PMID- 31215251 OWN - NLM STAT- MEDLINE DCOM- 20190712 LR - 20231013 IS - 1744-7658 (Electronic) IS - 1354-3784 (Print) IS - 1354-3784 (Linking) VI - 28 IP - 7 DP - 2019 Jul TI - Everolimus for the treatment of advanced pancreatic ductal adenocarcinoma (PDAC). PG - 583-592 LID - 10.1080/13543784.2019.1632289 [doi] AB - Introduction: PDAC is a lethal malignancy with a clear unmet need; almost all patients fail 1(st), 2(nd), and 3(rd) line multi-agent cytotoxic chemotherapy. The mammalian target of rapamycin (mTOR) has been identified as a key signaling node enhancing tumor survival and drug resistance in PDAC; hence, it is considered a promising therapeutic target. Areas covered: We comprehensively reviewed the evidence from preclinical and phase I and II clinical trials, based on the authors'clinical experience and a PubMed, Cochrane library, Embase, and Google Scholar search everolimus + pancreatic cancer. Expert opinion: Everolimus has not demonstrated efficacy in PDAC; however, an mTOR inhibitor in combination with stroma-targeted therapies may be a promising area to explore in clinical trials. FAU - Babiker, Hani M AU - Babiker HM AD - a Early Phase Clinical Trials Program , University of Arizona Cancer Center , Tucson , AZ , USA. FAU - Karass, Michael AU - Karass M AD - b New York Medical College , Westchester Medical Center , Valhalla , NY , USA. FAU - Recio-Boiles, Alejandro AU - Recio-Boiles A AD - a Early Phase Clinical Trials Program , University of Arizona Cancer Center , Tucson , AZ , USA. FAU - Chandana, Sreenivasa R AU - Chandana SR AD - c Department of Hematology-Oncology , Phase I Program, START Midwest , Grand Rapids , MI , USA. FAU - McBride, Ali AU - McBride A AD - d Department of Pharmacy , University of Arizona Cancer Center , Tucson , AZ , USA. FAU - Mahadevan, Daruka AU - Mahadevan D AD - a Early Phase Clinical Trials Program , University of Arizona Cancer Center , Tucson , AZ , USA. LA - eng GR - P30 CA023074/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20190621 PL - England TA - Expert Opin Investig Drugs JT - Expert opinion on investigational drugs JID - 9434197 RN - 0 (Antineoplastic Agents) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Agents/administration & dosage/pharmacology MH - Carcinoma, Pancreatic Ductal/*drug therapy/pathology MH - Drug Resistance, Neoplasm MH - Everolimus/*administration & dosage/pharmacology MH - Humans MH - Molecular Targeted Therapy MH - Pancreatic Neoplasms/*drug therapy/pathology MH - Survival MH - TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism PMC - PMC6681663 MID - NIHMS1532227 OTO - NOTNLM OT - Everolimus OT - mTOR OT - pancreatic adenocarcinoma EDAT- 2019/06/20 06:00 MHDA- 2019/07/13 06:00 PMCR- 2020/07/01 CRDT- 2019/06/20 06:00 PHST- 2019/06/20 06:00 [pubmed] PHST- 2019/07/13 06:00 [medline] PHST- 2019/06/20 06:00 [entrez] PHST- 2020/07/01 00:00 [pmc-release] AID - 10.1080/13543784.2019.1632289 [doi] PST - ppublish SO - Expert Opin Investig Drugs. 2019 Jul;28(7):583-592. doi: 10.1080/13543784.2019.1632289. Epub 2019 Jun 21.