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DRUG CLASS:

mTORC2 inhibitor

10d
Construction of a Breast Cancer Predictive Nomogram Based on Diverse Cell Death Methods and Reveal Tumor Microenvironment Characterization. (PubMed, J Biochem Mol Toxicol)
Patients in the high‑risk group showed improved responses to lapatinib, BI‑2536, OSI‑027, and SB505124, whereas those in the low‑risk subgroup had better sensitivity to axitinib, epirubicin, fulvestrant, and olaparib. Additionally, CD24 overexpression in BC cell lines promoted proliferation and migration, and inhibited apoptosis. These findings contribute to personalized treatment strategies and help elucidate the tumor microenvironment characteristics of BC patients.
Journal • PARP Biomarker
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CD24 (CD24 Molecule) • BCL2A1 (BCL2 Related Protein A1) • CREB3L1 (CAMP Responsive Element Binding Protein 3 Like 1) • CRIP1 (Cysteine Rich Protein 1) • SFRP1 (Secreted frizzled related protein 1) • XBP1 (X-box-binding protein 1) • AIF1 (Allograft Inflammatory Factor 1) • NKX3-1 (NK3 homeobox 1)
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Lynparza (olaparib) • lapatinib • fulvestrant • axitinib • epirubicin • BI2536 • AVTX-006
16d
Targeting mTOR with vistusertib attenuates metabolic steatohepatitis and prevents HCC development. (PubMed, Inflamm Res)
Our findings identify vistusertib as a promising candidate for MASH, capable of mitigating disease progression and preventing MASH-to-HCC transition, highlighting its potential in managing metabolic liver disorders.
Journal
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TGFB1 (Transforming Growth Factor Beta 1)
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vistusertib (AZD2014)
1m
In silico screening, synthesis, and biological evaluation of pyrazolopyrimidine-derived mTOR inhibitors for anticancer and senomorphic effects. (PubMed, Cancer Cell Int)
Compound 5 demonstrates distinct biological effects compared to torkinib and represents a promising candidate for further development as an mTOR inhibitor targeting both cancer and senescent cells.
Journal
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IL6 (Interleukin 6) • CXCL8 (Chemokine (C-X-C motif) ligand 8)
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temsirolimus • torkinib (PP242)
1m
mTOR inhibition enhances the antitumor efficacy of pan-RAF-MEK blockade by inhibiting the ATF4-MTHFD2 pathway. (PubMed, Cell Death Dis)
Human and murine models resistant to combined belvarafenib and cobimetinib exhibited elevated levels of ATF4 and MTHFD2 and were sensitive to sapanisertib. This study provides promising treatment opportunities for patients with non-BRAF-mutant melanomas, or those who relapse following belvarafenib and cobimetinib combination therapy.
Journal
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NRAS (Neuroblastoma RAS viral oncogene homolog) • NF1 (Neurofibromin 1) • ATF4 (Activating Transcription Factor 4) • MTHFD2 (Methylenetetrahydrofolate Dehydrogenase (NADP+ Dependent) 2)
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BRAF mutation
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Cotellic (cobimetinib) • sapanisertib (CB-228) • belvarafenib (RG6185)
1m
Spatially resolved ex vivo drug response profiling in SMARCB1-deficient sinonasal carcinoma. (PubMed, EMBO Mol Med)
Ex vivo drug testing revealed a striking response: the mTOR inhibitor Sapanisertib induced extensive tumor necrosis and was associated with near-complete depletion of ALDH1A1+ and NTN4+ states, accompanied by strong stress/apoptosis signatures and reduced endothelial cells. In an additional retrospective cohort of 12 SDSC, ALDH1A1 was present in all cases with heterogeneous spatial patterns and higher levels in recurrences. Mesothelin was expressed in the index case and a subset of tumors, supporting mesothelin-directed therapeutic strategies.
