Evidence map›Paper›PMID 21233404›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2011

A phase I clinical-pharmacodynamic study of the farnesyltransferase inhibitor tipifarnib in combination with the proteasome inhibitor bortezomib in advanced acute leukemias.

Jeffrey E Lancet, Vu H Duong, Elliott F Winton, Robert K Stuart, Michelle Burton, Shumin Zhang, Christopher Cubitt, Michelle A Blaskovich, John J Wright, Said Sebti and 1 more

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
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  5. Translational medicine @ UniSa · 2016
    Article
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  14. Tipifarnib and tanespimycin show synergic proapoptotic activity in U937 cells.Journal of cancer research and clinical oncology · 2012
    Article
  15. Article
  16. 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

11 authors at 3 institutions in 1 country.

Jeffrey E LancetH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida 33612, USA. jeffrey.lancet@moffitt.org
Vu H Duong
Elliott F Winton
Robert K Stuart
Michelle Burton
Shumin Zhang
Christopher Cubitt
Michelle A Blaskovich
John J Wright
Said Sebti
Daniel M Sullivan
Emory University · USMoffitt Cancer Center · USNational Cancer Institute · US

Funding

NCI NIH HHS N01 CM062208PHS HHS 26XXS043 TO2
6 · The paper itself

Abstract

purposeTo determine the safety, target inhibition, and signals of clinical activity of tipifarnib in combination with bortezomib in patients with advanced acute leukemias. EXPERIMENTAL

designIn a "3 + 3" design, patients received escalating doses of tipifarnib (days 1-14) and bortezomib (days 1, 4, 8, 11) every 3 weeks until maximum tolerated dose was reached. Peripheral blood mononuclear cells (PBMC) were collected at days 1, 8, and 22 for measurement of chymotrypsin-like and farnesyltransferase activity. Purified bone marrow leukemic blasts were collected at baseline and at day 8 for measurement of NF-κB activity.

resultsThe combination was well-tolerated, and maximum tolerated dose was not reached. Dose-limiting toxicities included diarrhea, fatigue, and sensorimotor neuropathy. Chymotrypsin-like and farnesyltransferase activity within PBMCs were decreased in a majority of patients at day 8. NF-κB activity within leukemic blasts was decreased in a majority of patients at day 8. Complete response with incomplete count recovery was observed in 2 patients, and additional 5 patients had stable disease.

conclusionsTipifarnib and bortezomib combination in patients with advanced leukemias was well-tolerated, demonstrated relevant target inhibition, and was associated with signals of clinical activity in patients with advanced and refractory acute leukemias. Future studies of this combination may be warranted in more selected groups of patients in whom these molecular targets are of particular importance.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBoronic AcidsBortezomibChymotrypsinFarnesyltranstransferaseFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, AcuteLeukocytes, MononuclearMaleMaximum Tolerated DoseMiddle AgedNF-kappa BBoronic AcidsBortezomibChymotrypsinFarnesyltranstransferaseNF-kappa BProteasome InhibitorsPyrazinesQuinolonestipifarnib

Identifiers

PMID21233404
PMCPMC3049960
OpenAlexW2096654914

What OpenQuestion holds

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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.