Evidence map›Paper›PMID 20229590›Full record

Trial reportAmerican journal of hematology2010

A Phase II trial of the oral mTOR inhibitor everolimus in relapsed Hodgkin lymphoma.

Patrick B Johnston, David J Inwards, Joseph P Colgan, Betsy R Laplant, Brian F Kabat, Thomas M Habermann, Ivana N Micallef, Luis F Porrata, Stephen M Ansell, Craig B Reeder and 2 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in American journal of hematology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00436618 (Phase II Trial of Everolimus), which is not on this map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
15.5field-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.

NCT00436618 phase2completednot on this map

Phase II Trial of Everolimus (RAD001) in Relapsed/Refractory Lymphoma

TypeinterventionalSponsorMayo ClinicRan2005 to 2019Enrolled277ConditionsLeukemia, Lymphoma, Lymphoproliferative DisorderArmsEverolimus
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Pooled it
  2. Hodgkin lymphoma, version 2.2015.Journal of the National Comprehensive Cancer Network : JNCCN · 2015
    Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Drug Repurposing by Tumor Tissue Editing.Frontiers in oncology · 2022
    Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Patrick B JohnstonDivision of Hematology, Department of Medicine, Mayo Clinic College of Medicine and Mayo Foundation, Rochester, Minnesota 55905, USA.
David J Inwards
Joseph P Colgan
Betsy R Laplant
Brian F Kabat
Thomas M Habermann
Ivana N Micallef
Luis F Porrata
Stephen M Ansell
Craig B Reeder
Vivek Roy
Thomas E Witzig
Mayo Clinic · USMayo Clinic in Florida · US

Funding

Signal transduction inhibitor therapy for LymphomaR01CA127433 · NCI · MAYO CLINIC ROCHESTER · PI WITZIG, THOMAS E. · 2007 to 2011
$1.7M
NCI NIH HHS R01 CA127433
6 · The paper itself

Abstract

Everolimus is an oral antineoplastic agent that targets the raptor mammalian target of rapamycin (mTORC1). The phosphatidylinositol 3-kinase/mTOR signal transduction pathway has been demonstrated to be activated in tumor samples from patients with Hodgkin lymphoma (HL). The goal of this trial was to learn the antitumor activity and toxicity of everolimus in patients with relapsed/refractory HL. Patients were eligible if they had measurable disease, a platelet count >75,000, and an absolute neutrophil count >1,000. Patients received everolimus 10 mg PO daily. Dose reductions were allowed. Response was assessed after two and six cycles and then every three cycles until progression. Patients could remain on drug until progression or toxicity. Nineteen patients were enrolled. Median age was 37 years (range, 27-68). Patients had received a median of six prior therapies (range, 3-14) and 84% had undergone prior autologous stem cell transplant. The ORR was 47% (95% CI: 24-71%) with eight patients achieving a PR and one patient achieving a CR. The median TTP was 7.2 months. Four responders remained progression free at 12 months. Patients received a median of seven cycles of therapy. Of the 19 patients, one remains on therapy at 36 months; the others went off study because of progressive disease (16), toxicity (1), and death from infection (1). Four patients experienced a Grade 3 or higher pulmonary toxicity. Everolimus has single-agent activity in relapsed/refractory HL and provides proof-of-concept that targeting the mTOR pathway in HL is clinically relevant.

Indexed as

AdultAgedAntineoplastic AgentsDisease-Free SurvivalDrug ApprovalEverolimusFemaleHodgkin DiseaseHumansMaleMechanistic Target of Rapamycin Complex 1Middle AgedMultiprotein ComplexesNeoplasm Recurrence, LocalProteinsSalvage TherapyAntineoplastic AgentsEverolimusMechanistic Target of Rapamycin Complex 1Multiprotein ComplexesProteinsSirolimusTOR Serine-Threonine KinasesTranscription Factors

Identifiers

PMID20229590
PMCPMC4420736
OpenAlexW2166258988

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.