Evidence map›Paper›PMID 22316603›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2012

Phase I/II trial of carboplatin and paclitaxel chemotherapy in combination with intravenous oncolytic reovirus in patients with advanced malignancies.

Eleni M Karapanagiotou, Victoria Roulstone, Katie Twigger, Mercel Ball, Maryanne Tanay, Chris Nutting, Kate Newbold, Martin E Gore, James Larkin, Konstantinos N Syrigos and 9 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 3 pooled it
15.9field-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

114 citing papers in PubMed, 3 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Clinical Application of Oncolytic Viruses: A Systematic Review.International journal of molecular sciences · 2020
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Arboviruses in Cancer therapy: pros and cons.Journal of neurovirology · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Translation of oncolytic viruses in sarcoma.Molecular therapy. Oncology · 2024
    Review
  20. Review

54 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

19 authors at 5 institutions in 3 countries.

Eleni M KarapanagiotouThe Institute of Cancer Research, Chester Beatty Laboratories, The Institute of Cancer Research, 237 Fulham Road, London SW3 6JB, United Kingdom.
Victoria Roulstone
Katie Twigger
Mercel Ball
Maryanne Tanay
Chris Nutting
Kate Newbold
Martin E Gore
James Larkin
Konstantinos N Syrigos
Matt Coffey
Brad Thompson
Karl Mettinger
Richard G Vile
Hardev S Pandha
Geoff D Hall
Alan A Melcher
John Chester
Kevin J Harrington
Institute of Molecular Medicine · INRoyal Marsden Hospital · GBInstitute of Cancer Research · CAInstitute of Cancer Research · GBOncolytics Biotech (Canada) · CA

Funding

T Cell Based Carriers for In Vivo Gene Therapy of CancerR01CA107082 · NCI · MAYO CLINIC ROCHESTER · PI VILE, RICHARD G. · 2005 to 2014
$2.5M
Enhancing Systemic Delivery of Oncolytic Viruses for Cancer TherapyR01CA130878 · NCI · MAYO CLINIC ROCHESTER · PI VILE, RICHARD G. · 2009 to 2013
$1.4M
Enhancing Therapy of Primary and Recurrent Tumors With Systemic Oncolytic VirusR01CA175386 · NCI · MAYO CLINIC ROCHESTER · PI VILE, RICHARD G. · 2014 to 2018
$1.3M
Cancer Research UK 10588Cancer Research UK 13244NCI NIH HHS R01 CA107082NCI NIH HHS R01 CA130878NCI NIH HHS R01 CA175386
6 · The paper itself

Abstract

purposeReovirus type 3 Dearing (RT3D) replicates preferentially in Ras-activated cancers. RT3D shows synergistic in vitro cytotoxicity in combination with platins and taxanes. The purpose of this phase I/II study was to assess RT3D combined with carboplatin/paclitaxel in patients with advanced cancers. EXPERIMENTAL

designPatients were initially treated in a dose-escalating, phase I trial with intravenous RT3D days 1 to 5, carboplatin [area under curve (AUC) 5, day 1] and paclitaxel (175 mg/m(2), day 1) 3-weekly. RT3D was escalated through three dose levels: 3 × 10(9), 1 × 10(10), and 3 × 10(10) TCID(50) in cohorts of three. Primary endpoints were to define the maximum tolerated dose and dose-limiting toxicity and to recommend a dose for phase II studies. Secondary endpoints included pharmacokinetics, immune response, and antitumor activity. A subsequent phase II study using the 3 × 10(10) TCID(50) dose characterized the response rate in patients with head and neck cancer.

resultsThirty-one heavily pretreated patients received study therapy. There were no dose-limiting toxicities during dose-escalation and most toxicities were grade I/II. Overall effectiveness rates were as follows: one patient had a complete response (3.8%), six patients (23.1%) had partial response, two patients (7.6%) had major clinical responses clinically evaluated in radiation pretreated lesions which are not evaluable by Response Evaluation Criteria in Solid Tumors (RECIST), nine patients (34.6%) had stable disease, and eight patients (30.8%) had disease progression. Viral shedding was minimal and antiviral immune responses were attenuated compared with previous single-agent data for RT3D.

conclusionsThe combination of RT3D plus carboplatin/paclitaxel is well tolerated with evidence of activity in cancer of the head and neck. A randomized phase III study is currently open for recruitment.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveCarboplatinCombined Modality TherapyDiarrheaDisease ProgressionDose-Response Relationship, DrugDrug Administration ScheduleFemaleHead and Neck NeoplasmsHumansMaleMammalian orthoreovirus 3Middle AgedCarboplatinPaclitaxel

Identifiers

PMID22316603
PMCPMC5553618
OpenAlexW2147621051

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.