Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas

Everolimus is an inhibitor of the mammalian target of rapamycin (mTOR) and has been shown to have antineoplastic activity in addition to its use as an immunosuppressive agent for the prevention of organ transplant rejection. We report the use of everolimus for the compassionate treatment of four eld...

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Main Authors: Laura Eibenschutz, Delia Colombo, Caterina Catricalà
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2013/604301
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author Laura Eibenschutz
Delia Colombo
Caterina Catricalà
author_facet Laura Eibenschutz
Delia Colombo
Caterina Catricalà
author_sort Laura Eibenschutz
collection DOAJ
description Everolimus is an inhibitor of the mammalian target of rapamycin (mTOR) and has been shown to have antineoplastic activity in addition to its use as an immunosuppressive agent for the prevention of organ transplant rejection. We report the use of everolimus for the compassionate treatment of four elderly, nontransplant patients presenting with multiple basal cell carcinomas (BCC). All patients had a long history of BCC, had refused surgery as a current treatment option, and did not respond to alternative treatments (including topical 5-fluorouracil and imiquimod). Patients were treated with oral everolimus (1.5–3.0 mg daily) for 12 months or longer: a complete and sustained response was seen in one case, and partial responses were seen in two other cases. Everolimus was well tolerated in these elderly patients. These promising preliminary data suggest that further dose-finding, controlled clinical studies are warranted to evaluate the antineoplastic effects of everolimus in patients affected by BCC who cannot or will not undergo surgery.
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spelling doaj-art-35ad53f993444ab6bcbe51917ad8d9242025-02-03T06:11:27ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712013-01-01201310.1155/2013/604301604301Everolimus for Compassionate Use in Multiple Basal Cell CarcinomasLaura Eibenschutz0Delia Colombo1Caterina Catricalà2Dipartimento Clinico Sperimentale di Dermatologia Oncologica, Istituto Santa Maria e San Gallicano IRCCS, Via Fermo Ognibene 23, 00144 Roma, ItalyNovartis Farma Italia, 20065 Origgio, Varese, ItalyDipartimento Clinico Sperimentale di Dermatologia Oncologica, Istituto Santa Maria e San Gallicano IRCCS, Via Fermo Ognibene 23, 00144 Roma, ItalyEverolimus is an inhibitor of the mammalian target of rapamycin (mTOR) and has been shown to have antineoplastic activity in addition to its use as an immunosuppressive agent for the prevention of organ transplant rejection. We report the use of everolimus for the compassionate treatment of four elderly, nontransplant patients presenting with multiple basal cell carcinomas (BCC). All patients had a long history of BCC, had refused surgery as a current treatment option, and did not respond to alternative treatments (including topical 5-fluorouracil and imiquimod). Patients were treated with oral everolimus (1.5–3.0 mg daily) for 12 months or longer: a complete and sustained response was seen in one case, and partial responses were seen in two other cases. Everolimus was well tolerated in these elderly patients. These promising preliminary data suggest that further dose-finding, controlled clinical studies are warranted to evaluate the antineoplastic effects of everolimus in patients affected by BCC who cannot or will not undergo surgery.http://dx.doi.org/10.1155/2013/604301
spellingShingle Laura Eibenschutz
Delia Colombo
Caterina Catricalà
Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
Case Reports in Dermatological Medicine
title Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
title_full Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
title_fullStr Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
title_full_unstemmed Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
title_short Everolimus for Compassionate Use in Multiple Basal Cell Carcinomas
title_sort everolimus for compassionate use in multiple basal cell carcinomas
url http://dx.doi.org/10.1155/2013/604301
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