Evidence map›Paper›PMID 19965662›Full record

Trial reportBlood2010

Inhibition of Syk with fostamatinib disodium has significant clinical activity in non-Hodgkin lymphoma and chronic lymphocytic leukemia.

Jonathan W Friedberg, Jeff Sharman, John Sweetenham, Patrick B Johnston, Julie M Vose, Ann Lacasce, Julia Schaefer-Cutillo, Sven De Vos, Rajni Sinha, John P Leonard and 6 more

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

Trial report in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00446095 (A Phase I/II Multi-Center, Open Label Trial of the Safety and Efficacy of Fostamatinib in Patients With Relapsed/Refractory B-Cell Lymphoma), which is not on this map. Cited by 346 papers.

0numbers the graph read from it
0cells of the map it votes in
346citing papers in PubMed
31.0field-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.

NCT00446095 phase1 / phase2completednot on this map

A Phase I/II Multi-Center, Open Label Trial of the Safety and Efficacy of Fostamatinib in Patients With Relapsed/Refractory B-Cell Lymphoma

TypeinterventionalSponsorRigel PharmaceuticalsRan2007 to 2010Enrolled81ConditionsLymphomaArmsfostamatinib
3 · Its place in the literature

Who cites it

346 citing papers in PubMed, 734 citations in OpenAlex.

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286 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 1 country.

Jonathan W FriedbergJames P. Wilmot Cancer Center, University of Rochester, NY 14642, USA. jonathan_friedberg@urmc.rochester.edu
Jeff Sharman
John Sweetenham
Patrick B Johnston
Julie M Vose
Ann Lacasce
Julia Schaefer-Cutillo
Sven De Vos
Rajni Sinha
John P Leonard
Larry D Cripe
Stephanie A Gregory
Michael P Sterba
Ann M Lowe
Ronald Levy
Margaret A Shipp
Dana-Farber Cancer Institute · USRigel (United States) · USStanford University · USUniversity of Rochester · USCleveland Clinic · USCornell University · USEmory University · USIndiana University – Purdue University Indianapolis · USMayo Clinic in Arizona · USRush University · USUniversity of California, Los Angeles · USUniversity of Nebraska at Omaha · US

Funding

SPORE in LymphomaP50CA130805 · NCI · UNIVERSITY OF ROCHESTER · PI FISHER, RICHARD I · 2008 to 2012
$11.7M
NCI NIH HHS CA-130805NCI NIH HHS P50 CA130805
6 · The paper itself

Abstract

Certain malignant B cells rely on B-cell receptor (BCR)-mediated survival signals. Spleen tyrosine kinase (Syk) initiates and amplifies the BCR signal. In in vivo analyses of B-cell lymphoma cell lines and primary tumors, Syk inhibition induces apoptosis. These data prompted a phase 1/2 clinical trial of fostamatinib disodium, the first clinically available oral Syk inhibitor, in patients with recurrent B-cell non-Hodgkin lymphoma (B-NHL). Dose-limiting toxicity in the phase 1 portion was neutropenia, diarrhea, and thrombocytopenia, and 200 mg twice daily was chosen for phase 2 testing. Sixty-eight patients with recurrent B-NHL were then enrolled in 3 cohorts: (1) diffuse large B-cell lymphoma (DLBCL), (2) follicular lymphoma (FL), and (3) other NHL, including mantle cell lymphoma (MCL), marginal zone lymphoma (MZL), mucosa-associated lymphoid tissue lymphoma, lymphoplasmacytic lymphomas, and small lymphocytic leukemia/chronic lymphocytic leukemia (SLL/CLL). Common toxicities included diarrhea, fatigue, cytopenias, hypertension, and nausea. Objective response rates were 22% (5 of 23) for DLBCL, 10% (2 of 21) for FL, 55% (6 of 11) for SLL/CLL, and 11% (1/9) for MCL. Median progression-free survival was 4.2 months. Disrupting BCR-induced signaling by inhibiting Syk represents a novel and active therapeutic approach for NHL and SLL/CLL. This trial was registered at www.clinicaltrials.gov as #NCT00446095.

Indexed as

AdultAgedAged, 80 and overAminopyridinesAntineoplastic AgentsCohort StudiesDiarrheaDisease-Free SurvivalFemaleHematologic DiseasesHumansHypertensionIntracellular Signaling Peptides and ProteinsLeukemia, Lymphocytic, Chronic, B-CellLymphoma, Non-HodgkinMaleAminopyridinesAntineoplastic AgentsfostamatinibIntracellular Signaling Peptides and ProteinsMorpholinesNeoplasm ProteinsOxazinesProtein Kinase InhibitorsProtein-Tyrosine KinasesPyridinesPyrimidinesSyk KinaseSYK protein, human

Identifiers

PMID19965662
PMCPMC2852362
OpenAlexW1976402300

What OpenQuestion holds

Textmetadata
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.