Evidence map›Paper›PMID 12795533›Full record

Trial reportInvestigational new drugs2003

Phase I and pharmacologic study of the human DNA methyltransferase antisense oligodeoxynucleotide MG98 given as a 21-day continuous infusion every 4 weeks.

Alison J Davis, Karen A Gelmon, Lillian L Siu, Malcolm J Moore, Carolyn D Britten, Nisha Mistry, Henry Klamut, Susan D'Aloisio, Martha MacLean, Nancy Wainman and 5 more

Abstract readClinical TrialClinical Trial, Phase I
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
  2. Review
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  5. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Epigenetic aberrations during oncogenesis.Cellular and molecular life sciences : CMLS · 2011
    Review
  19. Genetic and epigenetic changes in human prostate cancer.Iranian Red Crescent medical journal · 2011
    Article
  20. Epigenetic therapy for breast cancer.International journal of molecular sciences · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Alison J DavisNational Cancer Institute, Canada.
Karen A Gelmon
Lillian L Siu
Malcolm J Moore
Carolyn D Britten
Nisha Mistry
Henry Klamut
Susan D'Aloisio
Martha MacLean
Nancy Wainman
Debbie Ayers
Patricia Firby
Jeffrey M Besterman
Gregory K Reid
Elizabeth A Eisenhauer
Ontario Institute for Cancer Research · CABC Cancer Agency · CAPyrogenesis (Canada) · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMG98 is a second generation phosphorothioate antisense oligodeoxynucleotide which is a highly specific inhibitor of translation of the mRNA for human DNA MeTase I (DNMT 1). This phase I study examined the toxicity and pharmacologic profile of MG98 administered as a continuous 21-day intravenous infusion every 4 weeks. PATIENTS AND

methodsFourteen patients with solid cancers received a total of 25 cycles of MG98 at doses ranging from 40 to 240 mg/m2/day. Steady-state concentrations of MG98 were measured as were several pharmacodynamic assessments including mRNA of the target gene, DNMT1, in PBMC. In addition, other potential surrogate markers of drug effects were explored, including hemoglobin F, Vimentin and GADD45.

resultsDose limiting effects were drug-related reversible transaminase elevation and fatigue seen at doses of 240, 200 and 160 mg/m2/day. The dose level of 80 mg/m2/day was felt to be safe and tolerable when delivered on this schedule. No evidence of antitumor activity was observed. Although pharmacokinetic analysis revealed that at the higher dose levels, mean Css values of MG98 were approximately 10-fold times the IC50 values associated with target inhibition in vitro, the extent of MG98 penetration into target tumors in this trial was not determined. No consistent, dose-related changes in correlative markers including DNMT1 mRNA, hemoglobin F, Vimentin and GADD45, were observed.

conclusionsThis schedule of MG98 given as a 21-day continuous intravenous infusion every 4 weeks was poorly tolerated in the highest doses; therefore, further disease-site specific evaluation of the efficacy of this agent will utilize a more favorable, intermittent dosing schedule. Pharmacodynamic evaluations undertaken in an attempt to explore and validate the biological mechanisms of MG98 did not show dose-related effects.

Indexed as

AdultAgedDNA (Cytosine-5-)-Methyltransferase 1DNA (Cytosine-5-)-MethyltransferasesDose-Response Relationship, DrugDrug Administration ScheduleFemaleFetal HemoglobinGADD45 ProteinsHumansInfusions, IntravenousIntracellular Signaling Peptides and ProteinsMaleMaximum Tolerated DoseMiddle AgedNeoplasmsDNA (Cytosine-5-)-Methyltransferase 1DNA (Cytosine-5-)-MethyltransferasesDNMT1 protein, humanFetal HemoglobinGADD45 ProteinsIntracellular Signaling Peptides and ProteinsMG 98 phosphorothioate antisense oligodeoxynucleotideOligodeoxyribonucleotidesOligonucleotides, AntisenseProteinsRNA, MessengerThionucleotidesVimentin

Identifiers

PMID12795533
OpenAlexW264127248

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.