Evidence map›Paper›PMID 23228035›Full record

Trial reportJournal of translational medicine2012

Phase II study of the farnesyltransferase inhibitor R115777 in advanced melanoma (CALGB 500104).

Thomas F Gajewski, April K S Salama, Donna Niedzwiecki, Jeffrey Johnson, Gerald Linette, Cynthia Bucher, Michelle A Blaskovich, Said M Sebti, Frank Haluska, Cancer and Leukemia Group B

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of translational medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00060125 (PHASE II TRIAL OF R115777 IN PATIENTS WITH METASTATIC MALIGNANT MELANOMA), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT00060125 phase2completednot on this map

Phase ii trial of r115777 in patients with metastatic malignant melanoma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2003Enrolled40ConditionsRecurrent Melanoma, Stage IV MelanomaArmstipifarnib, laboratory biomarker analysis
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Guidelines for biomarker testing in metastatic melanoma: a National Consensus of the Spanish Society of Pathology and the Spanish Society of Medical Oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2014
    Guideline
  3. Trial
  4. Randomized phase II trial of sorafenib with temsirolimus or tipifarnib in untreated metastatic melanoma (S0438).Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
    Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Novel insights into the pathogenesis and treatment of NRAS mutant melanoma.Expert review of precision medicine and drug development · 2021
    Article
  13. Current Perspectives and Novel Strategies ofOncoTargets and therapy · 2021
    Review
  14. Review
  15. Article
  16. The MNK1/2-eIF4E Axis as a Potential Therapeutic Target in Melanoma.International journal of molecular sciences · 2020
    Review
  17. Review
  18. Review
  19. Review
  20. OncoTargets and therapy · 2017
    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

10 authors at 6 institutions in 1 country.

Thomas F GajewskiThe University of Chicago, Section of Hematology/Oncology, 5841 S, Maryland Ave, MC2115, Chicago, IL 60637, USA. tgajewsk@medicine.bsd.uchicago.edu
April K S Salama
Donna Niedzwiecki
Jeffrey Johnson
Gerald Linette
Cynthia Bucher
Michelle A Blaskovich
Said M Sebti
Frank Haluska
Cancer and Leukemia Group B
Moffitt Cancer Center · USWashington University in St. Louis · USAriadne Diagnostics (United States) · USDuke Medical Center · USDuke University · USUniversity of Chicago · US

Funding

CANCER AND LEUKEMIA GROUP B MINORITY SATELLITE SUPPLEMENU10CA031946 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M · 1985 to 2013
$158.4M
CANCER &LEUKEMIA GROUP B STATISTICAL CENTERU10CA033601 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SARGENT, DANIEL J. · 1985 to 2013
$69.4M
SOUTHEAST CANCER CONTROL COSORTIUM, INCU10CA045808 · NCI · SOUTHEAST CLINICAL ONCOL RES CONSORTIUM · PI ATKINS, JAMES NORMAN · 1987 to 2013
$26.6M
CANCER AND LEUKEMIA GROUP B GRANT REVISED APPLICATIONU10CA041287 · NCI · UNIVERSITY OF CHICAGO · PI KINDLER, HEDY L · 1986 to 2013
$3.9M
CANCER AND LEUKEMIA GROUP BU10CA047577 · NCI · DUKE UNIVERSITY · PI CRAWFORD, JEFFREY · 1988 to 2013
$2.2M
CANCER AND LEUKEMIA GROUP B (CALGB)U10CA012046 · NCI · UNIVERSITY OF MISSOURI-COLUMBIA · PI PERRY, MICHAEL A · 1985 to 2002
$456k
NCI NIH HHS CA12046NCI NIH HHS CA31946NCI NIH HHS CA33601NCI NIH HHS CA41287NCI NIH HHS CA45808NCI NIH HHS CA47577NCI NIH HHS CA77440
6 · The paper itself

Abstract

backgroundMultiple farnesylated proteins are involved in signal transduction in cancer. Farnesyltransferase inhibitors (FTIs) have been developed as a strategy to inhibit the function of these proteins. As FTIs inhibit proliferation of melanoma cell lines, we undertook a study to assess the impact of a FTI in advanced melanoma. As farnesylated proteins are also important for T cell activation, measurement of effects on T cell function was also pursued.

methodsA 3-stage trial design was developed with a maximum of 40 patients and early stopping if there were no responders in the first 14, or fewer than 2 responders in the first 28 patients. Eligibility included performance status of 0-1, no prior chemotherapy, at most 1 prior immunotherapy, no brain metastases, and presence of at least 2 cutaneous lesions amenable to biopsy. R115777 was administered twice per day for 21 days of a 28-day cycle. Patients were evaluated every 2 cycles by RECIST. Blood and tumor were analyzed pre-treatment and during week 7.

resultsFourteen patients were enrolled. Two patients had grade 3 toxicities, which included myelosuppression, nausea/vomiting, elevated BUN, and anorexia. There were no clinical responses. All patients analyzed showed potent inhibition of FT activity (85-98%) in tumor tissue; inhibition of phosphorylated ERK and Akt was also observed. T cells showed evidence of FT inhibition and diminished IFN-γ production.

conclusionsDespite potent target inhibition, R115777 showed no evidence of clinical activity in this cohort of melanoma patients. Inhibition of T cell function by FTIs has potential clinical implications. Clinicaltrials.gov number NCT00060125.

Indexed as

AdultAgedAged, 80 and overBiopsyCell Line, TumorEnzyme InhibitorsExtracellular Signal-Regulated MAP KinasesFarnesyltranstransferaseFemaleHSP40 Heat-Shock ProteinsHumansInterferon-gammaMaleMelanomaMiddle AgedNeoplasm StagingDNAJA1 protein, humanEnzyme InhibitorsExtracellular Signal-Regulated MAP KinasesFarnesyltranstransferaseHSP40 Heat-Shock ProteinsInterferon-gammaProto-Oncogene Proteins c-aktQuinolonestipifarnib

Identifiers

PMID23228035
PMCPMC3543225
OpenAlexW2102352867

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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.