Table 2.
Drug | Target | C max | IC50 | Single agent AUC | Fulvestrant combination AUC | Absolute difference AUC |
---|---|---|---|---|---|---|
Everolimus | mTORC1 | 3.90E−08 | 7.60E−06 | 0.63 | 0.53 | 0.11 |
Lapatinib | EGFR, HER2 | 4.00E−06 | 1.30E−06 | 0.55 | 0.44 | 0.10 |
Ribociclib | CDK4, CDK6 | 7.10E−06 | 1.30E−06 | 0.6 | 0.51 | 0.09 |
Neratinib | EGFR, HER1, HER2, HER4 | 2.14E−07 | 8.50E−08 | 0.43 | 0.37 | 0.06 |
PARIS® testing using a combination of fulvestrant at 1 μM, the pretested IC30 concentration for this PDTO, along with either everolimus, lapatinib, ribociclib, or neratinib. The combinations are ranked by the largest differential area under the curve (AUC) obtained using six concentrations of each drug (10 μM, 3.16 μM, 1 μM, 316 nM, 100 nM, and 31.6 nM). Only the drugs that had enhanced activity with fulvestrant are shown.