Evidence map›Paper›PMID 23700288›Full record

Trial reportInvestigational new drugs2013

A phase II study of the oral VEGF receptor tyrosine kinase inhibitor vatalanib (PTK787/ZK222584) in myelodysplastic syndrome: Cancer and Leukemia Group B study 10105 (Alliance).

Pankaj Gupta, Flora Mulkey, Robert P Hasserjian, Ben L Sanford, Ravi Vij, David D Hurd, Olatoyosi M Odenike, Clara D Bloomfield, Kouros Owzar, Richard M Stone and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Investigational new drugs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072475 (A Phase II Study of an Oral VEGF Receptor Tyrosine Kinase Inhibitor), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT00072475 phase2completednot on this map

A Phase II Study of an Oral VEGF Receptor Tyrosine Kinase Inhibitor (PTK787/ZK222584) (IND #66370, NSC #719335) in Myelodysplastic Syndrome (MDS)

TypeinterventionalSponsorAlliance for Clinical Trials in OncologyRan2003 to 2014Enrolled155ConditionsLeukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative NeoplasmsArmsvatalanib
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Evaluation ofOncology letters · 2023
    Article
  6. In Vitro Angiogenesis Inhibition and Endothelial Cell Growth and Morphology.International journal of molecular sciences · 2022
    Article
  7. Therapeutic Targeting of the Leukaemia Microenvironment.International journal of molecular sciences · 2021
    Review
  8. Review
  9. Biology and Biomechanics of the Heart Valve Extracellular Matrix.Journal of cardiovascular development and disease · 2020
    Review
  10. Article
  11. Article
  12. Antiangiogenic therapy in myelodysplastic syndromes: is there a role?Current hematologic malignancy reports · 2008
    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

12 authors at 9 institutions in 1 country.

Pankaj GuptaUniversity of Minnesota, Minneapolis, MN, USA, gupta013@umn.edu.
Flora Mulkey
Robert P Hasserjian
Ben L Sanford
Ravi Vij
David D Hurd
Olatoyosi M Odenike
Clara D Bloomfield
Kouros Owzar
Richard M Stone
Richard A Larson
Alliance for Clinical Trials in Oncology
Duke Medical Center · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USThe Ohio State University · USUniversity of Chicago · USUniversity of Illinois Chicago · USUniversity of Minnesota · USWake Forest University · USWashington University in St. Louis · 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
RESEARCH BASE SUPPORT FOR COMMUNITY CLINICAL ONCOLOGY PRU10CA037447 · NCI · UNIVERSITY OF CHICAGO · PI BERTAGNOLLI, MONICA M, PASKETT, ELECTRA D. · 1985 to 2015
$25.3M
MEDICAL CENTER OF DELAWARE CCOPU10CA045418 · NCI · CHRISTIANA CARE HEALTH SERVICES, INC. · PI GRUBBS, STEPHEN S. · 1987 to 2014
$14.5M
Illinois Oncology Research Association Community Clinical Oncology ProgramU10CA035113 · NCI · ONCOLOGY-HEMATOLOGY ASSOC-CENTRAL ILL · PI LE-LINDQWISTER, NGUYET A. · 1985 to 2014
$10.8M
Cancer and Leukemia Group B - Leukemia Correlative SciencesU10CA101140 · NCI · OHIO STATE UNIVERSITY · PI MARCUCCI, GUIDO · 2003 to 2013
$10.3M
Northern Indiana Cancer Research Corsoortium, CCOPU10CA086726 · NCI · NORTHERN INDIANA CANCER RES CONSORTIUM · PI METHOD, MICHAEL · 2000 to 2014
$9.8M
MOUNT SINAI COMMUNITY CLINICAL ONCOLOGY PROGRAMU10CA045564 · NCI · MOUNT SINAI MEDICAL CENTER (MIAMI BEACH) · PI SCHWARTZ, MICHAEL ALAN · 1987 to 2014
$9.2M
SYRACUSE HEMATOLOGY-ONCOLOGY CCOPU10CA045389 · NCI · HEMATOLOGY-ONCOLOGY ASSOCIATES/CTL NY · PI KIRSHNER, JEFFREY JAY · 1987 to 2014
$7.4M
Heartland Research Consortium CCOPU10CA114558 · NCI · MISSOURI BAPTIST MEDICAL CENTER · PI LYSS, ALAN P · 2005 to 2014
$6.0M
Cancer and Leukemia Group B - The Ohio State UniversityU10CA077658 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 1998 to 2013
$6.0M
NCI NIH HHS CA03927NCI NIH HHS CA08025NCI NIH HHS CA101140NCI NIH HHS CA114558-02NCI NIH HHS CA12046NCI NIH HHS CA16450NCI NIH HHS CA21060NCI NIH HHS CA31946NCI NIH HHS CA32291NCI NIH HHS CA33601NCI NIH HHS CA35113NCI NIH HHS CA37347NCI NIH HHS CA37447NCI NIH HHS CA41287NCI NIH HHS CA45389NCI NIH HHS CA45418NCI NIH HHS CA45564NCI NIH HHS CA45808NCI NIH HHS CA47559NCI NIH HHS CA47577NCI NIH HHS CA47642NCI NIH HHS CA59518NCI NIH HHS CA77298NCI NIH HHS CA77406NCI NIH HHS CA77440NCI NIH HHS CA77597NCI NIH HHS CA77658NCI NIH HHS CA86726NCI NIH HHS U10 CA003927NCI NIH HHS U10 CA008025NCI NIH HHS U10 CA012046NCI NIH HHS U10 CA016450NCI NIH HHS U10 CA021060NCI NIH HHS U10 CA031946NCI NIH HHS U10 CA032291NCI NIH HHS U10 CA033601NCI NIH HHS U10 CA035113NCI NIH HHS U10 CA037447NCI NIH HHS U10 CA041287NCI NIH HHS U10 CA045389NCI NIH HHS U10 CA045418NCI NIH HHS U10 CA045564NCI NIH HHS U10 CA045808NCI NIH HHS U10 CA047559NCI NIH HHS U10 CA047577NCI NIH HHS U10 CA047642NCI NIH HHS U10 CA059518NCI NIH HHS U10 CA077298NCI NIH HHS U10 CA077406NCI NIH HHS U10 CA077440NCI NIH HHS U10 CA077597NCI NIH HHS U10 CA077658NCI NIH HHS U10 CA086726NCI NIH HHS U10 CA101140NCI NIH HHS U10 CA114558
6 · The paper itself

