Evidence map›Paper›PMID 23620404›Full record

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

Clinical activity and safety of combination therapy with temsirolimus and bevacizumab for advanced melanoma: a phase II trial (CTEP 7190/Mel47).

Craig L Slingluff, Gina R Petroni, Kerrington R Molhoek, David L Brautigan, Kimberly A Chianese-Bullock, Amber L Shada, Mark E Smolkin, Walter C Olson, Alison Gaucher, Cheryl Murphy Chase and 10 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
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. It is linked to trial NCT00397982 (A Phase II Study of CCI-779 in Combination With Bevacizumab in Stage III or IV Melanoma), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-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.

NCT00397982 phase2completednot on this map

A Phase II Study of CCI-779 in Combination With Bevacizumab in Stage III or IV Melanoma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2008 to 2013Enrolled17ConditionsRecurrent Melanoma, Stage IIIB Skin Melanoma, Stage IIIC Skin Melanoma, Stage IV Skin MelanomaArmsBevacizumab, Laboratory Biomarker Analysis, Temsirolimus, Therapeutic Conventional Surgery
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Advancements in Melanoma Therapies: From Surgery to Immunotherapy.Current treatment options in oncology · 2024
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Treatment ofTherapeutic advances in medical oncology · 2017
    Review
  11. Review
  12. Review
  13. Management of hyperhidrosis.Clinical, cosmetic and investigational dermatology · 2014
    Review
  14. Article
  15. Article
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

20 authors at 4 institutions in 1 country.

Craig L SlingluffUniversity of Virginia, Charlottesville, VA 22908, USA. cls8h@virginia.edu
Gina R Petroni
Kerrington R Molhoek
David L Brautigan
Kimberly A Chianese-Bullock
Amber L Shada
Mark E Smolkin
Walter C Olson
Alison Gaucher
Cheryl Murphy Chase
William W Grosh
Geoffrey R Weiss
Aubrey G Wagenseller
Anthony J Olszanski
Lainie Martin
Sofia M Shea
Gulsun Erdag
Prahlad Ram
Jeffrey E Gershenwald
Michael J Weber
Center for Open Science · USJohns Hopkins University · USUniversity of Virginia · USFox Chase Cancer Center · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
Phosphorylation & Function of Inhibitor-2R01GM056362 · NIGMS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI BRAUTIGAN, DAVID L. · 1997 to 2011
$2.4M
Targeted Molecular Therapeutics for Melanoma: CCI-779 and BevacizumabR21CA128367 · NCI · UNIVERSITY OF VIRGINIA · PI SLINGLUFF, CRAIG LEE · 2007 to 2008
$597k
The role of c-Met expression in melanoma growth and migrationF32CA144397 · NCI · UNIVERSITY OF VIRGINIA · PI SHADA, AMBER LEIGH · 2010 to 2010
$45k
NCI NIH HHS F32 CA144397NCI NIH HHS P30 CA044579NCI NIH HHS P30 CA44579NCI NIH HHS R21 CA128367NIGMS NIH HHS R01 GM056362NIGMS NIH HHS R01 GM56362
6 · The paper itself

Abstract

purposeA CTEP-sponsored phase II trial was conducted to evaluate safety and clinical activity of combination therapy with CCI-779 (temsirolimus) and bevacizumab in patients with advanced melanoma. EXPERIMENTAL

designPatients with unresectable stage III to IV melanoma were treated intravenously with temsirolimus 25 mg weekly and bevacizumab 10 mg every 2 weeks. Adverse events were recorded using CTCAE v3.0. Tumor response was assessed by Response Evaluation Criteria in Solid Tumors and overall survival was recorded. Correlative studies measured protein kinases and histology of tumor biopsies and immune function in peripheral blood.

resultsSeventeen patients were treated. Most patients tolerated treatment well, but 2 had grade 4 lymphopenia and 1 developed reversible grade 2 leukoencephalopathy. Best clinical response was partial response (PR) in 3 patients [17.7%, 90% confidence interval (CI) 5, 0-39.6], stable disease at 8 weeks (SD) in 9 patients, progressive disease (PD) in 4 patients, and not evaluable in 1 patient. Maximal response duration for PR was 35 months. Ten evaluable patients had BRAF(WT) tumors, among whom 3 had PRs, 5 had SD, and 2 had PD. Correlative studies of tumor biopsies revealed decreased phospho-S6K (d2 and d23 vs. d1, P < 0.001), and decreased mitotic rate (Ki67(+)) among melanoma cells by d23 (P = 0.007). Effects on immune functions were mixed, with decreased alloreactive T-cell responses and decreased circulating CD4(+)FoxP3(+) cells.

conclusionThese data provide preliminary evidence for clinical activity of combination therapy with temsirolimus and bevacizumab, which may be greater in patients with BRAF(wt) melanoma. Mixed effects on immunologic function also support combination with immune therapies.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiopsyFemaleGTP PhosphohydrolasesHumansKi-67 AntigenMaleMelanomaMembrane ProteinsMiddle AgedMutationAntibodies, Monoclonal, HumanizedBevacizumabGTP PhosphohydrolasesKi-67 AntigenMembrane ProteinsNRAS protein, humanPhosphoproteinsProto-Oncogene Proteins B-rafSirolimustemsirolimus

Identifiers

PMID23620404
PMCPMC3700572
OpenAlexW2119090642

What OpenQuestion holds

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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.