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10.1158/1078-0432.CCR-14-0940

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suck abstract from ncbi


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pmid25320355
      Clin+Cancer+Res 2015 ; 21 (1 ): 49-59
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  • Combination of the mTOR inhibitor ridaforolimus and the anti-IGF1R monoclonal antibody dalotuzumab: preclinical characterization and phase I clinical trial #MMPMID25320355
  • Di Cosimo S ; Sathyanarayanan S ; Bendell JC ; Cervantes A ; Stein MN ; Braña I ; Roda D ; Haines BB ; Zhang T ; Winter CG ; Jha S ; Xu Y ; Frazier J ; Klinghoffer RA ; Leighton-Swayze A ; Song Y ; Ebbinghaus S ; Baselga J
  • Clin Cancer Res 2015[Jan]; 21 (1 ): 49-59 PMID25320355 show ga
  • PURPOSE: Mammalian target of rapamycin (mTOR) inhibition activates compensatory insulin-like growth factor receptor (IGFR) signaling. We evaluated the ridaforolimus (mTOR inhibitor) and dalotuzumab (anti-IGF1R antibody) combination. EXPERIMENTAL DESIGN: In vitro and in vivo models, and a phase I study in which patients with advanced cancer received ridaforolimus (10-40 mg/day every day × 5/week) and dalotuzumab (10 mg/kg/week or 7.5 mg/kg/every other week) were explored. RESULTS: Preclinical studies demonstrated enhanced pathway inhibition with ridaforolimus and dalotuzumab. With 87 patients treated in the phase I study, main dose-limiting toxicities (DLT) of the combination were primarily mTOR-related stomatitis and asthenia at doses of ridaforolimus lower than expected, suggesting blockade of compensatory pathways in normal tissues. Six confirmed partial responses were reported (3 patients with breast cancer); 10 of 23 patients with breast cancer and 6 of 11 patients with ER(+)/high-proliferative breast cancer showed antitumor activity. CONCLUSIONS: Our study provides proof-of-concept that inhibiting the IGF1R compensatory response to mTOR inhibition is feasible with promising clinical activity in heavily pretreated advanced cancer, particularly in ER(+)/high-proliferative breast cancer (ClinicalTrials.gov identifier: NCT00730379).
  • |Adult [MESH]
  • |Aged [MESH]
  • |Animals [MESH]
  • |Antibodies, Monoclonal, Humanized [MESH]
  • |Antibodies, Monoclonal/*administration & dosage [MESH]
  • |Antineoplastic Combined Chemotherapy Protocols/*administration & dosage [MESH]
  • |Breast Neoplasms/*drug therapy/genetics/pathology [MESH]
  • |Humans [MESH]
  • |Middle Aged [MESH]
  • |Receptor, IGF Type 1 [MESH]
  • |Receptors, Somatomedin/antagonists & inhibitors/immunology/metabolism [MESH]
  • |Signal Transduction/drug effects [MESH]
  • |Sirolimus/administration & dosage/*analogs & derivatives [MESH]
  • |TOR Serine-Threonine Kinases/antagonists & inhibitors [MESH]


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