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Temsirolimus (Torisel)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Temsirolimus

What it is

Temsirolimus is an mTOR inhibitor given by weekly drip: the body turns it partly into sirolimus, and both block mTOR, which controls cell growth and blood vessel formation. It is used for advanced kidney cancer, especially with poor-risk features, and in Europe for mantle cell lymphoma. It is sold as Torisel.

How genes come into it

Temsirolimus is broken down by CYP3A4 and CYP3A5 and pumped out of cells by ABCB1. The few gene studies on it looked at ABCB1, NR1I2 (the regulator of CYP3A4) and CYP3A5 for its blood levels and side effects. The findings come from a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Temsirolimus. Upload your DNA file to see which of these rows apply to you.

Rated evidence (4 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

NR1I2 rs6785049: Level 3. Toxicity, Metabolism/PK: Gastrointestinal toxicity, Myelosuppression, Urinary Bladder Neoplasms. 1.

ABCB1 rs2032582: Level 3. Metabolism/PK: Hematopoietic stem cell transplantation, Kidney Transplantation, Urinary Bladder Neoplasms. 1.

NR1I2 rs3814055: Level 3. Toxicity, Metabolism/PK: adverse events, Gastrointestinal toxicity, Myelosuppression, Urinary Bladder Neoplasms. 1.

ABCB1 rs1128503: Level 3. Metabolism/PK: Urinary Bladder Neoplasms. 1.

Metabolism (5 findings)

Studies of how quickly the body processes this medication.

ABCB1 rs1128503: Genotype GG is associated with decreased exposure to sirolimus and temsirolimus in people with Urinary Bladder Neoplasms as compared to genotypes AA + AG.

ABCB1 rs2032582: Genotype CC is associated with increased metabolism of temsirolimus in people with Urinary Bladder Neoplasms as compared to genotypes AA + AC.

CYP3A5 rs776746: Genotype CT is associated with decreased concentrations of sirolimus and temsirolimus in people with Urinary Bladder Neoplasms as compared to genotype CC.

NR1I2 rs3814055: Genotype TT is associated with decreased metabolism of temsirolimus in people with Urinary Bladder Neoplasms as compared to genotypes CC + CT.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Afinitor (mTOR Inhibitors)

Rapamune (mTOR Inhibitors)

5-FU (Antimetabolites)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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