Evidence map›Paper›PMID 24800949›Full record

ArticleBritish journal of cancer2014

Phase I study of weekly paclitaxel in combination with pazopanib and lapatinib in advanced solid malignancies.

A R Tan, A Dowlati, M N Stein, S F Jones, J R Infante, J Bendell, M P Kane, K T Levinson, A B Suttle, H A Burris

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Combination Therapies for Advanced Biliary Tract Cancer.Journal of clinical and translational hepatology · 2023
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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

10 authors at 3 institutions in 1 country.

A R TanRutgers Cancer Institute of New Jersey,195 Little Albany Street, New Brunswick, NJ 08903, USA.
A DowlatiUniversity Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH 44106, USA.
M N SteinRutgers Cancer Institute of New Jersey,195 Little Albany Street, New Brunswick, NJ 08903, USA.
S F JonesSarah Cannon Research Institute/Tennessee Oncology, PLLC, 3322 West End Avenue, Nashville, TN 37203, USA.
J R InfanteSarah Cannon Research Institute/Tennessee Oncology, PLLC, 3322 West End Avenue, Nashville, TN 37203, USA.
J BendellSarah Cannon Research Institute/Tennessee Oncology, PLLC, 3322 West End Avenue, Nashville, TN 37203, USA.
M P KaneRutgers Cancer Institute of New Jersey,195 Little Albany Street, New Brunswick, NJ 08903, USA.
K T LevinsonRutgers Cancer Institute of New Jersey,195 Little Albany Street, New Brunswick, NJ 08903, USA.
A B SuttleGlaxoSmithKline, Five Moore Drive, PO Box 13398, Research Triangle Park, NC 27709, USA.
H A BurrisSarah Cannon Research Institute/Tennessee Oncology, PLLC, 3322 West End Avenue, Nashville, TN 37203, USA.
Tennessee Oncology · USResearch Triangle Park Foundation · USUniversity Hospitals Case Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the maximum tolerated regimen (MTR) and dose-limiting toxicities of pazopanib and lapatinib in combination with weekly paclitaxel, and the effect of pazopanib and lapatinib on paclitaxel pharmacokinetics.

methodsPatients received intravenous paclitaxel on days 1, 8, and 15 of a 28-day cycle concurrently with daily pazopanib and lapatinib. Dose levels of paclitaxel (mg m(-2))/pazopanib(mg)/lapatinib(mg) were 50/400/1000, 50/800/1000, 80/800/1000, and 80/400/1000. At the MTR, additional patients were enrolled to further evaluate tolerability, and the potential effects of pazopanib and lapatinib, inhibitors of cytochrome P450 (CYP)3A4, on the pharmacokinetics of paclitaxel, a CYP2C8 and CYP3A4 substrate.

resultsTwenty-six patients were enrolled. Dose-limiting toxicities at the MTR (80/400/1000) included grade 4 thrombosis and grade 3 aspartate aminotransferase elevation. Other toxicities included diarrhoea, neutropenia, fatigue, and liver enzyme elevations. Coadministration of pazopanib 400 mg and lapatinib 1000 mg increased paclitaxel maximum plasma concentration (38%) and area under the curve (37%) relative to paclitaxel alone. One patient with a salivary gland tumour had a partial response; three patients had stable disease (⩾6 months).

conclusionsPazopanib 400 mg per day and lapatinib 1000 mg per day can be combined with paclitaxel 80 mg m(-2) in 28-day cycles. Coadministration of pazopanib and lapatinib, weak inhibitors of CYP2C8 and CYP3A4, had an inhibitory effect on paclitaxel clearance.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsCarcinoma, Non-Small-Cell LungDrug Administration ScheduleFemaleHumansIndazolesLapatinibLung NeoplasmsMaleMaximum Tolerated DoseMiddle AgedPaclitaxelPyrimidinesIndazolesLapatinibPaclitaxelpazopanibPyrimidinesQuinazolinesSulfonamides

Identifiers

PMID24800949
PMCPMC4037836
OpenAlexW1980177367

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.