Evidence map›Paper›PMID 25467180›Full record

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

A phase i study of DMS612, a novel bifunctional alkylating agent.

Leonard J Appleman, Sanjeeve Balasubramaniam, Robert A Parise, Christine Bryla, Christophe E Redon, Asako J Nakamura, William M Bonner, John J Wright, Richard Piekarz, David R Kohler and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IMulticenter Study
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Advantages of evaluating γH2AX induction in non-clinical drug development.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2018
    Review
  2. 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

16 authors at 6 institutions in 2 countries.

Leonard J ApplemanCancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania. Prostate Cancer Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania. Division of Hematology-Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Sanjeeve BalasubramaniamDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Robert A PariseCancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania.
Christine BrylaDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Christophe E RedonDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Asako J NakamuraDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
William M BonnerDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland.
John J WrightInvestigational Drug Branch, Cancer Treatment Evaluation Program, National Cancer Institute, Bethesda, Maryland.
Richard PiekarzInvestigational Drug Branch, Cancer Treatment Evaluation Program, National Cancer Institute, Bethesda, Maryland.
David R KohlerPharmacy Department, Clinical Center, NIH, Bethesda, Maryland.
Yixing JiangPenn State College of Medicine, Hershey, Pennsylvania.
Chandra P BelaniPenn State College of Medicine, Hershey, Pennsylvania.
Julie EisemanCancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania. Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Edward ChuCancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania. Division of Hematology-Oncology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Jan H BeumerCancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania. Department of Pharmaceutical Sciences, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.
Susan E BatesDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland. batess@helix.nih.gov.
National Cancer Institute · UAUniversity of Pittsburgh · USNational Cancer Institute · USPenn State Milton S. Hershey Medical Center · USNational Institutes of Health Clinical Center · USUPMC Hillman Cancer Center · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
NCI ET-CTN with Phase i Emphasis at UPCIUM1CA186690 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD, Farshid Dayyani · 2014 to 2026
$9.1M
Phase I Clinical Trials of Novel Anticancer AgentsU01CA099168 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHU, EDWARD · 2003 to 2013
$5.0M
Intramural NIH HHSNCATS NIH HHS UL1 TR000005NCI NIH HHS P30 CA047904NCI NIH HHS P30-CA47904NCI NIH HHS U01 CA099168NCI NIH HHS U01-CA099168NCI NIH HHS UM1 CA186690
6 · The paper itself

Abstract

purposeDMS612 is a dimethane sulfonate analog with bifunctional alkylating activity and preferential cytotoxicity to human renal cell carcinoma (RCC) in the NCI-60 cell panel. This first-in-human phase I study aimed to determine dose-limiting toxicity (DLT), maximum tolerated dose (MTD), pharmacokinetics (PK), and pharmacodynamics (PD) of DMS612 administered by 10-minute intravenous infusion on days 1, 8, and 15 of an every-28-day schedule. EXPERIMENTAL

designPatients with advanced solid malignancies were eligible. Enrollment followed a 3+3 design. PKs of DMS612 and metabolites were assessed by mass spectroscopy and PD by γ-H2AX immunofluorescence.

resultsA total of 31 patients, including those with colorectal (11), RCC (4), cervical (2), and urothelial (1) cancers, were enrolled. Six dose levels were studied, from 1.5 mg/m(2) to 12 mg/m(2). DLTs of grade 4 neutropenia and prolonged grade 3 thrombocytopenia were observed at 12 mg/m(2). The MTD was determined to be 9 mg/m(2) with a single DLT of grade 4 thrombocytopenia in 1 of 12 patients. Two patients had a confirmed partial response at the 9 mg/m(2) dose level, in renal (1) and cervical (1) cancer. DMS612 was rapidly converted into active metabolites. γ-H2AX immunofluorescence revealed dose-dependent DNA damage in both peripheral blood lymphocytes and scalp hairs.

conclusionsThe MTD of DMS12 on days 1, 8, and 15 every 28 days was 9 mg/m(2). DMS612 appears to be an alkylating agent with unique tissue specificities. Dose-dependent PD signals and two partial responses at the MTD support further evaluation of DMS612 in phase II trials.

Indexed as

AdultAgedAntineoplastic AgentsBenzaldehydesDose-Response Relationship, DrugFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasmsAntineoplastic AgentsBenzaldehydesNSC281612

Identifiers

PMID25467180
PMCPMC4755291
OpenAlexW2152573850

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.