Evidence map›Paper›PMID 21750205›Full record

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

Early tumor progression associated with enhanced EGFR signaling with bortezomib, cetuximab, and radiotherapy for head and neck cancer.

Athanassios Argiris, Austin G Duffy, Shivaani Kummar, Nicole L Simone, Yoshio Arai, Seungwon W Kim, Susan F Rudy, Vishnu R Kannabiran, Xinping Yang, Minyoung Jang and 8 more

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

Article 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 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
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, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  20. CCR 20th anniversary commentary: Preclinical study of proteasome inhibitor bortezomib in head and neck cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
    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

18 authors at 3 institutions in 1 country.

Athanassios ArgirisHematology-Oncology and Head and Neck Cancer Program, and Radiation Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
Austin G Duffy
Shivaani Kummar
Nicole L Simone
Yoshio Arai
Seungwon W Kim
Susan F Rudy
Vishnu R Kannabiran
Xinping Yang
Minyoung Jang
Zhong Chen
Nanette Suksta
Theresa Cooley-Zgela
Susmita G Ramanand
Aarif Ahsan
Mukesh K Nyati
John J Wright
Carter Van Waes
University of Michigan–Ann Arbor · USNational Cancer Institute · USNational Institute on Deafness and Other Communication Disorders · US

Funding

WILD TYPE P53-BASED ADJUVANT IMMUNOTHERAPY FOR SCCHNP50CA097190 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 2004 to 2026
$49.6M
NF-kappaB in pathogenesis and therapy of head and neck cancerZIADC000016 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI VAN WAES, CARTER · 2009 to 2022
$9.3M
Phase I Clinical Trials of Novel Anticancer AgentsU01CA099168 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHU, EDWARD · 2003 to 2013
$5.0M
Mechanism of Radiation Affects on microRNAZIABC011184 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SIMONE, NICOLE · 2009 to 2012
$867k
Underlying Cause of Radiation-induced FibrosisZIABC010873 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SIMONE, NICOLE · 2009 to 2012
$567k
Intramural NIH HHS ZIA DC000016NCI NIH HHS P50 CA097190NCI NIH HHS P50 CA097190-06NCI NIH HHS U01 CA099168NCI NIH HHS U01 CA099168-01
6 · The paper itself

Abstract

purposeA phase I clinical trial and molecular correlative studies were conducted to evaluate preclinical evidence for combinatorial activity of the proteasome inhibitor bortezomib, the epidermal growth factor receptor (EGFR) inhibitor cetuximab, and radiation therapy. EXPERIMENTAL

designPatients with radiotherapy-naive stage IV or recurrent squamous cell carcinoma of the head and neck (SCCHN) were studied. Escalating doses of bortezomib (0.7, 1.0, and 1.3 mg/m²) were given intravenously twice weekly on days 1, 4, 8, and 11, every 21 days, with weekly cetuximab beginning 1 week prior and concurrently with intensity-modulated radiotherapy, delivered in 2 Gy fractions to 70 to 74 Gy. Molecular effects were examined in serial serum and SCCHN tumor specimens and the cell line UMSCC-1.

resultsSeven patients were accrued before the study was terminated when five of six previously untreated patients with favorable prognosis oropharyngeal SCCHN progressed within 1 year (progression-free survival = 4.8 months; 95% CI, 2.6-6.9). Three patients each received bortezomib 0.7 or 1.0 mg/m², without dose-limiting toxicities; one patient treated at 1.3 mg/m² was taken off study due to recurring cetuximab infusion reaction and progressive disease (PD). Expected grade 3 toxicities included radiation mucositis (n = 4), dermatitis (n = 4), and rash (n = 1). SCCHN-related cytokines increased in serial serum specimens of patients developing PD (P = 0.029). Bortezomib antagonized cetuximab- and radiation-induced cytotoxicity, degradation of EGFR, and enhanced prosurvival signal pathway activation in SCCHN tumor biopsies and UMSCC-1.

conclusionsCombining bortezomib with cetuximab and radiation therapy showed unexpected early progression, evidence for EGFR stabilization, increased prosurvival signaling, and SCCHN cytokine expression, warranting avoidance of this combination.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsApoptosisBiomarkers, TumorBoronic AcidsBortezomibCarcinoma, Squamous CellCell Line, TumorCetuximabCombined Modality TherapyCytokinesDisease ProgressionErbB ReceptorsFemaleHead and Neck NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiomarkers, TumorBoronic AcidsBortezomibCetuximabCytokinesErbB ReceptorsProtease InhibitorsPyrazinesTranscription Factors

Identifiers

PMID21750205
PMCPMC3368806
OpenAlexW2156659570

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.