Safety and pharmacokinetics of paclitaxel and the oral mTOR inhibitor everolimus in advanced solid tumours
2009

Safety and pharmacokinetics of everolimus and paclitaxel in cancer patients

Sample size: 16 publication Evidence: moderate

Author Information

Author(s): Campone M, Levy V, Bourbouloux E, Berton Rigaud D, Bootle D, Dutreix C, Zoellner U, Shand N, Calvo F, Raymond E

Primary Institution: Centre René Gauducheau, Nantes, France

Hypothesis

This study assessed the safety and the pharmacokinetic interactions of everolimus and paclitaxel in patients with advanced malignancies.

Conclusion

Everolimus showed an acceptable safety profile at the dose of 30 mg when combined with weekly paclitaxel 80 mg/m², warranting further clinical investigation.

Supporting Evidence

  • Everolimus was dose escalated from 15 to 30 mg and administered with paclitaxel 80 mg/m².
  • Grade 3 neutropenia was observed in six patients, with two meeting criteria for dose-limiting toxicity.
  • Tumour stabilisation was reported in 11 patients, with two patients experiencing stabilisation exceeding 6 months.

Takeaway

Doctors tested a new cancer treatment combining two drugs, everolimus and paclitaxel, and found it to be safe for patients.

Methodology

This was an open-label dose-escalation study where everolimus was given with paclitaxel to assess safety and pharmacokinetics.

Limitations

The study involved a small sample size and was limited to heavily pre-treated patients.

Participant Demographics

{"median_age":54.5,"age_range":"33–69","sex_distribution":{"female":13,"male":3},"race_distribution":{"caucasian":15,"black":1}}

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604851

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