Evidence map›Paper›PMID 17082323›Full record

Trial reportBlood2007

A phase 2 study of the farnesyltransferase inhibitor tipifarnib in poor-risk and elderly patients with previously untreated acute myelogenous leukemia.

Jeffrey E Lancet, Ivana Gojo, Jason Gotlib, Eric J Feldman, Jacqueline Greer, Jane L Liesveld, Laura M Bruzek, Lawrence Morris, Youn Park, Alex A Adjei and 5 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
11.9field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  10. Phase II trial of tipifarnib as maintenance therapy in first complete remission in adults with acute myelogenous leukemia and poor-risk features.Clinical cancer research : an official journal of the American Association for Cancer Research · 2008
    Trial
  11. Trial
  12. Review
  13. Review
  14. Article
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  17. Translational medicine @ UniSa · 2016
    Article
  18. Molecular therapy for acute myeloid leukaemia.Nature reviews. Clinical oncology · 2016
    Review
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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 8 institutions in 1 country.

Jeffrey E LancetH. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, FL 33612, USA. lancetje@moffitt.org
Ivana Gojo
Jason Gotlib
Eric J Feldman
Jacqueline Greer
Jane L Liesveld
Laura M Bruzek
Lawrence Morris
Youn Park
Alex A Adjei
Scott H Kaufmann
Elizabeth Garrett-Mayer
Peter L Greenberg
John J Wright
Judith E Karp
Johns Hopkins University · USMayo Clinic in Arizona · USCornell University · USJohnson & Johnson (United States) · USNational Cancer Institute · USUniversity of Maryland, Baltimore · USUniversity of Rochester · USUniversity of South Florida · US

Funding

PHASE I TRIALS OF ANTICANCER AGENTSU01CA070095 · NCI · JOHNS HOPKINS UNIVERSITY · PI CARDUCCI, MICHAEL A · 1995 to 2013
$8.6M
PHASE I TRIALS OF ANTICANCER AGENTSU01CA069854 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI EDELMAN, MARTIN J · 1995 to 2002
$1.1M
NCI NIH HHS U01 CA070095NCI NIH HHS U01 CA69854NCI NIH HHS U01 CA70095
6 · The paper itself

Abstract

Outcomes for older adults with acute myelogenous leukemia (AML) are poor due to both disease and host-related factors. In this phase 2 study, we tested the oral farnesyltransferase inhibitor tipifarnib in 158 older adults with previously untreated, poor-risk AML. The median age was 74 years, and a majority of patients had antecedent myelodysplastic syndrome. Complete remission (CR) was achieved in 22 patients (14%); partial remission or hematologic improvement occurred in 15 patients, for an overall response rate of 23%. The median duration of CR was 7.3 months and the median survival of complete responders was 18 months. Adverse karyotype, age 75 years or older, and poor performance status correlated negatively with survival. Early death in the absence of progressive disease was rare, and drug-related nonhematologic serious adverse events were observed in 74 patients (47%). Inhibition of farnesylation of the surrogate protein HDJ-2 occurred in the large majority of marrow samples tested. Baseline levels of phosphorylated mitogen-activated protein kinase and AKT did not correlate with clinical response. Tipifarnib is active and well tolerated in older adults with poor-risk AML and may impart a survival advantage in those patients who experience a clinical response.

Indexed as

AdultAgedAged, 80 and overFarnesyltranstransferaseFemaleHSP40 Heat-Shock ProteinsHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMyelodysplastic SyndromesQuinolonesRemission InductionRiskSurvival RateTreatment OutcomeDNAJA1 protein, humanFarnesyltranstransferaseHSP40 Heat-Shock ProteinsQuinolonestipifarnib

Identifiers

PMID17082323
PMCPMC1794070
OpenAlexW2025754007

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.