiler@slk-kliniken.de
Abstract:
Temsirolimus, an ester of sirolimus (rapamycin), selectively inhibits the kinase mammalian target of rapamycin and consequently blocks the translation of cell cycle regulatory proteins and prevents overexpression of angiogenic growth factors. Patients with advanced renal cell carcinoma (RCC) and a poor prognosis who received a once-weekly intravenous (IV) infusion of temsirolimus 25 mg, experienced significant survival benefits when compared with patients receiving standard interferon-alpha (IFNalpha) therapy in a large phase III clinical study. In this study, median overall survival was 10.9 vs. 7.3 months and objective response rates were 8.6% in temsirolimus recipients vs. 4.8% IFNalpha recipient group.Temsirolimus monotherapy recipients experienced significantly fewer grade 3 or 4 adverse events and had fewer withdrawals for adverse events than patients receiving IFNalpha.
Insights
Temsirolimus offers significant survival benefits for advanced renal cell carcinoma (RCC) patients compared to interferon-alpha. This mTOR inhibitor demonstrated improved overall survival and response rates with fewer adverse events.
Area of Science:
- Oncology
- Pharmacology
Background:
- Advanced renal cell carcinoma (RCC) presents a poor prognosis.
- Current therapies like interferon-alpha (IFNalpha) have limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of temsirolimus in patients with advanced RCC.
- To compare temsirolimus monotherapy against standard IFNalpha treatment.
Main Methods:
- A large phase III clinical study was conducted.
- Patients received a once-weekly intravenous (IV) infusion of temsirolimus (25 mg) or IFNalpha.
- Overall survival, objective response rates, and adverse events were assessed.
Main Results:
- Temsirolimus significantly improved median overall survival (10.9 vs. 7.3 months) compared to IFNalpha.
- Objective response rates were higher with temsirolimus (8.6%) versus IFNalpha (4.8%).
- Temsirolimus recipients experienced fewer grade 3 or 4 adverse events and fewer treatment withdrawals.
Conclusions:
- Temsirolimus provides significant survival benefits for advanced RCC patients with poor prognosis.
- Temsirolimus demonstrates a favorable safety profile compared to IFNalpha.
- Temsirolimus represents an effective treatment option for advanced renal cell carcinoma.
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