Evidence map›Paper›PMID 25203866›Full record

ArticlePediatric blood & cancer2015

Efficacy of CPX-351, (cytarabine:daunorubicin) liposome injection, against acute lymphoblastic leukemia (ALL) xenograft models of the Pediatric Preclinical Testing Program.

Hernan Carol, Mannie M Y Fan, Troy O Harasym, Ingrid Boehm, Lawrence D Mayer, Peter Houghton, Malcolm A Smith, Richard B Lock

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  4. A Microbiota-Dependent Response to Anticancer Treatment in anFrontiers in cellular and infection microbiology · 2022
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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

8 authors at 3 institutions in 3 countries.

Hernan CarolChildren's Cancer Institute Australia for Medical Research, University of New South Wales, Sydney, NSW, Australia.
Mannie M Y Fan
Troy O Harasym
Ingrid Boehm
Lawrence D Mayer
Peter Houghton
Malcolm A Smith
Richard B Lock
Celator Pharmaceuticals (Canada) · CAUNSW Sydney · AUNationwide Children's Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
ANTINEOPLASTIC ALKYLGLYCEROLIPIDSR01CA042216 · NCI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI PIANTADOSI, CLAUDE · 1988 to 1990
–
NCI NIH HHS CA108786NCI NIH HHS CA21765NCI NIH HHS N01 CM042216NCI NIH HHS N01-CM-42216NCI NIH HHS P30 CA021765NCI NIH HHS P50 CA108786
6 · The paper itself

Abstract

backgroundCPX-351, a liposomal formulation of cytarabine and daunorubicin co-encapsulated at an optimized synergistic 5:1 molar ratio, has demonstrated improved clinical outcomes over conventional cytarabine/daunorubicin treatment in a randomized phase 2 trial in patients with AML as well as superior efficacy against preclinical leukemia models when compared to the free drugs in combination. PROCEDURES: Given the promising phase 2 data, limited toxicities observed, and the known clinical activities of cytarabine/daunorubicin, we assessed the efficacy of CPX-351 against a panel of childhood ALL xenograft models. Plasma pharmacokinetics of cytarabine and daunorubicin following CPX-351 treatment were determined by HPLC in order to correlate efficacy with drug exposure.

resultsCPX-351, at a dose of 5 units/kg (corresponding to 5 mg/kg cytarabine and 2.2 mg/kg daunorubicin), was highly efficacious against all xenografts tested, inducing complete responses in four B-lineage xenografts and partial response in one T-lineage xenograft. These therapeutic responses were achieved with CPX-351 doses that provided drug exposures (based on Cmax and AUC) comparable to those observed in patients with AML.

conclusionsThese results suggest that CPX-351 may be a promising chemotherapeutic to be utilized in the treatment of ALL and support its testing in pediatric patients with leukemia.

Indexed as

AdolescentAnimalsAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCytarabineDaunorubicinFemaleHumansLiposomesMaleMaximum Tolerated DoseMiceMice, Inbred NODMice, SCIDPediatricsCytarabineDaunorubicinLiposomesacute leukemiaCPX-351efficacypharmacokineticssynergy

Identifiers

PMID25203866
PMCPMC4237711
OpenAlexW1506042288

What OpenQuestion holds

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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.