Evidence map›Paper›PMID 24728831›Full record

ArticleJournal of neuro-oncology2014

Vorinostat as a radiosensitizer for brain metastasis: a phase I clinical trial.

Wenyin Shi, Yaacov Richard Lawrence, Hak Choy, Maria Werner-Wasik, David W Andrews, James J Evans, Kevin D Judy, Christopher J Farrell, Yaron Moshel, Adam C Berger and 2 more

Abstract readClinical Trial, Phase IMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-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.

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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Radiosensitization to γ-Ray by Functional Inhibition of APOBEC3G.International journal of molecular sciences · 2022
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
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  11. HDACs and HDAC Inhibitors in Cancer Development and Therapy.Cold Spring Harbor perspectives in medicine · 2016
    Review
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  13. Review
  14. Article
  15. Article
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  17. 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 3 institutions in 2 countries.

Wenyin ShiDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA. wenyin.shi@jefferson.edu.
Yaacov Richard LawrenceDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Hak ChoyDepartment of Radiation Oncology, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Maria Werner-WasikDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
David W AndrewsDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
James J EvansDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Kevin D JudyDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Christopher J FarrellDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Yaron MoshelDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Adam C BergerDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Voichita Bar-AdDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Adam P DickerDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Thomas Jefferson University · USSheba Medical Center · ILThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Perform a phase I study to evaluate the safety, and tolerability of vorinostat, an HDAC inhibitor, when combined with whole brain radiation treatment (WBRT) in patients with brain metastasis. A multi-institutional phase I clinical trial enrolled patients with a histological diagnosis of malignancy and radiographic evidence of brain metastasis. WBRT was 37.5 Gy in 2.5 Gy fractions delivered over 3 weeks. Vorinostat was administrated by mouth, once daily, Monday through Friday, concurrently with radiation treatment. The vorinostat dose was escalated from 200 to 400 mg daily using a 3+3 trial design. Seventeen patients were enrolled, 4 patients were excluded from the analysis due to either incorrect radiation dose (n = 1), or early treatment termination due to disease progression (n = 3). There were no treatment related grade 3 or higher toxicities in the 200 and 300 mg dose levels. In the 400 mg cohort there was a grade 3 pulmonary embolus and one death within 30 days of treatment. Both events were most likely related to disease progression rather than treatment; nonetheless, we conservatively classified the death as a dose limiting toxicity. We found Vorinostat administered with concurrent WBRT to be well tolerated to a dose of 300 mg once daily. This is the recommended dose for phase II study.

Indexed as

ChemoradiotherapyAgedBrain NeoplasmsCarcinoma, Non-Small-Cell LungCohort StudiesDisease ProgressionFallopian Tube NeoplasmsFemaleHistone Deacetylase InhibitorsHumansHydroxamic AcidsKaplan-Meier EstimateMaleMiddle AgedNeoplasm GradingRadiation-Sensitizing AgentsHistone Deacetylase InhibitorsHydroxamic AcidsRadiation-Sensitizing AgentsVorinostat

Identifiers

PMID24728831
OpenAlexW2047853363

What OpenQuestion holds

Textmetadata
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.