Evidence map›Paper›PMID 20461440›Full record

ArticleInvestigational new drugs2011

A phase I pharmacokinetic study of pulse-dose vorinostat with flavopiridol in solid tumors.

Mark Andrew Dickson, Dana E Rathkopf, Richard D Carvajal, Steven Grant, John D Roberts, Joel M Reid, Matthew M Ames, Renee M McGovern, Robert A Lefkowitz, Mithat Gonen and 3 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Investigational new drugs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Disulfiram metabolite Cu(DDC)EBioMedicine · 2026
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  12. Overview of CDK9 as a target in cancer research.Cell cycle (Georgetown, Tex.) · 2016
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. The CDK inhibitors in cancer research and therapy.Journal of cancer research and clinical oncology · 2011
    Review
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 4 institutions in 1 country.

Mark Andrew DicksonMelanoma and Sarcoma Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Dana E Rathkopf
Richard D Carvajal
Steven Grant
John D Roberts
Joel M Reid
Matthew M Ames
Renee M McGovern
Robert A Lefkowitz
Mithat Gonen
Lauren M Cane
Heather J Dials
Gary K Schwartz
Memorial Sloan Kettering Cancer Center · USVirginia Commonwealth University · USWinnMed · USMayo Clinic · US

Funding

PROTEIN KINASE C--A NOVEL TARGET FOR CANCER THERAPYR01CA067819 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SCHWARTZ, GARY K · 1996 to 2008
$4.7M
NCI NIH HHS R01 CA067819NCI NIH HHS R01CA67819
6 · The paper itself

Abstract

purposeVorinostat (V) at levels >2.5 µM enhances chemotherapy in vitro. Yet the approved oral dose of 400 mg inconsistently achieves this level in patients. We developed an intermittent oral pulse-dose schedule of V to increase serum levels. We combined V with the cyclin dependent kinase inhibitor flavopiridol (F) which increases V-induced apoptosis. EXPERIMENTAL

designOne week before combination treatment, V alone was given daily for 3d (cycle -1). Then V was given on d1-3 and d8-10, and F on d2 and d9, every 21-d. Due to neutropenia, this was modified to V on d1-3 and d15-17, and F on d2 and d16, every 28-d. Bolus and split-dose F schedules were studied.

results34 patients were treated. On the 21-d schedule, the maximum tolerated dose (MTD) was V 600 mg/d and F 60 mg/m(2) bolus. On the 28-d schedule, the MTD was V 800 mg/d and F 30 mg/m(2) over 30 min and 30 mg/m(2) over 4 h. V C(max) at the 800 mg dose was 4.8 µM (± 2.8). V C(max) ≥ 2.5 µM was achieved in 86% of patients at the MTD. F increased the C(max) of V by 27% (95% CI 11%-43%). F C(max) of ≥ 2 µM was achieved in 90% of patients. 8 patients had stable disease for on average 5.5 m (range 1.6-13.2 m).

conclusionsIntermittent high dose oral V in combination with F is feasible and achieves target serum levels >2.5 µM. V concentrations higher than previously reported with oral dosing were achieved.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesDose-Response Relationship, DrugFemaleFlavonoidsHumansHydroxamic AcidsMaleMiddle AgedNeoplasmsPiperidinesVorinostatalvocidibAntineoplastic AgentsFlavonoidsHydroxamic AcidsPiperidinesVorinostat

Identifiers

PMID20461440
PMCPMC3545439
OpenAlexW2032167699

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.