Everolimus

Chemical formula: C₅₃H₈₃NO₁₄  Molecular mass: 958.24 g/mol  PubChem compound: 6442177

Therapeutic indications

Everolimus is indicated for:

Refractory seizures associated with tuberous sclerosis complex (TSC)

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 years old or older)

Everolimus is indicated as adjunctive treatment of patients aged 2 years and older whose refractory partial-onset seizures, with or without secondary generalisation, are associated with tuberous sclerosis complex (TSC).

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Subependymal giant cell astrocytoma (SEGA) associated with tuberous sclerosis complex (TSC)

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 years old or older)

Everolimus is indicated for the treatment of adult and paediatric patients with SEGA associated with TSC who require therapeutic intervention but are not amenable to surgery.

The evidence is based on analysis of change in SEGA volume. Further clinical benefit, such as improvement in disease-related symptoms, has not been demonstrated.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Hormone receptor-positive, HER2/neu negative advanced breast cancer

Population group: only adults (18 years old or older)

Everolimus is indicated for the treatment of hormone receptor-positive, HER2/neu negative advanced breast cancer, in combination with exemestane, in postmenopausal women without symptomatic visceral disease after recurrence or progression following a non-steroidal aromatase inhibitor.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Neuroendocrine tumours of pancreatic origin

Population group: only adults (18 years old or older)

Everolimus is indicated for the treatment of unresectable or metastatic, well- or moderately-differentiated neuroendocrine tumours of pancreatic origin in adults with progressive disease.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Neuroendocrine tumours of gastrointestinal or lung origin

Population group: only adults (18 years old or older)

Everolimus is indicated for the treatment of unresectable or metastatic, well-differentiated (Grade 1 or Grade 2) non-functional neuroendocrine tumours of gastrointestinal or lung origin in adults with progressive disease.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Advanced renal cell carcinoma

Population group: only adults (18 years old or older)

Everolimus is indicated for the treatment of patients with advanced renal cell carcinoma, whose disease has progressed on or after treatment with VEGF-targeted therapy.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Renal angiomyolipoma associated with tuberous sclerosis complex (TSC)

Population group: only adults (18 years old or older)

Everolimus is indicated for the treatment of adult patients with renal angiomyolipoma associated with TSC who are at risk of complications (based on factors such as tumour size or presence of aneurysm, or presence of multiple or bilateral tumours) but who do not require immediate surgery.

The evidence is based on analysis of change in sum of angiomyolipoma volume.

For this indication, competent medicine agencies globally authorize below treatments (click for details):

Contraindications

Everolimus is contraindicated in the following cases:

St John's Wort (Hypericum perforatum)

Hypericum perforatum (St John's Wort)

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