Everolimus (Afinitor, Zortress)

Other Medications · Approved since 2009

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 20 Clinical Trials
mTOR

Description

Everolimus is an oral mTOR (mechanistic target of rapamycin) inhibitor that belongs to the class of kinase inhibitors. In colorectal cancer, everolimus is used off-label for patients with metastatic disease who have failed prior targeted therapies and chemotherapy regimens. The drug has been combined with PD-1 inhibitors and evaluated as part of individualized treatment approaches for advanced colorectal cancer patients with specific molecular profiles.

Mechanism of Action

Everolimus selectively inhibits mTOR complex 1 (mTORC1), which is a key regulator of cell growth, proliferation, and survival. By blocking mTOR signaling, everolimus disrupts protein synthesis and cellular metabolism, leading to growth arrest and apoptosis in cancer cells that are dependent on this pathway for survival.

Molecular Targets

Side Effects

Stomatitis Infections Asthenia Fatigue Cough Diarrhea Rash Decreased appetite Nausea Weight loss Thrombocytopenia Anemia Hyperglycemia Hyperlipidemia Pneumonitis

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05725200 Phase 2
Recruiting
Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer
Norway
NCT02029001 Phase 2
Recruiting
Adapting Treatment to the Tumor Molecular Alterations for Patients With Advanced Solid Tumors: MyOwnSpecificTreatment
France
NCT07435584 Phase 1
Not yet recruiting
Everolimus in CDK12-Deficient Metastatic Colorectal Cancer (EVER-RECODE)
NCT06301386 Phase 2
Not yet recruiting
Everolimus Combined With PD-1 in Advanced Colorectal Cancer Patients
China
NCT04185883 Phase 1
Active, not recruiting
Sotorasib Activity in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101)
United States, Australia, Austria, Belgium, Canada, Germany, Italy, Japan, Nethe
NCT03065387 Phase 1
Active, not recruiting
Neratinib and Everolimus, Palbociclib, or Trametinib in Treating Participants With Refractory and Advanced or Metastatic Solid Tumors With EGFR Mutation/Amplification, HER2 Mutation/Amplification, or HER3/4 Mutation or KRAS Mutation
United States
View all 20 clinical trials →