Evidence map›Paper›PMID 25525888›Full record

ArticleOncotarget2014

A phase 1b, open-label study of trebananib plus bevacizumab or motesanib in patients with solid tumours.

David S Hong, Razelle Kurzrock, Marilyn Mulay, Erik Rasmussen, Benjamin M Wu, Michael B Bass, Zhandong D Zhong, Greg Friberg, Lee S Rosen

Open access · diamondAbstract readClinical Trial, Phase I
In one paragraph

Article in Oncotarget, 2014. 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
1.1field-weighted citation impact, top 22% 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, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Therapeutic targeting of the angiopoietin-TIE pathway.Nature reviews. Drug discovery · 2017
    Review
  5. Molecular Pathways: Deciphering Mechanisms of Resistance to Macrophage-Targeted Therapies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Review
  6. Article
  7. Article
  8. Targeting angiogenesis in small cell lung cancer.Translational lung cancer research · 2016
    Review
  9. 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

9 authors at 5 institutions in 1 country.

David S HongDepartment of Investigational Cancer Therapeutics, Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX 77230-1402, USA.
Razelle KurzrockCenter for Personalized Cancer Therapy and CTO, Division of Hematology and Oncology, UC San Diego Moores Cancer Center, La Jolla, CA 92093-0658, USA.
Marilyn MulayMulay Educational and Clinical Consulting Associates, Los Angeles, CA 90025, USA.
Erik RasmussenDepartment of Biostatistics, Amgen Inc., Thousand Oaks, CA 91320, USA.
Benjamin M WuDepartment of Pharmacokinetics and Drug Metabolism, Amgen Inc., Thousand Oaks, CA 91320, USA.
Michael B BassDepartment of Molecular Sciences and Computational Biology, Amgen Inc., Thousand Oaks, CA 91320, USA.
Zhandong D ZhongDepartment of Clinical Immunology and Biological Sample Management, Amgen Inc., Thousand Oaks, CA 91320, USA.
Greg FribergDepartment of Early Development, Amgen Inc., Thousand Oaks, CA 91320, USA.
Lee S RosenDepartment of Medicine, Division of Hematology and Oncology, UCLA, Santa Monica, CA 90404, USA.
Amgen (United States) · USClinical Research Associates · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Los Angeles · USUniversity of California, San Diego · US

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
NCATS NIH HHS UL1 TR000371
6 · The paper itself

Abstract

backgroundTo examine the angiopoietin pathway inhibitor trebananib IV plus the anti-VEGF agents bevacizumab or motesanib in advanced solid tumours.

methodsIn this open-label phase 1b study, patients received IV trebananib 3 mg kg-1 QW plus bevacizumab 15 mg kg-1 Q3W (cohort 1) or motesanib orally 75 mg (cohort 2); or trebananib 10 mg kg-1 plus bevacizumab 15 mg kg-1 (cohort 3) or motesanib 125 mg (cohort 4). If <33% of patients had dose-limiting toxicities (DLTs), dose escalation occurred. Endpoints were treatment-related adverse events (AEs) incidence and pharmacokinetics (primary); anti-trebananib antibodies, biomarkers, and tumour response (secondary).

resultsThirty-six patients received ≥ 1 dose of trebananib (cohorts 1, 2, 3, 4; n = 6, 8, 19, 3). DLT of G3 intestinal perforation and G3 tumor haemorrhage occurred in cohorts 2 and 3, respectively (both n = 1). Across both trebananib plus bevacizumab cohorts, the most common AEs included fatigue (n = 8), diarrhoea (n =4), constipation (n = 3), nausea (n = 3), and epistaxis (n = 3). Three patients across those cohorts had grade ≥ 3 AEs. Across the trebananib plus motesanib cohorts, the most common AEs included hypertension (n = 4), diarrhoea (n = 4), nausea (n = 3), fatigue (n = 3), vomiting (n = 2), and decreased appetite (n = 2). Two patients had grade ≥ 3 AEs. Trebananib did not markedly affect motesanib pharmacokinetics. Across the trebananib plus bevacizumab cohorts, two patients had a partial response; 11 patients had stable disease lasting >6 months. Across the trebananib plus motesanib cohorts, one patient had a partial response; five patients had stable disease lasting >6 months.

conclusionTrebananib IV 3 mg kg-1 or 10 mg kg-1 plus bevacizumab or motesanib in advanced solid tumours may be associated with less severe toxicities relative to those emerging when combining two anti-VEGF agents.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCohort StudiesDose-Response Relationship, DrugFemaleHumansIndolesMaleMiddle AgedNeoplasmsNiacinamideOligonucleotidesAntibodies, Monoclonal, HumanizedBevacizumabimetelstatIndolesNiacinamideOligonucleotidesRecombinant Fusion Proteinstrebananib

Identifiers

PMID25525888
PMCPMC4294348
OpenAlexW2129307997

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.