PMID- 18473994 OWN - NLM STAT- MEDLINE DCOM- 20080617 LR - 20211203 IS - 1574-8871 (Print) IS - 1574-8871 (Linking) VI - 2 IP - 2 DP - 2007 May TI - Clinical development of mTOR inhibitors: a focus on lymphoma. PG - 103-10 AB - The mammalian target of rapamycin (mTOR) kinase is positioned at the juncture of several pathways regulating cell growth and proliferation. It is the downstream effector of the oncogenic PI3K/Akt pathway and is a key regulator of translational initiation. Accumulating data support mTOR's role in lymphomagenesis, and its inhibition in preclinical models leads to lymphoma regression. The rationale for testing mTOR inhibitors in patients with lymphoma is evident, and early clinical data is promising. Along with the prototype of mTOR inhibitors, rapamycin, there are three mTOR inhibitors furthest along in development: temsirolimus, everolimus, and AP23573. These agents are emerging as well-tolerated drugs with encouraging preliminary activity. Here we review the rationale for testing mTOR inhibitors in lymphoma, the phase 1 trials influencing dose and schedule of mTOR inhibitors, and summarize the clinical results in obtained to date in patients with lymphoma. FAU - Smith, Sonali M AU - Smith SM AD - The University of Chicago Hospitals, Chicago, IL 60637, USA. msmith@medicine.bsd.uchicago.edu LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Rev Recent Clin Trials JT - Reviews on recent clinical trials JID - 101270873 RN - 0 (Antineoplastic Agents) RN - 48Z35KB15K (ridaforolimus) RN - 624KN6GM2T (temsirolimus) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Everolimus MH - Humans MH - Lymphoma/*drug therapy MH - Protein Kinases/*drug effects MH - Sirolimus/*analogs & derivatives/pharmacology MH - TOR Serine-Threonine Kinases RF - 82 EDAT- 2008/05/14 09:00 MHDA- 2008/06/18 09:00 CRDT- 2008/05/14 09:00 PHST- 2008/05/14 09:00 [pubmed] PHST- 2008/06/18 09:00 [medline] PHST- 2008/05/14 09:00 [entrez] AID - 10.2174/157488707780599366 [doi] PST - ppublish SO - Rev Recent Clin Trials. 2007 May;2(2):103-10. doi: 10.2174/157488707780599366.