Evidence map›Paper›PMID 25270361›Full record

ArticleInternational journal of oncology2014

A phase I dose-escalation study to a predefined dose of a transforming growth factor-β1 monoclonal antibody (TβM1) in patients with metastatic cancer.

Allen Cohn, Michael M Lahn, Kristen E Williams, Ann L Cleverly, Celine Pitou, Sunil K Kadam, Mark W Farmen, Durisala Desaiah, Robert Raju, Paul Conkling and 1 more

Open access · hybridAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in International journal of oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

29 citing papers in PubMed, 41 citations in OpenAlex.

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  18. TGFβ biology in cancer progression and immunotherapy.Nature reviews. Clinical oncology · 2021
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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

11 authors at 5 institutions in 2 countries.

Allen CohnRocky Mountain Cancer Center - Midtown, Denver, CO, USA.
Michael M LahnEli Lilly and Company, Indianapolis, IN, USA.
Kristen E WilliamsEli Lilly and Company, Indianapolis, IN, USA.
Ann L CleverlyEli Lilly and Company, Erl Wood Manor, Windlesham, Surrey, UK.
Celine PitouEli Lilly and Company, Erl Wood Manor, Windlesham, Surrey, UK.
Sunil K KadamEli Lilly and Company, Indianapolis, IN, USA.
Mark W FarmenEli Lilly and Company, Indianapolis, IN, USA.
Durisala DesaiahEli Lilly and Company, Indianapolis, IN, USA.
Robert RajuInnovation Center Kettering Medical Center, Kettering, OH, USA.
Paul ConklingVirginia Oncology Associates, Norfolk, VA, USA.
Donald RichardsTyler Cancer Center, Tyler, TX, USA.
Eli Lilly (United States) · USEli Lilly (United Kingdom) · GBKettering Medical Center · USRocky Mountain Cancer Centers · USVirginia Oncology Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transforming growth factor β (TGF-β) plays an important role in cancer. Monoclonal antibodies (mAb) designed to specifically block the TGF-β ligands, are expected to inhibit tumor progression in patients with metastatic cancer. TβM1 is a humanized mAb optimized for neutralizing activity against TGF-β1. The objective of this clinical trial was to assess the safety and tolerability of TβM1 in patients with metastatic cancer. In this phase I, uncontrolled, non-randomized, dose-escalation study, 18 eligible adult patients who had measurable disease per RECIST and a performance status of ≤ 2 on the ECOG scale were administered TβM1 intravenously over 10 min at doses of 20, 60, 120 and 240 mg on day 1 of each 28-day cycle. Safety was assessed by adverse events (as defined by CTCAE version 3.0) and possible relationship to study drug, dose-limiting toxicities and laboratory changes. Systemic drug exposure and pharmacodynamic (PD) parameters were assessed. TβM1 was safe when administered once monthly. The pharmacokinetic (PK) profile was consistent with a mAb with a mean elimination half-life approximately 9 days. Although anticipated changes in PD markers such as serum VEGF, bFGF and mRNA expression of SMAD7 were observed in whole-blood, suggesting activity of TβM1 on the targeted pathway, these changes were not consistent to represent a PD effect. Additionally, despite the presence of an activated TGF-β1 expression signature in patients' whole blood, the short dosing duration did not translate into significant antitumor effect in the small number of patients investigated in this study.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAnimalsAntibodies, Monoclonal, HumanizedDose-Response Relationship, DrugDrug Administration ScheduleDrug-Related Side Effects and Adverse ReactionsGene Expression Regulation, NeoplasticHumansMiceMiddle AgedNeoplasm MetastasisNeoplasm ProteinsNeoplasmsAntibodies, Monoclonal, HumanizedNeoplasm ProteinsTransforming Growth Factor beta1

Identifiers

PMID25270361
PMCPMC4215585
OpenAlexW2086602355

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.