Evidence map›Paper›PMID 20120033›Full record

Trial reportCancer2010

A phase 2 pilot trial of low-dose, continuous infusion, or "metronomic" paclitaxel and oral celecoxib in patients with metastatic melanoma.

Rupal S Bhatt, Jaime Merchan, Robert Parker, Hua-Kang Wu, Liang Zhang, Virginia Seery, John V Heymach, Michael B Atkins, David McDermott, Vikas P Sukhatme

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 71 citations in OpenAlex.

  1. Doxorubicin and deracoxib adjuvant therapy for canine splenic hemangiosarcoma: a pilot study.The Canadian veterinary journal = La revue veterinaire canadienne · 2013
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  12. Metronomics: towards personalized chemotherapy?Nature reviews. Clinical oncology · 2014
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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.

Rupal S BhattDivision of Hematology and Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. rbhatt@bidmc.harvard.edu
Jaime Merchan
Robert Parker
Hua-Kang Wu
Liang Zhang
Virginia Seery
John V Heymach
Michael B Atkins
David McDermott
Vikas P Sukhatme
Beth Israel Deaconess Medical Center · USThe University of Texas MD Anderson Cancer Center · USDana-Farber/Harvard Cancer Center · USHarvard University · USUniversity of Miami · US

Funding

COMBINATION ANTIANGIOGENIC THERAPY FOR ADVANCED MELANOMAR21CA097730 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SUKHATME, VIKAS P · 2003 to 2004
$661k
NCI NIH HHS R21 CA097730
6 · The paper itself

Abstract

background: Tumor angiogenesis has been associated with a poor prognosis in patients with metastatic melanoma (MM). Microtubule stabilizers and cyclooxygenase 2 (COX-2) inhibitors, alone and in combination, have produced inhibitory effects on endothelial cells and tumor angiogenesis. Angiogenesis, which is the growth of new blood vessels, is necessary for tumor growth and progression. Thus, the authors tested the safety and efficacy of a low dose of paclitaxel and celecoxib in patients with MM.

methods: Patients received paclitaxel 10 mg/m(2) for 96 hours weekly as a continuous intravenous infusion and oral celecoxib 400 mg twice daily. Systemic tumor response was assessed at 6-week intervals. Tumor measurements at the end of Cycle 1 were used as the baseline for assessment of tumor progression. Patients with unacceptable toxicity or disease progression after Cycle 2 relative to the end of Cycle 1 were taken off study.

results: Twenty patients were enrolled. Twelve of 20 patients (60%) had received > or =2 previous systemic therapies. Three patients did not receive treatment because of rapid disease progression. Treatment-related grade 3/4 toxicities were limited to catheter-related complications. One patient achieved a partial response, and 3 of 20 patients (15%) had stable disease for >6 months. The median time to progression was 57 days (95% confidence interval, 43-151 days), and the median overall survival was 212 days (95% confidence interval, 147-811 days).

conclusions: Low-dose, continuous intravenous infusion paclitaxel and oral celecoxib produced disease stabilization in a significant proportion of heavily pretreated patients with MM. These findings support a role for metronomic therapy in patients with this disease. Cancer 2010. (c) 2010 American Cancer Society.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCelecoxibCytokinesDrug Administration ScheduleFemaleHumansMaleMelanomaMiddle AgedNeoplasm MetastasisPaclitaxelPilot ProjectsPyrazolesSkin NeoplasmsCelecoxibCytokinesPaclitaxelPyrazolesSulfonamides

Identifiers

PMID20120033
PMCPMC2847062
OpenAlexW1969267835

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.