4.4 Article

Everolimus and its role in hormone-resistant and trastuzumab-resistant metastatic breast cancer

Journal

FUTURE ONCOLOGY
Volume 8, Issue 11, Pages 1383-1396

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/FON.12.143

Keywords

everolimus; hormone-resistant; metastatic breast cancer; mTOR inhibitor; RAD001; trastuzumab-resistant metastatic breast cancer

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Funding

  1. University of California from Novartis
  2. Merck
  3. Pfizer

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Advances in targeted therapies have improved progression-free and overall survival in women with metastatic breast cancer; however, regardless of efficacy, resistance almost always occurs eventually. Upregulation of the PI3K/AKT/mTOR pathway, which promotes cell growth and proliferation, is a means of escaping responsiveness to hormone therapy in hormone receptor-positive disease, or trastuzumab in HER2-positive disease. Everolimus, an inhibitor of mTOR, has shown promise in early clinical trials in metastatic breast cancer and is currently being studied in larger Phase II and III clinical trials, combined with hormone therapy or trastuzumab with or without cytotoxic chemotherapy. In this article, we discuss the mechanistic and preclinical data for everolimus, efficacy and safety results of clinical trials, and the landscape looking forward.

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