Evidence map›Paper›PMID 25160636›Full record

ReviewMolecular oncology2015

Early phase clinical trials to identify optimal dosing and safety.

Natalie Cook, Aaron R Hansen, Lillian L Siu, Albiruni R Abdul Razak

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Molecular oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 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.

NCT04626583 phase1completednot on this mapstarted 2021, after this paper: background citation

Safety of Locally Delivered Allogeneic Mesenchymal Stromal Cells for Promoting Corneal Repair

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2021 to 2023Enrolled8ConditionsMesenchymal Stromal Cells, Cornea, Safety, Corneal DefectArmsAllogeneic MSC
NCT05204329 early_phase1completednot on this mapstarted 2024, after this paper: background citation

Safety of Topical Mesenchymal Stromal Cell Secretome for Ocular Surface Disease

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2024 to 2024Enrolled9ConditionsMesenchymal Stromal Cells, Cornea, Corneal Defect, Corneal Epithelium DefectArmsMSC Secretome Eye Drops
NCT05705024 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy of Locally Delivered Allogeneic Mesenchymal Stem Cells for Promoting Corneal Repair

TypeinterventionalSponsorUniversity of Illinois at ChicagoRan2023 to 2026Enrolled38ConditionsCorneal UlcerArmsMesenchymal Stromal Cells, Control Solution
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
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  10. Observational
  11. Review
  12. Article
  13. Efficacy assessment in phase I clinical trials: endpoints and challenges.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Review
  14. Article
  15. Stronger together: a cross-SIG perspective on improving drug development.Journal of pharmacokinetics and pharmacodynamics · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

4 authors.

Natalie CookPrincess Margaret Cancer Centre, University Health Network, Division of Medical Oncology and Hematology, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
Aaron R HansenPrincess Margaret Cancer Centre, University Health Network, Division of Medical Oncology and Hematology, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
Lillian L SiuPrincess Margaret Cancer Centre, University Health Network, Division of Medical Oncology and Hematology, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada. Electronic address: lillian.siu@uhn.ca.
Albiruni R Abdul RazakPrincess Margaret Cancer Centre, University Health Network, Division of Medical Oncology and Hematology, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.

Funding

Princess Margaret Phase I Consorium (PMP1C)UM1CA186644 · NCI · UNIVERSITY HEALTH NETWORK · PI Philippe Bedard, Kevin D Courtney · 2014 to 2026
$16.6M
NCI NIH HHS UM1 CA186644
6 · The paper itself

Abstract

The purpose of early stage clinical trials is to determine the recommended dose and toxicity profile of an investigational agent or multi-drug combination. Molecularly targeted agents (MTAs) and immunotherapies have distinct toxicities from chemotherapies that are often not dose dependent and can lead to chronic and sometimes unpredictable side effects. Therefore utilizing a dose escalation method that has toxicity based endpoints may not be as appropriate for determination of recommended dose, and alternative parameters such as pharmacokinetic or pharmacodynamic outcomes are potentially appealing options. Approaches to enhance safety and optimize dosing include improved preclinical models and assessment, innovative model based design and dose escalation strategies, patient selection, the use of expansion cohorts and extended toxicity assessments. Tailoring the design of phase I trials by adopting new strategies to address the different properties of MTAs is required to enhance the development of these agents. This review will focus on the limitations to safety and dose determination that have occurred in the development of MTAs and immunotherapies. In addition, strategies are proposed to overcome these challenges to develop phase I trials that can more accurately define the recommended dose and identify adverse events.

Indexed as

Clinical Trials as TopicAntineoplastic AgentsHumansNeoplasmsAntineoplastic AgentsPhase I trialsRecommended phase 2 doseToxicity

Identifiers

PMID25160636
PMCPMC4329110

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.