Table 2.
Case # |
Tumor type/location |
mTOR inhibitor |
Dose | Duration | Response | Other drugs (combined with mTOR inhibitor) |
TSC1/2 mutation/LOH |
pS6 IHC |
Reference |
---|---|---|---|---|---|---|---|---|---|
1 | Retroperitoneal PEComa | sirolimus | 8 mg daily | 16 months | CR | - | TSC2 | + | Wagner AJ et al. 201017 |
2 | Uterine, metastatic PEComa | sirolimus | 2–8 mg daily | 6 months | SD, then progression | (added later) clarithromycin sorafenib | TSC1 | + | Wagner AJ et al. 201017 |
3 | Uterine, metastatic PEComa | temsirolimus | 25 mg IV weekly | 9+ months | CR | - | N/A | + | Italiano A et al. 201016 |
4 | Uterine, metastatic PEComa | temsirolimus | 25 mg IV weekly | 22 weeks | PR, then progression | - | N/A | + | Italiano A et al. 201016 |
5 | Retroperitoneal metastatic PEComa | temsirolimus | 10mg IV weekly* | 2 cycles (8 weeks) | progression | topotecan, bortezomib (NCT00770731) | N/A | N/A | Subbiah V et al. 201021 |
6 | Retroperitoneal metastatic PEComa | everolimus | 10 mg daily | 2 cycles (8 weeks) | progression | figitumumab | N/A | N/A | Quek R et al. 201122 |
7 | Retroperitoneal PEComa | sirolimus | 4 mg daily | 22+ months | CR | - | TSC2 | + | case described in this report |
8 | Retroperitoneal PEComa | sirolimus | 3 mg daily | 16+ months | CR | - | TSC2 | + | case described in this report |
9 | Small bowel PEComa / recurrent | sirolimus | 4 mg daily | 14+ months | PR | - | TSC2 | - | case described in this report |
10 | Liver PEComa | everolimus | 5 mg daily | 2 months | CR (tumor resected after 2 months of treatment) | - | TSC2 | +/− | case described in this report |
11 | Adrenal PEComa with metastases | sirolimus | 1–4 mg daily | 2 years | progression | - | not found | - | case described in this report |
CR-complete response, PR-partial response, SD-stable disease; N/A not available.
Note: Renal PEComa from Wagner AJ et al. 2010 was not included.
V Subbiah, personal communication