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mTOR inhibitor
systematic review
meta-analysis
network meta-analysis
Everolimus
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Temsirolimus
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Temsirolimus
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advanced breast cancer (metastatic)
renal-cell carcinoma (advanced)
All type of patient
uncoded clinical condition ***
HR+ HER2 -
add-on to anti HER-2 agent
combination with endocrine therapy
mTor inihibitor
everolimus
temsirolimus
vs CT
vs endocrine therapy alone
1st line
HER-2 negative
HER-2 positive
HR positive
nsNAI failure
postmenopausal
previously treated by taxanes
previously treated with endocrine therapy
trastuzumab failure
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Description
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Comparison
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Characteristics
Method
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NCT results
death (overall survival) (12)
progression or death (progression free survival PFS) (11)
progression (Time to progression TTP) (3)
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Trial
Studied trt
Control trt
patients
tags
ROB
Trial result
death (overall survival)
progression or death (progression free survival PFS)
advanced breast cancer (metastatic)
everolimus
BOLERO-2, 2011
NCT
everolimus + exemestane
exemestane alone
HER-2 negative
HR positive
nsNAI failure
previously treated with endocrine therapy
Low risk of bias
conclusive
-11%
-57%
TAMRAD , 2012
NCT
everolimus + tamoxifen
tamoxifen alone
1st line
HER-2 negative
HR positive
postmenopausal
previously treated with endocrine therapy
Risk of bias
suggesting
-55%
BOLERO-3, 2014
NCT
everolimus + trastuzumab + vinorelbine
trastuzumab + vinorelbine alone
HER-2 positive
previously treated by taxanes
trastuzumab failure
Low risk of bias
conclusive
-22%
temsirolimus
HORIZON, 2013
NCT
temsirolimus + letrozole
letrozole alone
1st line
HR positive
postmenopausal
Low risk of bias
negative
-11%
-10%
renal-cell carcinoma (advanced)
everolimus
RECORD-1, 2008
NCT
everolimus
placebo
suggesting
-17%
-70%
RECORD 3, 2014
NCT
everolimus
sunitinib
-
40%
temsirolimus
ARCC (Hudes) temsirolimus alone, 2007
NCT
temsirolimus
interferon alpha
suggesting
-27%
INTORSECT, 2014
NCT
temsirolimus
sorafenib
negative
31%
-13%
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