Evidence map›Paper›PMID 25212537›Full record

Trial reportCancer chemotherapy and pharmacology2014

A first-in-human study of the anti-α5β1 integrin monoclonal antibody PF-04605412 administered intravenously to patients with advanced solid tumors.

J Mateo, J Berlin, J S de Bono, R B Cohen, V Keedy, G Mugundu, Lianglin Zhang, A Abbattista, C Davis, C Gallo Stampino and 1 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Role and mechanism of Integrin α5β1 in bone formation and disease.Frontiers in cell and developmental biology · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Integrins as therapeutic targets in the organ-specific metastasis of human malignant melanoma.Journal of experimental & clinical cancer research : CR · 2018
    Review
  13. Article
  14. Review
  15. Integrins in the Spotlight of Cancer.International journal of molecular sciences · 2016
    Review
  16. Tension in Cancer.International journal of molecular sciences · 2016
    Review
  17. Review
  18. Article
  19. Integr(at)in(g) EGFR therapy in HNSCC.Annals of translational medicine · 2015
    Article
  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

11 authors at 6 institutions in 2 countries.

J MateoThe Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.
J Berlin
J S de Bono
R B Cohen
V Keedy
G Mugundu
Lianglin Zhang
A Abbattista
C Davis
C Gallo Stampino
H Borghaei
Pfizer (United States) · USFox Chase Cancer Center · USBreast Cancer Research Foundation · USInstitute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBVanderbilt-Ingram Cancer Center

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA first-in-human clinical trial of a fully human, Fc-engineered IgG1 monoclonal antibody targeting integrin α5β1 was conducted to evaluate tolerability, maximum tolerated dose, pharmacokinetics, pharmacodynamics and preliminary anti-tumor activity.

methodsEscalating doses of PF-04605412 were given IV on day 1, 28 and every 2 weeks thereafter to patients with advanced solid tumors until disease progression or unacceptable toxicity. Sequential dose cohorts were evaluated based on a modified 3 + 3 dose-escalation design. The starting dose was 7.5 mg based on preclinical data.

resultsThirty-three patients were enrolled to six dose levels (7.5, 11.25, 16.9, 34, 68 and 136 mg). Twenty-three patients were evaluable for the primary endpoint (determination of the maximum tolerated dose). Five patients required permanent drug discontinuation due to acute infusion-related reactions, which occurred as grade 3 events in two patients. PK analysis indicated that the targeted drug exposure based on preclinical models was not achieved by the tolerated doses and PK modeling suggesting that doses at least fivefold higher would be necessary. No anti-tumor activity was observed.

conclusionBased on the safety data, the risks associated with the likelihood of significant cytokine-mediated infusion reactions at higher doses, the projected high dose necessary to affect on the biological target and the lack of anti-tumor activity at the doses explored, the trial was prematurely terminated without determining a formal maximum tolerated dose. Further clinical development of PF-04605412 has been discontinued.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedArea Under CurveDose-Response Relationship, DrugDrug Administration ScheduleFatigueFemaleFlushingHumansHypotensionInfusions, IntravenousIntegrin alpha5beta1MaleMetabolic Clearance RateMiddle AgedAntibodies, Monoclonal, HumanizedIntegrin alpha5beta1PF-04605412

Identifiers

PMID25212537
PMCPMC4209234
OpenAlexW2099550296

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Registered trials

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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.