Evidence map›Paper›PMID 18536551›Full record

ReviewCancer journal (Sudbury, Mass.)

Phase 0 clinical trials: conceptions and misconceptions.

Shivaani Kummar, Larry Rubinstein, Robert Kinders, Ralph E Parchment, Martin E Gutierrez, Anthony J Murgo, Jay Ji, Barbara Mroczkowski, Oxana K Pickeral, Mel Simpson and 7 more

Open access · greenAbstract readReview
In one paragraph

Review in Cancer journal (Sudbury, Mass.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
4.4field-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

48 citing papers in PubMed, 107 citations in OpenAlex.

  1. A Phase 0 Trial of Ceritinib in Patients with Brain Metastases and Recurrent Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
  2. Trial
  3. Review
  4. Article
  5. Adoptive T-cell therapies in the clinic.Bioengineering & translational medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. In Vivo Interactions of Nucleic Acid Nanostructures With Cells.Advanced materials (Deerfield Beach, Fla.) · 2025
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
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

17 authors at 3 institutions in 1 country.

Shivaani KummarCenter for Cancer Research, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, Maryland 20892, USA.
Larry Rubinstein
Robert Kinders
Ralph E Parchment
Martin E Gutierrez
Anthony J Murgo
Jay Ji
Barbara Mroczkowski
Oxana K Pickeral
Mel Simpson
Melinda Hollingshead
Sherry X Yang
Lee Helman
Robert Wiltrout
Jerry Collins
Joseph E Tomaszewski
James H Doroshow
National Institutes of Health · USNational Cancer Institute · USCenter for Cancer Research · US

Funding

Clinical Research Support for the CCRZIDBC011022 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GULLEY, JAMES L. · 2009 to 2025
$43.5M
Phase 01 Clinical TrialsZIABC011078 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DOROSHOW, JAMES · 2009 to 2025
$9.0M
Solid TumorsZIASC006891 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI HELMAN, LEE J. · 2009 to 2017
$5.0M
Immunophysiological Mechanisms in the Biological Therapy of CancerZIABC009262 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WILTROUT, ROBERT · 2009 to 2015
$4.0M
Characterization of the interaction between inflammation and cancer progressionZIABC010892 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WILTROUT, ROBERT · 2009 to 2015
$2.8M
SOLID TUMORSZ01SC006892 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI HELMAN, LEE J. · 1996 to 2008
$1.2M
Intramural NIH HHS Z01 SC006892Intramural NIH HHS ZID BC011022NCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400
6 · The paper itself

Abstract

Phase 0 clinical trials, developed in response to the United States Food and Drug Administration (FDA)'s recent exploratory Investigational New Drug (IND) guidance, are intended to expedite the clinical evaluation of new molecular entities. The exploratory IND supports the performance of first-in-human testing of new investigational agents at subtherapeutic doses based on reduced manufacturing and toxicologic requirements, allowing the demonstration of drug-target effects and assessment of pharmacokinetic-pharmacodynamic relationships in humans earlier in clinical development. The objectives of a phase 0 cancer clinical trial are to establish at the very earliest opportunity-before large numbers of patients have been accrued and exposed to potential drug-associated toxicity-whether an agent is modulating its target in a tumor, and consequently whether further clinical development is warranted. We review here the fundamental requirements of clinical studies conducted under an exploratory IND and address some common misconceptions regarding oncologic phase 0 trials.

Indexed as

Clinical Trials as TopicDrugs, InvestigationalBiomedical ResearchHumansPharmacokineticsPharmacologyUnited StatesUnited States Food and Drug AdministrationDrugs, Investigational

Identifiers

PMID18536551
PMCPMC7185299
OpenAlexW2079914493

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.