Evidence map›Paper›PMID 23553850›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2013

Evaluation of food effect on pharmacokinetics of vismodegib in advanced solid tumor patients.

Manish R Sharma, Theodore G Karrison, Bethany Kell, Kehua Wu, Michelle Turcich, David Geary, Soonmo P Kang, Naoko Takebe, Richard A Graham, Michael L Maitland and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. 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
–field-weighted citation impact
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.

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  16. Oral anticancer drugs: how limited dosing options and dose reductions may affect outcomes in comparative trials and efficacy in patients.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
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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

13 authors.

Manish R SharmaDepartment of Medicine, University of Chicago, Chicago, Illinois 60637, USA.
Theodore G Karrison
Bethany Kell
Kehua Wu
Michelle Turcich
David Geary
Soonmo P Kang
Naoko Takebe
Richard A Graham
Michael L Maitland
Richard L Schilsky
Mark J Ratain
Ezra E W Cohen

Funding

Developing an Oncology Workforce for the 21st Century - Renewal 01K12CA139160 · NCI · UNIVERSITY OF CHICAGO · PI OLOPADE, OLUFUNMILAYO F., SMITH, SONALI · 2010 to 2024
$10.6M
PHASE I CLINICAL TRIALS OF ANTICANCER AGENTSU01CA069852 · NCI · UNIVERSITY OF CHICAGO · PI RATAIN, MARK J · 1995 to 2013
$9.4M
NCI NIH HHS 5U01-CA69852-12NCI NIH HHS K12 CA139160NCI NIH HHS K12CA139160NCI NIH HHS U01 CA069852
6 · The paper itself

Abstract

purposeVismodegib, an orally bioavailable small-molecule Smoothened inhibitor, is approved for treatment of advanced basal cell carcinoma (BCC). We conducted a pharmacokinetic study of vismodegib in patients with advanced solid tumors to explore the effects of food on drug exposure. EXPERIMENTAL

designIn part I, patients were randomized to fasting overnight (FO), a high fat meal (HF), or a low fat meal (LF) before a single dose of vismodegib 150 mg. Plasma concentrations of vismodegib were determined by a validated liquid chromatography-tandem mass spectrometry assay. Primary endpoints were C(max) and area under the curve (AUC(0-168)). In part II, patients randomized to FO or HF in part I took vismodegib 150 mg daily after fasting; those randomized to LF took it after a meal. Primary endpoints after two weeks were C(max) and AUC(0-24).

resultsSixty (22 FO, 20 HF, 18 LF) and 52 (25 fasting, 27 fed) patients were evaluable for primary endpoints in parts I and II, respectively. Mean C(max) and AUC(0-168) after a single dose were higher in HF than FO patients [ratios of geometric means (90% CI) = 1.75 (1.30, 2.34) and 1.74 (1.25, 2.42), respectively]. There were no significant differences in C(max) or AUC(0-24) between fasting and fed groups after daily dosing. The frequencies of drug-related toxicities were similar in both groups.

conclusionsA HF meal increases plasma exposure to a single dose of vismodegib, but there are no pharmacokinetic or safety differences between fasting and fed groups at steady-state. Vismodegib may be taken with or without food for daily dosing.

Indexed as

Food-Drug InteractionsAdultAgedAged, 80 and overAnilidesAntineoplastic AgentsFemaleHumansMaleMiddle AgedNeoplasmsNeoplasm StagingPyridinesTreatment OutcomeAnilidesAntineoplastic AgentsHhAntag691Pyridines

Identifiers

PMID23553850
PMCPMC3674138

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Registered trials

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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.