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Phase I study for ridaforolimus, an oral mTOR inhibitor, in Japanese patients with advanced solid tumors.


ABSTRACT:

Purpose

Ridaforolimus is a non-prodrug mTOR inhibitor. The safety, pharmacokinetics (PK), and antitumor activity of oral ridaforolimus were assessed in Japanese patients with refractory solid tumors.

Methods

Ridaforolimus (20 or 40 mg) was administered as a single dose on Day 1, followed by once daily dosing five times a week for a 3-week cycle beginning on Day 8. Full PK sampling was performed on Days 1 and 26.

Results

Thirteen patients (7 at 20 mg and 6 at 40 mg) were enrolled. The median treatment duration was 82 days. The most common drug-related adverse events were stomatitis, hypertriglyceridemia, and proteinuria. Two patients had dose-limiting toxicities (grade 3 stomatitis at 20 mg, and grade 3 anorexia and vomiting at 40 mg). Four patients had grade 1 interstitial pneumonitis. Ridaforolimus in the whole blood was rapidly absorbed and slowly eliminated with a half-life of approximately 56-58 h after a single dose. Two patients (with non-small cell lung cancer and angiosarcoma, respectively) achieved a partial response, and five patients (one with thymic cancer and four with soft tissue sarcomas) had a stable disease for ≥ 16 weeks.

Conclusions

Ridaforolimus was well tolerated up to a dose of 40 mg in Japanese patients. Preliminary evidence of antitumor activity was observed for patients with solid tumors. Further investigation at this dose is warranted.

SUBMITTER: Seki Y 

PROVIDER: S-EPMC3313018 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature

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Phase I study for ridaforolimus, an oral mTOR inhibitor, in Japanese patients with advanced solid tumors.

Seki Yoshitaka Y   Yamamoto Noboru N   Tamura Yosuke Y   Goto Yasushi Y   Shibata Takashi T   Tanioka Maki M   Asahina Hajime H   Nokihara Hiroshi H   Yamada Yasuhide Y   Shimamoto Takashi T   Noguchi Kazuo K   Tamura Tomohide T  

Cancer chemotherapy and pharmacology 20111206 4


<h4>Purpose</h4>Ridaforolimus is a non-prodrug mTOR inhibitor. The safety, pharmacokinetics (PK), and antitumor activity of oral ridaforolimus were assessed in Japanese patients with refractory solid tumors.<h4>Methods</h4>Ridaforolimus (20 or 40 mg) was administered as a single dose on Day 1, followed by once daily dosing five times a week for a 3-week cycle beginning on Day 8. Full PK sampling was performed on Days 1 and 26.<h4>Results</h4>Thirteen patients (7 at 20 mg and 6 at 40 mg) were enr  ...[more]

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