Evidence map›Paper›PMID 22487539›Full record

ArticleGynecologic oncology2012

Perifosine plus docetaxel in patients with platinum and taxane resistant or refractory high-grade epithelial ovarian cancer.

Siqing Fu, Bryan T Hennessy, Chaan S Ng, Zhenlin Ju, Kevin R Coombes, Judith K Wolf, Anil K Sood, Charles F Levenback, Robert L Coleman, John J Kavanagh and 14 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Gynecologic oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  14. Article
  15. Targeting AKT for cancer therapy.Expert opinion on investigational drugs · 2019
    Review
  16. Article
  17. Article
  18. Article
  19. Impact of Recurrence of Ovarian Cancer on Quality of Life and Outlook for the Future.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2017
    Article
  20. 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

24 authors at 2 institutions in 2 countries.

Siqing FuDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA. siqingfu@mdanderson.org
Bryan T Hennessy
Chaan S Ng
Zhenlin Ju
Kevin R Coombes
Judith K Wolf
Anil K Sood
Charles F Levenback
Robert L Coleman
John J Kavanagh
David M Gershenson
Maurie Markman
Kristine Dice
Adrienne Howard
Jane Li
Yang Li
Katherine Stemke-Hale
Mary Dyer
Edward Atkinson
Ed Jackson
Vikas Kundra
Razelle Kurzrock
Robert C Bast
Gordon B Mills
The University of Texas MD Anderson Cancer Center · USBeaumont Hospital · IE

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
UNIVERSITY OF TEXAS MD ANDERSON SPORE IN OVARIAN CANCERP50CA083639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BAST, ROBERT C · 1999 to 2015
$33.0M
Targeting the PI3K Signaling Pathway in Endometrial CarcinomaP50CA098258 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BODURKA, DIANE · 2003 to 2020
$32.0M
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA083639NCI NIH HHS P50 CA098258NCI NIH HHS P50CA83639
6 · The paper itself

Abstract

objectivesOn the basis of reversal of taxane resistance with AKT inhibition, we initiated a phase I trial of the AKT inhibitor perifosine with docetaxel in taxane and platinum-resistant or refractory epithelial ovarian cancer.

methodsPatients with pathologically confirmed high-grade epithelial ovarian cancer (taxane resistant, n=10; taxane refractory, n=11) were enrolled. Peripheral blood samples and tumor biopsies were obtained and (18)F-FDG-PET and DCE-MRI scans were performed for pharmacodynamic and imaging studies.

resultsPatients received a total of 42 treatment cycles. No dose-limiting toxicity was observed. The median progression-free survival and overall survival were 1.9 months and 4.5 months, respectively. One patient with a PTEN mutation achieved a partial remission (PR) for 7.5 months, and another patient with a PIK3CA mutation had stable disease (SD) for 4 months. Two other patients without apparent PI3K pathway aberrations achieved SD. Two patients with KRAS mutations demonstrated rapid progression. Decreased phosphorylated S6 correlated with (18)F-FDG-PET responses.

conclusionsPatients tolerated perifosine 150 mg PO daily plus docetaxel at 75 mg/m(2) every 4 weeks. Further clinical evaluation of effects of perifosine with docetaxel on biological markers and efficacy in patients with ovarian cancer with defined PI3K pathway mutational status is warranted.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Ovarian EpithelialDisease-Free SurvivalDocetaxelDrug Resistance, NeoplasmFemaleFluorodeoxyglucose F18HumansMiddle AgedNeoplasm GradingNeoplasms, Glandular and EpithelialOrganoplatinum CompoundsOvarian NeoplasmsPhosphorylcholinePositron-Emission TomographyDocetaxelFluorodeoxyglucose F18Organoplatinum CompoundsperifosinePhosphorylcholineRadiopharmaceuticalsTaxoids

Identifiers

PMID22487539
PMCPMC3738300
OpenAlexW1968263552

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.