Evidence map›Paper›PMID 22668797›Full record

Trial reportMelanoma research2012

A randomized phase II study of cilengitide (EMD 121974) in patients with metastatic melanoma.

Kevin B Kim, Victor Prieto, Richard W Joseph, Abdul H Diwan, Gary E Gallick, Nicholas E Papadopoulos, Agop Y Bedikian, Luis H Camacho, Patrick Hwu, Chaan S Ng and 6 more

Open access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Melanoma research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

42 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. TGF-β signaling in health, disease, and therapeutics.Signal transduction and targeted therapy · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Signal pathways of melanoma and targeted therapy.Signal transduction and targeted therapy · 2021
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Targeting TGFβ signal transduction for cancer therapy.Signal transduction and targeted therapy · 2021
    Review
  20. Cell Adhesion Molecules in Plasticity and Metastasis.Molecular cancer research : MCR · 2021
    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

16 authors at 5 institutions in 4 countries.

Kevin B KimDepartment of Melanoma Medical Oncology, MD Anderson Cancer Center, The University of Texas, Houston, Texas 77030, USA. kkim@mdanderson.org
Victor Prieto
Richard W Joseph
Abdul H Diwan
Gary E Gallick
Nicholas E Papadopoulos
Agop Y Bedikian
Luis H Camacho
Patrick Hwu
Chaan S Ng
Wei Wei
Marcella M Johnson
Sabine M Wittemer
Anna Vardeleon
Aaron Reckeweg
A Dimitrios Colevas
The University of Texas MD Anderson Cancer Center · USMelanoma Institute Australia · AUMerck (Germany) · DENational Institutes of Health · USSpanish Oncology Genitourinary Group · ES

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS CA16672NCI NIH HHS N01 CM-17003NCI NIH HHS N01 CO012400NCI NIH HHS N02 CO-12400NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Cilengitide (EMD 121974) is a selective inhibitor of integrins αvβ3 and αvβ5. The αvβ3 promotes the proliferation of tumor-associated endothelial cells and potentially the survival of melanoma cells. We conducted a randomized phase II trial in patients with metastatic melanoma to evaluate the clinical efficacy of cilengitide. Patients with stage IV or unresectable stage III melanoma who were either chemonaive or who had previously received one systemic therapy were enrolled. Patients were randomly assigned to either 500 or 2000 mg of cilengitide administered intravenously twice weekly. The primary aim of this study was to determine the progression-free survival rate at 8 weeks. Tumor samples and blood samples were collected for pharmacodynamic and pharmacokinetic studies. Twenty-nine patients were enrolled, of whom 26 were treated (14 at 500 mg and 12 at 2000 mg). Among those treated, only three were progression free at 8 weeks: two in the 500 mg arm and one in the 2000 mg arm. One patient in the 2000 mg arm showed a prolonged partial response after an initial 28% enlargement of her target lesions. The treatment was well tolerated without clinically significant adverse events. The sole responder and one of two patients with stable disease had no αvβ3 expression at baseline. Overall, αvβ3 expression was decreased by day 8 of the treatment (P=0.05). Cilengitide was well tolerated by patients in both the treatment arms but had minimal clinical efficacy as a single-agent therapy for metastatic melanoma, and the efficacy was not related to baseline αvβ3 expression.

Indexed as

AdultAgedAged, 80 and overDisease-Free SurvivalDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMelanomaMiddle AgedNeoplasm MetastasisSkin NeoplasmsSnake VenomsCilengitideSnake Venoms

Identifiers

PMID22668797
PMCPMC3880198
OpenAlexW2012319527

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.