Evidence map›Paper›PMID 15528978›Full record

Trial reportInvestigational new drugs2005

Phase I trial of orally administered CEP-701, a novel neurotrophin receptor-linked tyrosine kinase inhibitor.

John L Marshall, Hedy Kindler, John Deeken, Pankaj Bhargava, Nicholas J Vogelzang, Naiyer Rizvi, Taina Luhtala, Stacy Boylan, Margaret Dordal, Philmore Robertson and 2 more

Abstract readClinical TrialClinical Trial, Phase IMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
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  12. Nerves in the Tumor Microenvironment: Origin and Effects.Frontiers in cell and developmental biology · 2020
    Review
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  14. FLT3 inhibitors in acute myeloid leukemia.Journal of hematology & oncology · 2018
    Review
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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

12 authors at 6 institutions in 1 country.

John L MarshallGeorgetown University Medical Center-Lombardi Cancer Center, Washington, DC 20007, USA.
Hedy Kindler
John Deeken
Pankaj Bhargava
Nicholas J Vogelzang
Naiyer Rizvi
Taina Luhtala
Stacy Boylan
Margaret Dordal
Philmore Robertson
Michael J Hawkins
Mark J Ratain
University of Chicago · USGeorgetown University Medical Center · USAmerican Life Science Pharmaceuticals (United States) · USGeorgetown University · USMemorial Sloan Kettering Cancer Center · USUniversity of Massachusetts Boston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA phase I clinical trial in patients with advanced carcinomas was conducted using the orally available neurotrophin receptor-linked tyrosine kinase receptor inhibitor, CEP-701. The objectives were to determine the maximum tolerated dose (MTD), dose-limiting toxicities, and pharmacokinetic profile of this orally administered agent. PATIENTS AND

methodsA total of 30 patients were accrued to receive escalating BID doses of CEP-701 in cycles lasting 28 days. Between 3 and 6 patients were enrolled at each dose level. Once the MTD was determined, nine de novo patients were recruited to receive that level of drug. Pharmacokinetic studies were performed after the first dose, with additional sampling to assess intraindividual variability.

resultsThe dosages ranged from 5 mg BID to 160 mg BID. While the criteria for MTD were not met at the dose levels administered, DLTs were observed at 80 and 120 mg BID. Treatment related adverse events, especially of the gastrointestinal system, made CEP-701 poorly tolerated at dosages above 40 mg BID. While CEP-701 did not produce an objective tumor response in any patient, 7 of the 30 patients received treatment for 3 months or more, including 3 who were on study with stable disease for more than 6 months. Orally administered CEP-701 was rapidly absorbed, with a mean t(max) between 1 and 3 hours. At higher dose levels, serum drug levels showed greater than dose-proportional increases by Day 28 versus Day 1.

conclusionCEP-701 40 mg BID was well tolerated by patients with advanced malignancy and is the recommended dose level for planned phase II trials. Further study is necessary to determine the clinical efficacy of this novel new chemotherapeutic agent.

Indexed as

Administration, OralAdultAgedAged, 80 and overCarbazolesDose-Response Relationship, DrugEnzyme InhibitorsFemaleFuransHumansIndolesMaleMaximum Tolerated DoseMiddle AgedNeoplasmsReceptor, trkACarbazolesEnzyme InhibitorsFuransIndoleslestaurtinibReceptor, trkA

Identifiers

PMID15528978
OpenAlexW2028727039

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.