Evidence map›Paper›PMID 25212606›Full record

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

A phase I study of continuous oral dosing of OSI-906, a dual inhibitor of insulin-like growth factor-1 and insulin receptors, in patients with advanced solid tumors.

Igor Puzanov, Colin R Lindsay, Laura Goff, Jeff Sosman, Jill Gilbert, Jordan Berlin, Srinivasu Poondru, Ronit Simantov, Rich Gedrich, Andrew Stephens and 2 more

Abstract readClinical Trial, Phase I
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 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
10.3field-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

56 citing papers in PubMed, 95 citations in OpenAlex.

  1. Linsitinib (OSI-906) for the Treatment of Adult and Pediatric Wild-Type Gastrointestinal Stromal Tumors, a SARC Phase II Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Systemic Management of Advanced Adrenocortical Carcinoma.Current treatment options in oncology · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Igor PuzanovVanderbilt Ingram Cancer Center, Nashville, Tennessee. igor.puzanov@vanderbilt.edu.
Colin R LindsayBeatson West of Scotland Cancer Centre, Glasgow, United Kingdom.
Laura GoffVanderbilt Ingram Cancer Center, Nashville, Tennessee.
Jeff SosmanVanderbilt Ingram Cancer Center, Nashville, Tennessee.
Jill GilbertVanderbilt Ingram Cancer Center, Nashville, Tennessee.
Jordan BerlinVanderbilt Ingram Cancer Center, Nashville, Tennessee.
Srinivasu PoondruAstellas Pharma Global Development, Inc., Northbrook, Illinois.
Ronit SimantovAstellas Pharma Global Development, Inc., Northbrook, Illinois.
Rich GedrichOSI Pharmaceuticals, Boulder, Colorado.
Andrew StephensPiramal Imaging GmbH, Berlin, Germany.
Emily ChanVanderbilt Ingram Cancer Center, Nashville, Tennessee.
T R Jeffry EvansBeatson West of Scotland Cancer Centre, Glasgow, United Kingdom. University of Glasgow, Glasgow, United Kingdom.
Piramal (Germany) · DEUniversity of Glasgow · GB

Funding

Cancer Research UK 11650Cancer Research UK 20409
6 · The paper itself

Abstract

purposeOSI-906 is a potent inhibitor of insulin-like growth factor-1 receptor (IGF1R) and insulin receptor (IR). The purpose of this study was to determine the MTD, safety, pharmacokinetics, pharmacodynamics, and preliminary activity of OSI-906 in patients with advanced solid tumors. PATIENTS AND

methodsThis was a nonrandomized, open-label, phase I, dose-escalation study in patients with advanced solid tumors. The study also included a diabetic expansion cohort and a biomarker expansion cohort of patients with colorectal cancer. Patients were treated with OSI-906 by once- or twice-daily continuous dosing schedules.

resultsOf 95 patients enrolled in the study, 86 received at least one dose of OSI-906. Dose-limiting toxicities included QTc prolongation, grade 2 abdominal pain and nausea, hyperglycemia, and elevation of aspartate aminotransferase and alanine aminotransferase (all grade 3). The MTDs were established to be 400 mg once daily and 150 mg twice daily. The recommended phase II dose was determined as 150 mg twice daily. OSI-906 was rapidly absorbed with a half-life of 5 hours, and steady-state plasma concentrations were achieved by day 8. Pharmacodynamic effects on IGF1R and IR phosphorylation were levels observed and correlated with plasma concentrations of OSI-906. Thirty-one patients had stable disease as their best response. One patient with melanoma had a radiographic partial response and underwent resection, during which only melanocytic debris but no viable tumor tissue was identified.

conclusionsAt the established MTD, OSI-906 was well tolerated and antitumor activity was observed. These results support further evaluation of OSI-906 in solid tumors.

Indexed as

Administration, OralAdultAgedAntineoplastic AgentsDose-Response Relationship, DrugFemaleHumansImidazolesMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPyrazines3-(8-amino-1-(2-phenylquinolin-7-yl)imidazo(1,5-a)pyrazin-3-yl)-1-methylcyclobutanolAntineoplastic AgentsImidazolesPyrazines

Identifiers

PMID25212606
OpenAlexW2163205418

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.