Evidence map›Paper›PMID 21791630›Full record

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

Results of a phase II trial of gemcitabine plus doxorubicin in patients with recurrent head and neck cancers: serum C₁₈-ceramide as a novel biomarker for monitoring response.

Sahar A Saddoughi, Elizabeth Garrett-Mayer, Uzair Chaudhary, Paul E O'Brien, Larry B Afrin, Terry A Day, M Boyd Gillespie, Anand K Sharma, Christina S Wilhoit, Robin Bostick and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
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. It is linked to trial NCT00509665 (A Phase II Study of Gemcitabine in Combination With Doxorubicin for Patients With Head and Neck Cancer), which is not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

NCT00509665 phase2completednot on this map

A Phase II Study of Gemcitabine in Combination With Doxorubicin for Patients With Head and Neck Cancer

TypeinterventionalSponsorMedical University of South CarolinaRan2005 to 2011Enrolled18ConditionsHead and Neck CancerArmsdoxorubicin hydrochloride, gemcitabine hydrochloride
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 66 citations in OpenAlex.

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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

16 authors at 3 institutions in 1 country.

Sahar A SaddoughiDepartment of Biochemistry and Molecular Biology, Medical University of South Carolina, Charleston, South Carolina, USA.
Elizabeth Garrett-Mayer
Uzair Chaudhary
Paul E O'Brien
Larry B Afrin
Terry A Day
M Boyd Gillespie
Anand K Sharma
Christina S Wilhoit
Robin Bostick
Can E Senkal
Yusuf A Hannun
Jacek Bielawski
George R Simon
Keisuke Shirai
Besim Ogretmen
MUSC Hollings Cancer Center · USMedical University of South Carolina · USCancer Research And Biostatistics · US

Funding

Sphingolipids in Cancer Therapy and AngiogenesisP01CA097132 · NCI · STATE UNIVERSITY NEW YORK STONY BROOK · PI YUSUF AWNI HANNUN · 2003 to 2026
$30.8M
Ceramide Signaling in the Regulation of Head & Neck Cancer Cell Death and TherapyR01DE016572 · NIDCR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OGRETMEN, BESIM · 2005 to 2025
$7.4M
Regulation of Telomerase by Sphingolipid Signaling in Lung CancerR01CA088932 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OGRETMEN, BESIM · 2002 to 2017
$3.3M
Suppression of Lung Cancer Growth by CeramideF30ES019464 · NIEHS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SADDOUGHI, SAHAR · 2010 to 2013
$160k
NCI NIH HHS CA088932NCI NIH HHS CA097132NCI NIH HHS P01 CA097132NCI NIH HHS R01 CA088932NIDCR NIH HHS DE016572NIDCR NIH HHS R01 DE016572NIEHS NIH HHS F30 ES019464
6 · The paper itself

Abstract

purposeHere we report a phase II clinical trial, which was designed to test a novel hypothesis that treatment with gemcitabine (GEM)/doxorubicin (DOX) would be efficacious via reconstitution of C(18)-ceramide signaling in head and neck squamous cell carcinoma (HNSCC) patients for whom first-line platinum-based therapy failed. EXPERIMENTAL

designPatients received GEM (1,000 mg/m²) and DOX (25 mg/m²) on days 1 and 8, every 21 days, until disease progression. After completion of 2 treatment cycles, patients were assessed radiographically, and serum samples were taken for sphingolipid measurements.

resultsWe enrolled 18 patients in the trial, who were evaluable for toxicity, and 17 for response. The most common toxicity was neutropenia, observed in 9 of 18 patients, and there were no major nonhematologic toxicities. Of the 17 patients, 5 patients had progressive disease (PD), 1 had complete response (CR), 3 exhibited partial response (PR), and 8 had stable disease (SD). The median progression-free survival was 1.6 months (95% CI: 1.4-4.2) with a median survival of 5.6 months (95% CI: 3.8-18.2). Remarkably, serum sphingolipid analysis revealed significant differences in patterns of C₁₈-ceramide elevation in patients with CR/PR/SD in comparison with patients with PD, indicating the reconstitution of tumor suppressor ceramide generation by GEM/DOX treatment.

conclusionsOur data suggest that the GEM/DOX combination could represent an effective treatment for some patients with recurrent or metastatic HNSCC, and that serum C₁₈-ceramide elevation might be a novel serum biomarker of chemotherapy response.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkersCarcinoma, Squamous CellCeramidesDeoxycytidineDoxorubicinGemcitabineHead and Neck NeoplasmsHumansKaplan-Meier EstimateMiddle AgedRecurrenceSquamous Cell Carcinoma of Head and NeckTreatment OutcomeBiomarkersCeramidesDeoxycytidineDoxorubicinGemcitabine

Identifiers

PMID21791630
PMCPMC3176980
OpenAlexW2111196144

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.