Evidence map›Paper›PMID 20694727›Full record

ArticleCancer chemotherapy and pharmacology2011

A Phase 1 study of UCN-01 in combination with irinotecan in patients with resistant solid tumor malignancies.

Paula M Fracasso, Kerry J Williams, Ronald C Chen, Joel Picus, Cynthia X Ma, Matthew J Ellis, Benjamin R Tan, Timothy J Pluard, Douglas R Adkins, Michael J Naughton and 16 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Profile of Helen M. Piwnica-Worms.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Review
  8. The treatment landscape of triple-negative breast cancer.Medical oncology (Northwood, London, England) · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. International journal of molecular sciences · 2021
    Article
  16. Targeting Dormant Ovarian Cancer CellsMolecular cancer therapeutics · 2021
    Article
  17. Review
  18. Article
  19. Molecularly targeted therapies for p53-mutant cancers.Cellular and molecular life sciences : CMLS · 2017
    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

26 authors at 6 institutions in 2 countries.

Paula M FracassoDepartment of Internal Medicine, Alvin J. Siteman Cancer Center and Washington University School of Medicine, St Louis, MO, USA. fracasso@virginia.edu
Kerry J Williams
Ronald C Chen
Joel Picus
Cynthia X Ma
Matthew J Ellis
Benjamin R Tan
Timothy J Pluard
Douglas R Adkins
Michael J Naughton
Janet S Rader
Matthew A Arquette
James W Fleshman
Allison N Creekmore
Sherry A Goodner
Lisa P Wright
Zhanfang Guo
Christine E Ryan
Yu Tao
Eliane M Soares
Shi-Rong Cai
Li Lin
Janet Dancey
Michelle A Rudek
Howard L McLeod
Helen Piwnica-Worms
Washington University in St. Louis · USAlvin J. Siteman Cancer CenterHoward Hughes Medical Institute · USJewish Hospital · USJohns Hopkins University · USNational Institutes of Health · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
PLANNING A PROGRAM OF RESEARCH IN PROSTATE CANCERR21CA069773 · NCI · DUKE UNIVERSITY · PI WALTER, PHILIP JOHN · 1995 to 1998
–
Howard Hughes Medical InstituteNCATS NIH HHS UL1 TR000448NCI NIH HHS P30 CA069773NCI NIH HHS P30 CA091842NCRR NIH HHS UL1 RR024992
6 · The paper itself

Abstract

purposeUCN-01 (7-hydroxystaurosporine) is a multi-targeted protein kinase inhibitor that exhibits synergistic activity with DNA-damaging agents in preclinical studies. We conducted a Phase I study to determine the maximum-tolerated dose (MTD), dose-limiting toxicity (DLT), pharmacokinetic, and pharmacodynamic effects of UCN-01 and irinotecan in patients with resistant solid tumors. EXPERIMENTAL

designPatients received irinotecan (75-125 mg/m(2) IV on days 1, 8, 15, 22) and UCN-01 (50-90 mg/m(2) IV on day 2 and 25-45 mg/m(2) on day 23 and subsequent doses) every 42 days. Blood for pharmacokinetics of UCN-01 and irinotecan, and blood, normal rectal mucosa, and tumor biopsies for pharmacodynamic studies were obtained.

resultsTwenty-five patients enrolled to 5 dose levels. The MTD was irinotecan 125 mg/m(2) on days 1, 8, 15, 22 and UCN-01 70 mg/m(2) on day 2 and 35 mg/m(2) on day 23. DLTs included grade 3 diarrhea/dehydration and dyspnea. UCN-01 had a prolonged half-life and a low clearance rate. There was a significant reduction in SN-38 C(max) and aminopentanocarboxylic acid (APC) and SN-38 glucuronide half-lives. Phosphorylated ribosomal protein S6 was reduced in blood, normal rectal mucosa, and tumor biopsies at 24 h post-UCN-01. Two partial responses were observed in women with ER, PgR, and HER2-negative breast cancers (TBNC). Both tumors were defective for p53. Twelve patients had stable disease (mean duration 18 weeks, range 7-30 weeks).

conclusionUCN-01 and irinotecan demonstrated acceptable toxicity and target inhibition. Anti-tumor activity was observed and a study of this combination in women with TNBC is underway.

Indexed as

Drug Resistance, NeoplasmAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCamptothecinFemaleHumansIrinotecanMaleMaximum Tolerated DoseMiddle AgedNeoplasmsStaurosporineYoung Adult7-hydroxystaurosporineCamptothecinIrinotecanStaurosporine

Identifiers

PMID20694727
PMCPMC3102212
OpenAlexW2020714490

What OpenQuestion holds

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LicenceCC BY-NC
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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.