Preclinical • Journal
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MSLN (Mesothelin) • SMARCB1 (SWI/SNF Related, Matrix Associated, Actin Dependent Regulator Of Chromatin, Subfamily B, Member 1) • ALDH1A1 (Aldehyde Dehydrogenase 1 Family Member A1) • TP63 (Tumor protein 63)
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sapanisertib (CB-228)
1m
New P1/2 trial
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 negative
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fulvestrant • sapanisertib (CB-228) • serabelisib (MLN1117)
3ms
Simultaneous inhibition of mTOR and STING as an approach to reduce alpha-synuclein and lysosphingolipid levels in peripheral blood monocytederived macrophages and the SH-SY5Y cell line: implications for therapy of Parkinson's disease. (PubMed, Biomed Khim)
The combined effects of two inhibitors, Torin 1, acting on mTOR, a key regulator of autophagy, and H-151, inhibiting STING, a key regulator of inflammation, on the autophagolysosomal system, have been studied in a primary culture of peripheral blood macrophages from healthy donors and the SH-SY5Y neuroblastoma cell line. Combined use of these drugs resulted in a decrease in the levels of lysosphingolipids, triggering alpha-synuclein oligomerization, as well as a decrease in the levels of monomeric and neurotoxic phosphorylated (Ser129) alpha-synuclein and an increase in tyrosine hydroxylase. These results open new prospects for the use of combination therapy with these proposed drugs in the treatment of both diseases associated with lysosomal dysfunction and neurodegenerative pathologies.
Preclinical • Journal
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STING (stimulator of interferon response cGAMP interactor 1)
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Torin1
4ms
AZD2014 and Fulvestrant in Patients With ER+ Advanced Metastatic Breast Cancer (clinicaltrials.gov)
P1, N=99, Completed, AstraZeneca | Active, not recruiting --> Completed
Trial completion
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fulvestrant • vistusertib (AZD2014)
5ms
mTORC1/2 Inhibitor AZD2014 or the Oral AKT Inhibitor AZD5363 for Recurrent Endometrial and Ovarian (clinicaltrials.gov)
P1, N=159, Active, not recruiting, M.D. Anderson Cancer Center | Trial completion date: Dec 2025 --> Jun 2026 | Trial primary completion date: Dec 2025 --> Jun 2026
Trial completion date • Trial primary completion date
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ER (Estrogen receptor) • PGR (Progesterone receptor) • BRCA (Breast cancer early onset) • MUC16 (Mucin 16, Cell Surface Associated)
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BRCA mutation
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Lynparza (olaparib) • Truqap (capivasertib) • vistusertib (AZD2014)
6ms
Combining brigatinib with mTOR inhibition to effectively treat NF2-SWN-associated and sporadic NF2-deficient meningiomas. (PubMed, Cancer Res Commun)
We previously generated an orthotopic, NF2-deficient meningioma model using the luciferase-expressing Ben-Men-1 cell line established from a sporadic tumor and identified the multi-kinase inhibitor brigatinib and the mTOR kinase inhibitor INK128 to potently impede tumor growth. As the first NF2-SWN-related meningioma cell line, AG-NF2-Men is a unique reagent for investigating meningioma biology and therapeutics. A clinical trial to evaluate the combination of brigatinib with an mTOR inhibitor in NF2-deficient meningiomas is warranted.
Journal
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EGFR (Epidermal growth factor receptor) • ERBB3 (V-erb-b2 avian erythroblastic leukemia viral oncogene homolog 3) • NF2 (Neurofibromin 2)
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Alunbrig (brigatinib) • sapanisertib (CB-228)
6ms
Menin-driven mTOR signaling sustains taxane resistance in CRPC and reveals a targetable vulnerability for combination therapy. (PubMed, Cell Commun Signal)
While taxanes such as docetaxel (Dtx) and cabazitaxel (Cbz) are widely employed, therapeutic resistance remains a major clinical obstacle...Moreover, combination treatment with the mTOR inhibitor Torin-1 and docetaxel synergistically enhanced therapeutic response in Menin-depleted resistant cells. MEN1 knockdown also abrogated tumor growth in vivo.These findings identify Menin as one of the key mediator of taxane resistance in CRPC through the regulation of mTOR. Targeting Menin, alone or in combination with mTOR inhibition, represents a promising strategy to overcome resistance and improve therapeutic outcomes in taxane-refractory PC.
Journal
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CCND1 (Cyclin D1) • MEN1 (Menin 1) • WDR5 (WD Repeat Domain 5)
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docetaxel • cabazitaxel • Torin1
6ms
Sapanisertib in Treating Patients With Locally Advanced or Metastatic Bladder Cancer With TSC1 and/or TSC2 Mutations (clinicaltrials.gov)
P2, N=17, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Nov 2025 --> Nov 2026
Trial completion date
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TSC2 (TSC complex subunit 2) • TSC1 (TSC complex subunit 1)
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sapanisertib (CB-228)