Evidence map›Paper›PMID 21739168›Full record

Trial reportJournal of neuro-oncology2012

Cilengitide in patients with recurrent glioblastoma: the results of NABTC 03-02, a phase II trial with measures of treatment delivery.

Mark R Gilbert, John Kuhn, Kathleen R Lamborn, Frank Lieberman, Patrick Y Wen, Minesh Mehta, Timothy Cloughesy, Andrew B Lassman, Lisa M Deangelis, Susan Chang and 1 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of neuro-oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
10.1field-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.

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

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

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  8. TGF-β signaling in health, disease, and therapeutics.Signal transduction and targeted therapy · 2024
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2 more citing papers are in PubMed but not listed here.

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 8 institutions in 1 country.

Mark R GilbertDepartment of Neuro-oncology, M. D. Anderson Cancer Center, The University of Texas, 1515 Holcombe Blvd, Houston, TX 77030, USA. mrgilbert@mdanderson.org
John Kuhn
Kathleen R Lamborn
Frank Lieberman
Patrick Y Wen
Minesh Mehta
Timothy Cloughesy
Andrew B Lassman
Lisa M Deangelis
Susan Chang
Michael Prados
University of California, San Francisco · USMemorial Sloan Kettering Cancer Center · USDana-Farber Cancer Institute · USThe University of Texas Health Science Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of California System · USUniversity of Pittsburgh · USUniversity of Wisconsin–Madison · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
UCLA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR033176 · NCRR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2011 to 2011
$15.5M
NABTC - M.D. Anderson Clinical CenterU01CA062412 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI GILBERT, MARK R. · 1994 to 2008
$1.1M
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR000124NCI NIH HHS U01 CA-062412NCI NIH HHS U01 CA062412NCRR NIH HHS UL1 RR033176
6 · The paper itself

Abstract

Cilengitide is a cyclic pentapeptide that is a specific inhibitor of the αvβ3 and αvβ5 integrins. Preclinical studies demonstrate antiangiogenic activity and anti-invasive activity in a number of glioma models. This study was designed to evaluate the efficacy and tumor delivery of cilengitide in patients with recurrent glioblastoma. Patients with recurrent glioblastoma who require a surgical resection for optimal clinical care received 3 intravenous doses of cilengitide at either 500 or 2000 mg (day -8, -4, -1) prior to undergoing tumor resection with corresponding blood samples for plasma to tumor comparisons. After recovery from surgery, patients were treated with cilengitide (2000 mg i.v. twice weekly, maximum of 2 years of treatment). The study accrued 30 patients with recurrent glioblastoma, 26 were evaluable for efficacy. The 6-month progression free survival rate was 12%. Cilengitide was detected in all tumor specimens with higher levels in the group receiving 2000 mg dosing while corresponding plasma concentrations were low, often below the lower limit of detection. These results confirm drug delivery and possibly retention in tumor. This study provides evidence that with established dosing, cilengitide is adequately delivered to the tumor, although as a single agent, efficacy in recurrent glioblastoma is modest. However, these results demonstrating drug delivery to tumor do support continued investigation of this agent as preliminary results from recent studies combining cilengitide with cytotoxic therapies are promising.

Indexed as

AdultAgedBrain NeoplasmsCombined Modality TherapyDisease-Free SurvivalEndpoint DeterminationFemaleGlioblastomaHumansImmunotherapyIntegrinsKarnofsky Performance StatusMaleMiddle AgedRecurrenceSnake VenomsCilengitideIntegrinsSnake Venoms

Identifiers

PMID21739168
PMCPMC4351869
OpenAlexW2074427147

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.