Abstract

backgroundAngiogenesis is implicated in the pathophysiology and progression of myelodysplastic syndromes (MDS). Vatalanib (PTK787/ZK222584; Novartis and Schering AG) inhibits receptor tyrosine kinases of vascular endothelial growth factor, platelet derived growth factor and c-Kit. We examined whether vatalanib induces hematological responses in MDS and/or delays progression to acute myeloid leukemia (AML) or death.

methodsTwo cohorts were studied. Vatalanib 1250 mg orally was given once daily (cohort 1) or 750-1250 mg once daily in an intra-patient dose escalating schedule (cohort 2) in 28-day cycles to 155 patients with MDS; 142 patients were evaluable for response and 153 for toxicity.

resultsThe median age was 70.5 years; 51 % had low risk (International Prognostic Scoring System {IPSS} Low/Intermediate-1) and 32 % had high risk (IPSS Intermediate-2/High) MDS. Hematological improvement was achieved in 7/142 (5 %) patients; all 7 were among the 47 patients able to remain on vatalanib for at least 3 months (hematological improvement achieved in 15 % of these 47 patients). For patients with low risk and high risk MDS, respectively, median progression-free survivals were 15 and 6 months, median times to transformation to AML were 28 and 6 months, and median overall survivals were 36 and 10 months. The most frequent non-hematological adverse events grade ≥ 2 were fatigue, nausea or vomiting, dizziness, anorexia, ataxia, diarrhea, and pain. Two deaths (one intra-cerebral hemorrhage and one sudden death) were possibly related to vatalanib.

conclusionsVatalanib induces improvement in blood counts in a small proportion of MDS patients. Clinical applicability is limited by side effects.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsDisease-Free SurvivalFemaleHumansLeukemiaMaleMiddle AgedMyelodysplastic SyndromesPhthalazinesProtein Kinase InhibitorsPyridinesReceptors, Vascular Endothelial Growth FactorTreatment OutcomeAntineoplastic AgentsPhthalazinesProtein Kinase InhibitorsPyridinesReceptors, Vascular Endothelial Growth Factorvatalanib

Identifiers

PMID23700288
PMCPMC3773017
OpenAlexW2080039717

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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.