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Published on: July 25, 2020
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.
Abstract:
The common dysregulation of the mTOR signaling pathway in tumor cells makes it a key target in oncotherapy. To better understand the effects of mTOR inhibitors, we analyzed 32 published clinical trials on solid tumors other than renal cell cancer, neuroendocrine tumors and metastatic breast cancer, for mTOR inhibitors are already approved by the US FDA to treat the three cancers. A lack of therapeutic effects was observed when mTOR inhibitors were used as a single agent. When combined with other agents, mTOR inhibitors still lacked sufficient clinical activity or just had minimal activity. More studies are required to better understand the clinically effects of mTOR inhibitors and the development of novel mTOR inhibitors is absolutely necessary.
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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