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Pharmacodynamic evaluation of temsirolimus in patients with newly diagnosed advanced-stage head and neck squamous cell carcinoma

✍ Scribed by Oleksandr Ekshyyan; Glenn M. Mills; Timothy Lian; Nazanin Amirghahari; Xiaohua Rong; Mary Lowery-Nordberg; Fleurette Abreo; Diana M. Veillon; Gloria Caldito; Lisa Speicher; Jonathan Glass; Cherie-Ann O. Nathan


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
244 KB
Volume
32
Category
Article
ISSN
1043-3074

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✦ Synopsis


Abstract

Background:

Activation of the mammalian target of rapamycin (mTOR) pathway in surgical margins of head and neck squamous cell carcinoma (HNSCC) is a predictor of recurrence and patients with minimal residual disease may benefit from adjuvant therapy with temsirolimus, an mTOR inhibitor.

Methods:

The effects of 3 weekly doses of 25 mg of temsirolimus on Akt/mTOR pathway biomarkers were evaluated in tumor and peripheral blood mononuclear cells (PBMCs) of patients with HNSCC. Adverse events were assessed.

Results:

Temsirolimus significantly decreased pS6 and p4E‐BP1 in tumors, and pS6 and pAkt in PBMCs (p < .05). There was no significant upregulation of pAkt(Ser^473^) in tumor tissue. Side effects were minimal and reversible.

Conclusion:

Significant inhibition of the mTOR pathway was noted in both tumors and PBMCs of HNSCC with minimal side effects. The mTOR inhibitors can potentially be used as adjuvant therapy for patients with minimal residual disease and PBMCs are potential surrogate markers in this setting. Β© 2010 Wiley Periodicals, Inc. Head Neck, 2010


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