Clinical efficacy of mTOR inhibitors in solid tumors: a systematic review

Zebo Huang1, Yinxia Wu2, Xin Zhou1

  • 11Department of Oncology, First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, People's Republic of China.

Insights

mTOR inhibitors show limited efficacy as single agents or in combination therapies for solid tumors. Further research and novel drug development are crucial for improving cancer treatment outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • The mechanistic target of rapamycin (mTOR) signaling pathway is frequently dysregulated in various cancers, presenting a significant therapeutic target.
  • mTOR inhibitors are being investigated for their potential in oncotherapy.

Purpose of the Study:

  • To evaluate the clinical efficacy of mTOR inhibitors in solid tumors, excluding specific FDA-approved indications.
  • To identify the effectiveness of mTOR inhibitors as monotherapy and in combination regimens.

Main Methods:

  • Systematic analysis of 32 published clinical trials involving mTOR inhibitors.
  • Focus on solid tumors excluding renal cell cancer, neuroendocrine tumors, and metastatic breast cancer.

Main Results:

  • mTOR inhibitors demonstrated a lack of significant therapeutic effects when used as single agents.
  • Combination therapies involving mTOR inhibitors exhibited insufficient or minimal clinical activity.

Conclusions:

  • Current mTOR inhibitors show limited clinical utility in the studied solid tumor types.
  • Further investigation into the clinical effects of mTOR inhibitors is warranted.
  • Development of novel mTOR inhibitors is essential for advancing cancer treatment.

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