Evidence map›Paper›PMID 18794549›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2008

Pediatric phase I and pharmacokinetic study of erlotinib followed by the combination of erlotinib and temozolomide: a Children's Oncology Group Phase I Consortium Study.

Regina I Jakacki, Marta Hamilton, Richard J Gilbertson, Susan M Blaney, Jean Tersak, Mark D Krailo, Ashish M Ingle, Stephan D Voss, Janet E Dancey, Peter C Adamson

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

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008. 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
6.2field-weighted citation impact, top 3% 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, 130 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Article
  7. Article
  8. Pediatric Leukemia Roadmaps Are a Guide for Positive Metastatic Bone Sarcoma Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
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  14. Concurrent targeting of MAP3K3 and BRD4 byMolecular therapy. Nucleic acids · 2021
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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

10 authors at 5 institutions in 1 country.

Regina I JakackiChildren's Hospital of Pittsburgh, Pittsburgh, PA 15213, USA. regina.jakacki@chp.edu
Marta Hamilton
Richard J Gilbertson
Susan M Blaney
Jean Tersak
Mark D Krailo
Ashish M Ingle
Stephan D Voss
Janet E Dancey
Peter C Adamson
Children's Oncology Group · USChildren's Cancer Center · USChildren's Hospital of Pittsburgh · USChildren's Hospital of Philadelphia · USSt. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Pediatric Pilot/Phase I Consortium - Foreign AccrualU01CA097452 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI BLANEY, SUSAN M. · 2002 to 2011
$28.2M
Pediatric Phase 1/Pilot ConsortiumUM1CA097452 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI WEIGEL, BRENDA J. · 2009 to 2018
$17.7M
NCATS NIH HHS UL1 TR000005NCI NIH HHS CA97452NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

purposeWe conducted a phase I and pharmacokinetic study of the epidermal growth factor receptor (EGFR) inhibitor erlotinib as a single agent and in combination with temozolomide in children with refractory solid tumors. PATIENTS AND

methodsErlotinib was administered orally once daily to cohorts of three to six children for a single 28-day course. Patients then received the combination of daily erlotinib and temozolomide daily for 5 days for all subsequent 28-day courses. An oral erlotinib solution was administered during the dose-finding phase and a tablet formulation was subsequently studied at the maximum-tolerated dose (MTD). Pharmacokinetic studies and ERBB-receptor expression and signaling studies were performed.

resultsForty-six patients, median age 11.5 years, received erlotinib at doses of 35, 50, 65, 85, or 110 mg/m(2)/d. At 110 mg/m(2)/d, two of four patients had dose-limiting toxicity (DLT) consisting of rash and hyperbilirubinemia, whereas one of six patients developed dose-limiting rash at 85 mg/m(2)/d. The most frequent non-DLTs included diarrhea, rash, and hyperbilirubinemia. The combination of erlotinib and temozolomide was well tolerated. The median apparent erlotinib clearance was 3.1 L/h/m(2) and the median terminal half-life was 8.7 hours. One patient with a neurocytoma had stable disease for 19 months, two patients with neuroblastoma remained on study for 23 and 24 months, and one patient with myoepithelioma had a mixed response.

conclusionThe recommended phase II dose of erlotinib in recurrent pediatric solid tumors is 85 mg/m(2)/d, either alone or in combination with temozolomide.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveBone NeoplasmsBrain NeoplasmsChildChild, PreschoolDacarbazineDiarrheaDrug EruptionsErbB ReceptorsErlotinib HydrochlorideHumansMaximum Tolerated DoseNeoplasm Recurrence, LocalDacarbazineErbB ReceptorsErlotinib HydrochlorideQuinazolinesTemozolomide

Identifiers

PMID18794549
PMCPMC2652086
OpenAlexW2164324888

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.