Evidence map›Paper›PMID 19738452›Full record

Trial reportAmerican journal of clinical oncology2010

Phase II study of paclitaxel plus the protein kinase C inhibitor bryostatin-1 in advanced pancreatic carcinoma.

Anthony P Lam, Joseph A Sparano, Vincent Vinciguerra, Allyson J Ocean, Paul Christos, Howard Hochster, Fernando Camacho, Sanjay Goel, Sridhar Mani, Andreas Kaubisch

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of clinical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00031694 (A Phase II Study of Sequential Paclitaxel and Bryostatin-1 for Patients With Advanced Pancreatic Cancer), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT00031694 phase2completednot on this map

A Phase II Study of Sequential Paclitaxel and Bryostatin-1 for Patients With Advanced Pancreatic Cancer

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2002 to 2010Enrolled19ConditionsAcinar Cell Adenocarcinoma of the Pancreas, Duct Cell Adenocarcinoma of the Pancreas, Recurrent Pancreatic Cancer, Stage III Pancreatic CancerArmspaclitaxel, bryostatin 1
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Targeting protein kinase C subtypes in pancreatic cancer.Expert review of anticancer therapy · 2015
    Review
  18. Review
  19. Protein kinase C, an elusive therapeutic target?Nature reviews. Drug discovery · 2012
    Review
  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

10 authors at 5 institutions in 1 country.

Anthony P LamNew York Cancer Consortium (www.newyorkcancerconsortium.org), including the Montefiore-Einstein Cancer Center, Bronx, NY 10461, USA.
Joseph A Sparano
Vincent Vinciguerra
Allyson J Ocean
Paul Christos
Howard Hochster
Fernando Camacho
Sanjay Goel
Sridhar Mani
Andreas Kaubisch
Montefiore Einstein Comprehensive Cancer CenterAlbert Einstein College of Medicine · USNewYork–Presbyterian Hospital · USColumbia University Irving Medical Center · USNorth Shore University Hospital · US

Funding

NCI NIH HHS N01 CM017103NCI NIH HHS N01 CM062204NCI NIH HHS N01-CM-62204
6 · The paper itself

Abstract

purposeTo determine the efficacy and toxicity of the protein kinase C inhibitor bryostatin-1 plus paclitaxel in patients with advanced pancreatic carcinoma.

methodsEach treatment cycle consisted of paclitaxel 90 mg/m by intravenous infusion over 1 hour on days 1, 8, and 16, plus bryostatin 25 mcg/m as a 1-hour intravenous infusion on days 2, 9, and 15, given every 28 days. Patients were evaluated for response after every 2 treatment cycles, and continued therapy until disease progression or prohibitive toxicity. The primary objective was to determine whether the combination produced a response rate of at least 30%.

resultsNineteen patients with locally advanced or metastatic pancreatic adenocarcinoma received a total of 52 cycles of therapy (range: 1-10). Patients received the combination as first-line therapy for advanced disease (N = 5) or after prior chemotherapy used alone or in combination with local therapy. No patients had a confirmed objective response. The median time to treatment failure was 1.9 months (95% confidence intervals: 1.2, 2.6 months). Reasons for discontinuing therapy included progressive disease or death in 14 patients (74%) or because of adverse events or patient choice in 5 patients (26%). The most common grade 3 to 4 toxicities included leukopenia in 26%, anemia in 11%, myalgias in 11%, gastrointestinal bleeding in 11%, infection in 10%, and thrombosis in 10%.

conclusionThe combination of weekly paclitaxel and bryostatin-1 is not an effective therapy for patients with advanced pancreatic carcinoma.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBryostatinsFemaleHumansMaleMiddle AgedNeoplasm StagingPaclitaxelPancreatic NeoplasmsProtein Kinase CSurvival RateTreatment Outcomebryostatin 1BryostatinsPaclitaxelProtein Kinase C

Identifiers

PMID19738452
PMCPMC3555556
OpenAlexW2071362824

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.