Table 1.
Phase 2 and 3 clinical trials with everolimus and temsirolimus in HR-positive breast cancer
Study | Study design | Patients | Treatment | Response rate | PFS |
---|---|---|---|---|---|
Everolimus | |||||
Baselga et al. [45] | phase 2 randomized | postmenopausal, neoadjuvant (n = 272) | letrozole + everolimus vs. letrozole + placebo | 68% vs. 59% | not evaluated |
TAMRAD, Bachelot et al. [46] | phase 2 randomized | metastatic breast cancer (n = 111) | tamoxifen + everolimus vs. tamoxifen | 61% vs. 42% (p = 0.045) | 8.6 months vs. 4.5 months (p = 0.002) |
BOLERO-II, Baselga et al. [48] | phase 3 randomized | postmenopausal advanced breast cancer, failure of non-steroidal aromatase inhibitors (n = 724) | exemestane + everolimus vs. exemestane + placebo | 9.5% vs. 0.4% (p < 0.0001) | 6.9 months vs. 2.8 months (p < 0.001) |
Temsirolimus | |||||
Carpenter et al. [51] | phase 2 randomized | advanced breast cancer (n = 92) | letrozole + temsirolimus (10 mg/day) vs. letrozole + temsirolimus (30 mg/day for 5 days q2w) vs. letrozole | n = 9, 9, and 12, respectively | PFS at 1 year: 69% vs. 62% vs. 48% |
HORIZON, Wolff et al. [52] | phase 3 randomized | postmenopausal advanced breast cancer (n = 1,112) | letrozole + temsirolimus (30 mg/day for 5 days q2w) vs. letrozole | 27% vs. 27% | 8.8 vs. 8.9 months |