Evidence map›Paper›PMID 25248752›Full record

ArticleInvestigational new drugs2015

A phase I open-label study of the safety, tolerability, and pharmacokinetics of pazopanib in combination with irinotecan and cetuximab for relapsed or refractory metastatic colorectal cancer.

Jaafar Bennouna, Marion Deslandres, Helene Senellart, Cecile de Labareyre, Rodrigo Ruiz-Soto, Claire Wixon, Jeff Botbyl, A Benjamin Suttle, Jean-Pierre Delord

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 29% 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, 26 citations in OpenAlex.

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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

9 authors at 6 institutions in 3 countries.

Jaafar BennounaInstitut de Cancérologie de l'Ouest, Nantes, France.
Marion Deslandres
Helene Senellart
Cecile de Labareyre
Rodrigo Ruiz-Soto
Claire Wixon
Jeff Botbyl
A Benjamin Suttle
Jean-Pierre Delord
GlaxoSmithKline (United Kingdom) · GBInstitut Claudius Regaud · FRInstitut de Cancérologie de l'Ouest · FRGlaxoSmithKline (France) · FRGlaxoSmithKline (United States) · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPazopanib is a multi-targeted tyrosine kinase inhibitor shown to be clinically active in the treatment of various cancer types. This study aimed to evaluate the maximum tolerated regimen (MTR), safety, and pharmacokinetics of pazopanib in combination with irinotecan and cetuximab in adult patients with relapsed or refractory metastatic colorectal cancer (mCRC). PATIENTS AND

methodsThis was a Phase I, 3 + 3 design, open-label, dose-escalation study (NCT0050943; VEG108925) conducted in sequential cohorts to determine the MTR of pazopanib and irinotecan administered with cetuximab. Twenty-five patients received treatment in three dosing cohorts and were evaluated for safety and tolerability of the combination and pharmacokinetics of individual drugs.

resultsThe MTR was determined to be 400 mg pazopanib per day orally in combination with 150 mg/m(2) irinotecan biweekly and 250 mg/m(2) cetuximab weekly by infusion. Neutropenia was the main dose-limiting toxicity. Pharmacokinetic results suggested that the overall systemic exposure to SN-38, the active metabolite of irinotecan, was affected by pazopanib to a greater extent than was the systemic exposure to irinotecan itself.

conclusionsThis study provided evidence for the manageable safety profile and feasibility of using the novel triplet combination of pazopanib, irinotecan, and cetuximab in patients with refractory mCRC. Further large-scale Phase II studies are warranted.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAdultAgedAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedCamptothecinCetuximabColorectal NeoplasmsDrug Resistance, NeoplasmFemaleHumansIndazolesIrinotecanMaleMaximum Tolerated DoseMiddle AgedAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedCamptothecinCetuximabIndazolesIrinotecanpazopanibProtein Kinase InhibitorsPyrimidinesSulfonamidesTopoisomerase I Inhibitors

Identifiers

PMID25248752
OpenAlexW1964513792

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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.