2015
DOI: 10.1186/s12885-015-1334-6
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Phase I/II study of temsirolimus for patients with unresectable Hepatocellular Carcinoma (HCC)- a correlative study to explore potential biomarkers for response

Abstract: BackgroundThe oncogenic PI3K/Akt/mTOR pathway is frequently activated in HCC. Data on the mTOR inhibitor, temsirolimus, is limited in HCC patients with concomitant chronic liver disease. The objectives of this study were: (1) In phase I, to determine DLTs and MTD of temsirolimus in HCC patients with chronic liver disease; (2) In phase II, to assess activity of temsirolimus in HCC, and (3) to explore potential biomarkers for response.MethodsMajor eligibility criteria included histologically confirmed advanced H… Show more

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Cited by 110 publications
(81 citation statements)
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“…An H-score evaluation was performed. The histochemistry score (H-score) was evaluated according to previous studies (26,27). The process was performed as follows: The number of cells in each slice with positive staining and its staining intensity were converted into the corresponding values in order to semi-quantify the staining of the tissues.…”
Section: Study Populationmentioning
confidence: 99%
“…An H-score evaluation was performed. The histochemistry score (H-score) was evaluated according to previous studies (26,27). The process was performed as follows: The number of cells in each slice with positive staining and its staining intensity were converted into the corresponding values in order to semi-quantify the staining of the tissues.…”
Section: Study Populationmentioning
confidence: 99%
“…Everolimus has been reported to delay tumor progression in patients with sorafenib-refractory HCC (9); however, a recent investigation did not demonstrate improved patient survival in a second-line setting or in sorafenib-intolerant patients (10). Yeo et al (11) and Cho et al (12) hypothesized that only selected patients, depending on the expression of relevant target proteins, may benefit from an mTOR-based treatment regimen. The benefit of an everolimus-sorafenib combination is controversial, since although a dose-finding study on patients with advanced HCC yielded encouraging results (13), a randomized multicenter, multinational phase II trial did not indicate a synergistic effect (14).…”
Section: Discussionmentioning
confidence: 99%
“…Scanning of the TMA slides was performed using the Pannoramic MIDI scanner (3D Histech; Hungary). Quant center, an analysis software supporting the Pannoramic viewer, was used to measure the intensity of ASPN staining (brown color) as described previously [23,24]. Identi cation of DCM-related DEGs Similar to ICM, the DEGs of DCM compared with the normal control in each dataset were screened out.…”
Section: Immunohistochemistrymentioning
confidence: 99%