Evidence map›Paper›PMID 18650079›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2008

A phase I and pharmacokinetic study of the quinoxaline antitumour Agent R(+)XK469 in patients with advanced solid tumours.

Samir D Undevia, Federico Innocenti, Jacqueline Ramirez, Larry House, Apurva A Desai, Linda A Skoog, Deepti A Singh, Theodore Karrison, Hedy L Kindler, Mark J Ratain

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

Article in European journal of cancer (Oxford, England : 1990), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 62 citations in OpenAlex.

  1. Exploring the effects of topoisomerase II inhibitor XK469 on anthracycline cardiotoxicity and DNA damage.Toxicological sciences : an official journal of the Society of Toxicology · 2024
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  5. IACS omega · 2022
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  11. R(+)XK469 inhibits hydroxylation of S-warfarin by CYP2C9.European journal of cancer (Oxford, England : 1990) · 2009
    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

10 authors at 3 institutions in 1 country.

Samir D UndeviaDepartment of Medicine, Section of Hematology/Oncology, University of Chicago, Chicago, IL 60637, USA. sundevia@medicine.bsd.uchicago.edu
Federico Innocenti
Jacqueline Ramirez
Larry House
Apurva A Desai
Linda A Skoog
Deepti A Singh
Theodore Karrison
Hedy L Kindler
Mark J Ratain
University of Chicago · USCancer Research Center · USChicago Department of Public Health · US

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI THOMAS F GAJEWSKI · 1985 to 2026
$122.1M
PHASE I CLINICAL TRIALS OF ANTICANCER AGENTSU01CA069852 · NCI · UNIVERSITY OF CHICAGO · PI RATAIN, MARK J · 1995 to 2013
$9.4M
NCI NIH HHS P30 CA014599NCI NIH HHS P30 CA14599NCI NIH HHS U01 CA069852NCI NIH HHS U01 CA69852
6 · The paper itself

Abstract

purposeTo investigate the safety and pharmacokinetics of R(+)XK469, a quinoxaline analogue, in patients with advanced refractory solid tumours. Preclinical studies suggested that efficacy was independent of schedule but that toxicity was decreased by dividing the dose.

methodsR(+)XK469 was initially administered as a 30 min intravenous infusion on days 1-5 of a 21-d cycle. Based on the demonstration of a long half-life, the dosing schedule was subsequently amended to infusion on days 1, 3 and 5 of a 21-d cycle. An alternate single-dose schedule of once every 21 d was also explored. Blood samples were collected for pharmacokinetic studies.

resultsDose-limiting toxicity (DLT) was neutropaenia. There was significant interindividual variability in clearance as evidenced by a coefficient of variation of 46%. A flat-dosing scheme (not based on body surface area) was justified by the absence of correlation between clearance and body surface area. A partial response was observed in a patient with nasopharyngeal carcinoma.

conclusionsThe recommended phase II doses are 850-1100 mg/d on days 1, 3 and 5 of a 21-d cycle and 2500 mg on day 1 of a 21-d cycle. The observed interpatient pharmacokinetic variability should prompt investigation into the presence of genetic polymorphism in relevant metabolizing enzymes.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsDrug Administration ScheduleFemaleHumansInfusions, IntravenousMaleMaximum Tolerated DoseMiddle AgedNeoplasmsNeutropeniaQuinoxalinesTreatment OutcomeAntineoplastic AgentsQuinoxalinesXK 469

Identifiers

PMID18650079
PMCPMC2731567
OpenAlexW2022556541

What OpenQuestion holds

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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.