Evidence map›Paper›PMID 25208878›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2015

Phase I study of intermittent oral dosing of the insulin-like growth factor-1 and insulin receptors inhibitor OSI-906 in patients with advanced solid tumors.

Robin L Jones, Edward S Kim, Pilar Nava-Parada, Salma Alam, Faye M Johnson, Andrew W Stephens, Ronit Simantov, Srinivasu Poondru, Rich Gedrich, Scott M Lippman and 2 more

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

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
10.9field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

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  10. Altered expression of theInternational journal of oncology · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Robin L JonesDrug Development Unit, Royal Marsden Hospital, London, United Kingdom. edward.kim@carolinas.org.
Edward S KimLevine Cancer Institute, Carolinas HealthCare System, Charlotte, North Carolina.
Pilar Nava-ParadaCelgene Corporation, Summit, New Jersey.
Salma AlamDrug Development Unit, Royal Marsden Hospital, London, United Kingdom.
Faye M JohnsonMD Anderson Cancer Center, Houston, Texas.
Andrew W StephensPiramal Imaging GmbH, Berlin, Germany.
Ronit SimantovAstellas Pharma Global Development, Northbrook, Illinois.
Srinivasu PoondruAstellas Pharma Global Development, Northbrook, Illinois.
Rich GedrichAstellas Pharma Global Development, Northbrook, Illinois.
Scott M LippmanUC San Diego Moores Cancer Center, San Diego, California.
Stan B KayeDrug Development Unit, Royal Marsden Hospital, London, United Kingdom.
Craig P CardenDrug Development Unit, Royal Marsden Hospital, London, United Kingdom.
Piramal (Germany) · DEUniversity of Washington · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

purposeWe determined the maximum tolerated dose (MTD), safety, pharmacokinetics, pharmacodynamics, and preliminary activity of OSI-906, a potent, oral, dual inhibitor of insulin-like growth factor-1 receptor (IGF1R) and insulin receptor (IR), in patients with advanced solid tumors. EXPERIMENTAL

designThis was a multicenter, open-label, dose escalation phase I study evaluating three intermittent dosing schedules of once-daily OSI-906 [schedule (S) 1, days 1-3 every 14 days; S2, days 1-5 every 14 days; S3, days 1-7 every 14 days]. A fed-fasting expansion cohort was included in the study.

resultsSeventy-nine patients were enrolled: 62 in S1, 4 in S2, and 13 in S3. S2 was discontinued. Dose-limiting toxicity comprised grade 3-4 hyperglycemia, vomiting, fatigue, and prolonged QTc interval. The MTD and recommended phase II dose of OSI-906 was 600 mg for both S1 and S3 schedules. Other common adverse events were grade 1-2 nausea, vomiting, fatigue, and diarrhea. The pharmacokinetics of OSI-906 was dose linear, and the terminal half-life ranged between 2 and 6 hours. High-fat meals had a moderate effect on the pharmacokinetics of OSI-906. At the MTD, inhibition of IGF1R and IR was observed in peripheral blood mononuclear cells. An increase in plasma IGF1 concentrations, an indirect measure of IGF1R signaling inhibition, was seen at doses ≥ 450 mg. Two patients with adrenocortical carcinoma achieved partial responses.

conclusionThe MTD of 600 mg was well tolerated and associated with preliminary antitumor activity. These data support further evaluation of OSI-906 in solid tumors.

Indexed as

Administration, OralAdolescentAdultAgedAntineoplastic AgentsDose-Response Relationship, DrugFemaleHumansImidazolesMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPyrazinesYoung Adult3-(8-amino-1-(2-phenylquinolin-7-yl)imidazo(1,5-a)pyrazin-3-yl)-1-methylcyclobutanolAntineoplastic AgentsImidazolesPyrazines

Identifiers

PMID25208878
OpenAlexW2140498074

What OpenQuestion holds

Textmetadata
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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.