Evidence map›Paper›PMID 19088048›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2008

Phase II trial of 17-allylamino-17-demethoxygeldanamycin in patients with metastatic melanoma.

David B Solit, Iman Osman, David Polsky, Katherine S Panageas, Adil Daud, James S Goydos, Jerrold Teitcher, Jedd D Wolchok, F Joseph Germino, Susan E Krown and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
10.5field-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

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 187 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
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  6. Review
  7. Article
  8. Article
  9. Review
  10. First-in-Human Trial of Epichaperome-Targeted PET in Patients with Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  11. Article
  12. Review
  13. Inhibitors of HSP90 in melanoma.Apoptosis : an international journal on programmed cell death · 2020
    Review
  14. Two closed ATP- and ADP-dependent conformations in yeast Hsp90 chaperone detected by Mn(II) EPR spectroscopic techniques.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  15. Article
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  20. Consecutive Day HSP90 Inhibitor Administration Improves Efficacy in Murine Models of KIT-Driven Malignancies and Canine Mast Cell Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Article

35 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

13 authors at 6 institutions in 2 countries.

David B SolitDepartment of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.
Iman Osman
David Polsky
Katherine S Panageas
Adil Daud
James S Goydos
Jerrold Teitcher
Jedd D Wolchok
F Joseph Germino
Susan E Krown
Daniel Coit
Neal Rosen
Paul B Chapman
Immunovaccine (Canada) · CACancer Research And Biostatistics · USMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USNew York University · USRutgers Cancer Institute of New Jersey

Funding

Phase II trial of 17-AAG in melanoma patientsR21CA112899 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHAPMAN, PAUL B · 2006 to 2007
$724k
Relevance of circulating mutant BRAF DNA in melanomaR21CA109388 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI POLSKY, DAVID · 2005 to 2006
$287k
NCI NIH HHS CA112899-01NCI NIH HHS N01-CM-17105NCI NIH HHS R21 CA109388NCI NIH HHS R21 CA112899PHS HHS N01-24XS097-01
6 · The paper itself

Abstract

purposeActivation of the mitogen-activated protein kinase (MAPK) pathway and the phosphatidylinositol 3-kinase/AKT pathway seems to be critical for melanoma proliferation. Components of these pathways are client proteins of heat-shock protein 90 (hsp90), suggesting that inhibition of hsp90 could have significant antimelanoma effects. We conducted a phase II trial using the hsp90 inhibitor 17-allylamino-17-demethoxygeldanamycin (17-AAG) in melanoma patients. The primary end points were clinical responses and whether treatment inhibited MAPK pathway activity. EXPERIMENTAL

designMelanoma patients with measurable disease were stratified on the basis of whether or not their tumor harbored a V600E BRAF mutation. The hsp90 inhibitor 17-AAG was administered i.v. once weekly x 6 weeks at 450 mg/m2. Tumor biopsies were obtained pretreatment and 18 to 50 hours after the first dose of 17-AAG, and were snap-frozen.

resultsFifteen evaluable patients were treated; nine had BRAF mutations and six were wild-type. No objective responses were observed. Western blot analysis of tumor biopsies showed an increase in hsp70 and a decrease in cyclin D1 expression in the posttreatment biopsies but no significant effect on RAF kinases or phospho-extracellular signal-regulated kinase expression. Plasma analyzed by mutant-specific PCR for V600E BRAF showed 86% sensitivity and 67% specificity in predicting tumor DNA sequencing results.

conclusionsAt this dose and schedule of 17-AAG, the effects of 17-AAG on RAF kinase expression were short-lived, and no objective antimelanoma responses were seen. Future trials in melanoma should focus on a more potent hsp90 inhibitor or a formulation that can be administered chronically for a more prolonged suppression of the MAPK pathway.

Indexed as

AdultAgedBenzoquinonesFemaleHSP90 Heat-Shock ProteinsHumansLactams, MacrocyclicMaleMAP Kinase Signaling SystemMelanomaMiddle AgedMutationProto-Oncogene Proteins B-rafBenzoquinonesBRAF protein, humanHSP90 Heat-Shock ProteinsLactams, MacrocyclicProto-Oncogene Proteins B-raftanespimycin

Identifiers

PMID19088048
PMCPMC2629404
OpenAlexW2116725504

What OpenQuestion holds

Textmetadata
LicenceTDM
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.