Evidence map›Paper›PMID 22407177›Full record

ArticleJournal of neuro-oncology2012

Phase 1 trial of dasatinib plus erlotinib in adults with recurrent malignant glioma.

David A Reardon, James J Vredenburgh, Annick Desjardins, Katherine B Peters, Sith Sathornsumetee, Stevie Threatt, John H Sampson, James E Herndon, April Coan, Frances McSherry and 4 more

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

Article 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-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

18 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Journal of traditional and complementary medicine · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Design of phase I combination trials: recommendations of the Clinical Trial Design Task Force of the NCI Investigational Drug Steering Committee.Clinical cancer research : an official journal of the American Association for Cancer Research · 2014
    Review
  16. Review
  17. Article
  18. Review
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

14 authors at 6 institutions in 2 countries.

David A ReardonCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. David_Reardon@DFCI.HARVARD.EDU
James J Vredenburgh
Annick Desjardins
Katherine B Peters
Sith Sathornsumetee
Stevie Threatt
John H Sampson
James E Herndon
April Coan
Frances McSherry
Jeremy N Rich
Roger E McLendon
Steven Zhang
Henry S Friedman
Duke Medical Center · USDuke University Hospital · USBristol-Myers Squibb (United States) · USCenter for Neuro-Oncology · USCleveland Clinic · USSiriraj Hospital · TH

Funding

TUMOR SUPPRESSOR GENES IN HUMAN MEDULLOBLASTOMAP50NS020023 · NINDS · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1985 to 2013
$17.3M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
BRAIN TUMORS: IMMUNOLOGICAL AND BIOLOGICAL STUDIESR37CA011898 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1988 to 2012
$8.1M
SPORE in Brain CancerP20CA096890 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2002 to 2003
$1000k
BRAIN TUMORS: IMMUNOLOGICAL AND BIOLOGICAL STUDIESR01CA011898 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1985 to 1987
–
NCI NIH HHS 2 P50 CA108786NCI NIH HHS CA11898NCI NIH HHS P20 CA096890NCI NIH HHS P50 CA108786NCI NIH HHS R37 CA011898NCRR NIH HHS MO1 RR 30NINDS NIH HHS P50 NS020023NINDS NIH HHS P50NS20023
6 · The paper itself

Abstract

To determine the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) of dasatinib, an inhibitor of the Src family kinase proteins, with erlotinib, an epidermal growth factor receptor tyrosine kinase inhibitor, among recurrent malignant glioma patients. Once daily dasatinib was escalated in successive cohorts while erlotinib was administered daily at established doses based on concurrent CYP3A-inducing anticonvulsant (EIAEDS) use. Dasatinib pharmacokinetic analyzes were performed. Forty-seven patients enrolled including 37 (79 %) with grade IV and 10 (21 %) with grade III malignant glioma. Thirty patients (64 %) were at ≥second recurrence, while 27 (57 %) had received prior bevacizumab. The dasatinib MTD was 180 mg when combined with either 150 mg of erlotinib for patients not on EIAEDs, or 450 mg of erlotinib for patients on EIAEDs. The most common DLTs were diarrhea and fatigue, while most adverse events were grade 2. Pharmacokinetic data suggests that dasatinib exposure increased with increased dasatinib dose and concurrent erlotinib administration, while concurrent EIAED use diminished dasatinib exposure. No radiographic responses were observed, and only one patient (2 %) remained progression-free at 6 months. We demonstrate that dasatinib plus erlotinib can be safely co-administered on a continuous, daily dosing schedule with erlotinib, and established the recommended dose level of this combination.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBrain NeoplasmsDasatinibErlotinib HydrochlorideFemaleGliomaHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasm Recurrence, LocalPrognosisPyrimidinesQuinazolinesDasatinibErlotinib HydrochloridePyrimidinesQuinazolinesThiazoles

Identifiers

PMID22407177
PMCPMC3690584
OpenAlexW2024373090

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.