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

Future Oncol. 2015;11(11):1687-99. doi: 10.2217/fon.15.70.

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.

Keywords: clinical trials; mTOR inhibitor; solid tumor.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Bevacizumab / administration & dosage
  • Clinical Trials as Topic
  • Docetaxel
  • Erlotinib Hydrochloride / administration & dosage
  • Everolimus / administration & dosage
  • Gefitinib
  • Humans
  • Imatinib Mesylate / administration & dosage
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Protein Kinase Inhibitors / administration & dosage*
  • Protein Kinase Inhibitors / adverse effects
  • Quinazolines / administration & dosage
  • Signal Transduction / drug effects
  • Sirolimus / administration & dosage
  • Sirolimus / analogs & derivatives
  • TOR Serine-Threonine Kinases / antagonists & inhibitors*
  • Taxoids / administration & dosage

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Protein Kinase Inhibitors
  • Quinazolines
  • Taxoids
  • Docetaxel
  • cixutumumab
  • Bevacizumab
  • ridaforolimus
  • temsirolimus
  • Imatinib Mesylate
  • Everolimus
  • Erlotinib Hydrochloride
  • TOR Serine-Threonine Kinases
  • Gefitinib
  • Sirolimus