Evidence map›Paper›PMID 25125258›Full record

ReviewClinical cancer research : an official journal of the American Association for Cancer Research2014

Design of phase I combination trials: recommendations of the Clinical Trial Design Task Force of the NCI Investigational Drug Steering Committee.

Channing J Paller, Penelope A Bradbury, S Percy Ivy, Lesley Seymour, Patricia M LoRusso, Laurence Baker, Larry Rubinstein, Erich Huang, Deborah Collyar, Susan Groshen and 6 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical cancer research : an official journal of the American Association for Cancer Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05145296 (Non-Randomized, Single-Center Pilot Trial Assessing The Safety/Efficacy Of Targeting Peripheral And Central Humoral Alloimmune Memory With Daratumumab And With Belatacept In Highly HLA-Sensitized Patients Awaiting Kidney Transplantation), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
–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.

NCT05145296 phase2terminatednot on this mapstarted 2022, after this paper: background citation

Non-Randomized, Single-Center Pilot Trial Assessing The Safety/Efficacy Of Targeting Peripheral And Central Humoral Alloimmune Memory With Daratumumab And With Belatacept In Highly HLA-Sensitized Patients Awaiting Kidney Transplantation

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2022 to 2025Enrolled5ConditionsSensitisation, Highly Sensitised Dialysis PatientsArmsEach patient will undergo in the first step of the study belatacept treatment and in the second apheresis and daratumumab
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Analysis of Phase I Clinical Trial Design of Anti-Cancer Agents.Therapeutic innovation & regulatory science · 2025
    Article
  9. Totality of the Evidence: Optimizing Dosage Selection Strategies in Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
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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

16 authors.

Channing J PallerSidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital, Baltimore;
Penelope A BradburyNCIC Clinical Trials Group, Queen's University, Kingston, Ontario, Canada.
S Percy IvyNational Cancer Institute, Bethesda, Maryland;
Lesley SeymourNCIC Clinical Trials Group, Queen's University, Kingston, Ontario, Canada.
Patricia M LoRussoKarmanos Cancer Institute, Detroit;
Laurence BakerUniversity of Michigan, Ann Arbor, Michigan;
Larry RubinsteinNational Cancer Institute, Bethesda, Maryland;
Erich HuangNational Cancer Institute, Bethesda, Maryland;
Deborah CollyarPatient Advocates in Research, Danville;
Susan GroshenNorris Comprehensive Cancer Center, University of Southern California, Los Angeles, California;
Steven ReevesNational Cancer Institute, Bethesda, Maryland;
Lee M EllisUniversity of Texas MD Anderson Cancer Center, Houston, Texas;
Daniel J SargentMayo Clinic, Rochester, Minnesota;
Gary L RosnerSidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital, Baltimore;
Michael L LeBlancFred Hutchinson Cancer Research Center, Cancer Research and Biostatistics, Seattle, Washington;
Mark J RatainThe University of Chicago, Department of Medicine, Chicago, Illinois; and mratain@medicine.bsd.uchicago.edu.

Funding

The Johns Hopkins Translational Science Team for the ET-CTNUM1CA186691 · NCI · JOHNS HOPKINS UNIVERSITY · PI Jan Hendrik Beumer, Michael A Carducci · 2014 to 2026
$21.9M
Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
ONCOLOGY: CHEMOTHERAPY, IMMUNOLOGY, BIOLOGYT32CA009071 · NCI · JOHNS HOPKINS UNIVERSITY · PI Mary Y Armanios, Nilofer S. Azad · 1985 to 2026
$12.8M
PHASE I CLINICAL TRIALS OF ANTICANCER AGENTSU01CA069852 · NCI · UNIVERSITY OF CHICAGO · PI RATAIN, MARK J · 1995 to 2013
$9.4M
Use of Biomarkers in Diagnosis, Prognosis, Risk Prediction and Early Detection ofP01CA053996 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HSU, LI · 1991 to 2015
$9.4M
Wisconsin and New Jersey Alliance in Precision Experimental TherapeuticsUM1CA186716 · NCI · RBHS -CANCER INSTITUTE OF NEW JERSEY · PI JABBOUR, SALMA, LIU, GLENN · 2014 to 2019
$4.1M
Experimental Therapeutics: Clinical Trials Network with Phase I EmphasisUM1CA186705 · NCI · UNIVERSITY OF CHICAGO · PI MAITLAND, MICHAEL L., RATAIN, MARK J · 2014 to 2015
$987k
Intramural NIH HHS Z99 CA999999NCATS NIH HHS UL1 TR000430NCI NIH HHS P01 CA053996NCI NIH HHS T32 CA009071NCI NIH HHS U01 CA069852NCI NIH HHS UM1 CA186691NCI NIH HHS UM1 CA186705NCI NIH HHS UM1 CA186716
6 · The paper itself

Abstract

Anticancer drugs are combined in an effort to treat a heterogeneous tumor or to maximize the pharmacodynamic effect. The development of combination regimens, while desirable, poses unique challenges. These include the selection of agents for combination therapy that may lead to improved efficacy while maintaining acceptable toxicity, the design of clinical trials that provide informative results for individual agents and combinations, and logistic and regulatory challenges. The phase I trial is often the initial step in the clinical evaluation of a combination regimen. In view of the importance of combination regimens and the challenges associated with developing them, the Clinical Trial Design (CTD) Task Force of the National Cancer Institute Investigational Drug Steering Committee developed a set of recommendations for the phase I development of a combination regimen. The first two recommendations focus on the scientific rationale and development plans for the combination regimen; subsequent recommendations encompass clinical design aspects. The CTD Task Force recommends that selection of the proposed regimens be based on a biologic or pharmacologic rationale supported by clinical and/or robust and validated preclinical evidence, and accompanied by a plan for subsequent development of the combination. The design of the phase I clinical trial should take into consideration the potential pharmacokinetic and pharmacodynamic interactions as well as overlapping toxicity. Depending on the specific hypothesized interaction, the primary endpoint may be dose optimization, pharmacokinetics, and/or pharmacodynamics (i.e., biomarker).

Indexed as

Patient SelectionResearch DesignBiomarkers, TumorClinical ProtocolsClinical Trials, Phase II as TopicDrugs, InvestigationalEndpoint DeterminationHumansNational Cancer Institute (U.S.)NeoplasmsPractice Guidelines as TopicUnited StatesBiomarkers, TumorDrugs, Investigational

Identifiers

PMID25125258
PMCPMC4135521

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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.