Related Experiment Video
Updated: May 21, 2026

Development of a Human Preclinical Model of Osteoclastogenesis from Peripheral Blood Monocytes Co-cultured with Breast Cancer Cell Lines
Published on: September 13, 2017
Research and innovation in the development of everolimus for oncology
David Lebwohl1, George Thomas, Heidi A Lane
1Novartis Pharmaceuticals, Inc., 180 Park Avenue, Florham Park, NJ 07932, USA +1 862 778 7218 ; david.lebwohl@novartis.com.
Introduction:
The critical role of increased activity of mammalian target of rapamycin (mTOR) in the pathophysiology of multiple diseases is well established. Inhibition of the mTOR pathway may block disease progression and improve patient outcomes. Everolimus, an mTOR inhibitor, began in clinical development as part of a regimen (Certican, Zortress) for prevention of organ transplant rejection and is now an approved oncology agent.
Areas Covered:
The objective of this review is to discuss the history of key findings and innovative cancer research undertaken to successfully develop everolimus as an oncology therapy (Afinitor) now approved for patients with advanced renal cell carcinoma (RCC) and for subependymal giant cell astrocytomas (SEGAs) associated with tuberous sclerosis. In addition, data for the use of everolimus in the treatment of other cancers and rare diseases are also discussed. A PubMed search of English articles without time restrictions was conducted using the search terms 'everolimus or rapamycin' and 'cancer'. Bibliographies of retrieved articles were manually searched for additional relevant articles. Major cancer congresses were also searched.
Expert Opinion:
The clinical efficacy of everolimus alone and in combination with other agents has been observed in recently completed Phase II-III studies in a wide spectrum of tumors, including RCC, neuroendocrine tumors, tuberous sclerosis complex, SEGAs and angiomyolipomas, lymphoma and gastric, breast and hepatocellular cancers. These findings emphasize the importance of mTOR in diverse cancers and rare diseases and underscore the potential role for everolimus as an effective agent in multiple indications.
Insights
Everolimus, an mTOR inhibitor, shows clinical efficacy in treating various cancers, including advanced renal cell carcinoma and rare diseases. Its role in blocking disease progression offers improved patient outcomes in oncology.
Area of Science:
- Oncology
- Pharmacology
Background:
- Mammalian target of rapamycin (mTOR) hyperactivity is implicated in numerous diseases.
- Inhibiting the mTOR pathway can halt disease progression and enhance patient outcomes.
- Everolimus, an mTOR inhibitor, is approved for transplant rejection and oncology.
Purpose of the Study:
- To review the development of everolimus as an oncology therapy.
- To discuss its approval for advanced renal cell carcinoma (RCC) and SEGAs in tuberous sclerosis.
- To explore its use in other cancers and rare diseases.
Main Methods:
- PubMed search for 'everolimus or rapamycin' and 'cancer'.
- Manual review of bibliographies from retrieved articles.
- Inclusion of data from major cancer congresses.
Main Results:
- Everolimus demonstrates clinical efficacy in Phase II-III studies across multiple tumor types.
- Effective as a monotherapy and in combination with other agents.
- Proven utility in RCC, neuroendocrine tumors, tuberous sclerosis complex, SEGAs, lymphoma, and other cancers.
Conclusions:
- mTOR plays a significant role in various cancers and rare diseases.
- Everolimus is a potentially effective agent for multiple indications.
- Supports the use of everolimus in diverse oncological and rare disease settings.
More Related Videos
07:40Preparation of Peripheral Blood Mononuclear Cell Pellets and Plasma from a Single Blood Draw at Clinical Trial Sites for Biomarker Analysis
Published on: March 20, 2021
09:29Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Preclinical Development: Overview
Clinical Trials: Overview
Treatment Resistant Cancers
Clinical Trials
There are four phases in a clinical trial. A phase one...
PI3K/mTOR/AKT Signaling Pathway