Evidence map›Paper›PMID 18234154›Full record

Trial reportBiochemical pharmacology2008

Inhibition of P-glycoprotein (ABCB1)- and multidrug resistance-associated protein 1 (ABCC1)-mediated transport by the orally administered inhibitor, CBT-1((R)).

Robert W Robey, Suneet Shukla, Elizabeth M Finley, Robert K Oldham, Daryl Barnett, Suresh V Ambudkar, Tito Fojo, Susan E Bates

Open access · greenAbstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Biochemical pharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

71 citing papers in PubMed, 160 citations in OpenAlex.

  1. Trial
  2. Review
  3. Cancer Metastasis: Therapeutic Challenges and Opportunities.Medical oncology (Northwood, London, England) · 2025
    Review
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11 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

8 authors at 2 institutions in 1 country.

Robert W RobeyMedical Oncology Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD 20892, USA.
Suneet Shukla
Elizabeth M Finley
Robert K Oldham
Daryl Barnett
Suresh V Ambudkar
Tito Fojo
Susan E Bates
Center for Cancer Research · USNational Institutes of Health · US

Funding

Multidrug Resistance Mediated by P-glycoproteinZIASC006732 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI FOJO, ANTONIO · 2009 to 2015
$3.3M
Multidrug Resistance-linked Transport ProteinsZ01BC010030 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI AMBUDKAR, SURESH · 1996 to 2008
$2.3M
Clinical Studies to Circumvent Drug ResistanceZIABC010620 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI BATES, SUSAN · 2009 to 2015
$944k
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Cellular expression of ATP-binding cassette (ABC) transport proteins, such as P-glycoprotein (Pgp), multidrug resistance-associated protein (MRP1), or ABCG2, is known to confer a drug-resistant phenotype. Thus, the development of effective transporter inhibitors could be of value to cancer treatment. CBT-1 is a bisbenzylisoquinoline plant alkyloid currently in development as a Pgp inhibitor. We characterized its interactions with the three major ABC transporters associated with drug resistance - Pgp, MRP1 and ABCG2 - and compared it to other known inhibitors. CBT-1 completely inhibited rhodamine 123 transport from Pgp-overexpressing cells at a concentration of 1muM. Additionally, 1 microM completely reversed Pgp-mediated resistance to vinblastine, paclitaxel and depsipeptide in SW620 Ad20 cells. CBT-1 was found to compete [(125)I]-IAAP labeling of Pgp with an IC(50) of 0.14 microM, and low concentrations of CBT-1 (<1 microM) stimulated Pgp-mediated ATP hydrolysis. In MRP1-overexpressing cells, 10 microM CBT-1 was found to completely inhibit MRP1-mediated calcein transport. CBT-1 at 25 microM did not have a significant effect on ABCG2-mediated pheophorbide a transport. Serum levels of CBT-1 in samples obtained from eight patients receiving CBT-1 increased intracellular rhodamine 123 levels in CD56+ cells 2.1- to 5.7-fold in an ex vivo assay. CBT-1 is able to inhibit the ABC transporters Pgp and MRP1, making it an attractive candidate for clinical trials in cancers where Pgp and/or MRP1 might be overexpressed. Further clinical studies with CBT-1 are warranted.

Indexed as

Adenosine TriphosphatasesAlkaloidsAnimalsAntineoplastic AgentsATP-Binding Cassette, Sub-Family C ProteinsATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 1AzidesBiological FactorsBiological TransportCell LineCell Line, TumorCyclosporinsDepsipeptidesFluorescent DyesFluorouracilABCB1 protein, humanAdenosine TriphosphatasesAlkaloidsAntineoplastic AgentsATP-Binding Cassette, Sub-Family C ProteinsATP Binding Cassette Transporter, Subfamily BATP Binding Cassette Transporter, Subfamily B, Member 1AzidesazidoprazosinBiological FactorsCBT-1 (plant alkaloid)CyclosporinsDepsipeptidesFluorescent DyesFluorouracilmultidrug resistance-associated protein 1PaclitaxelPrazosinQuinolinesRhodamine 123tariquidarvalspodarVerapamilVinblastine

Identifiers

PMID18234154
PMCPMC2346578
OpenAlexW2106483532

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.