Evidence map›Paper›PMID 25669927›Full record

ArticleLeukemia & lymphoma2015

Phase I dose escalation trial of the novel proteasome inhibitor carfilzomib in patients with relapsed chronic lymphocytic leukemia and small lymphocytic lymphoma.

Farrukh T Awan, Joseph M Flynn, Jeffrey A Jones, Leslie A Andritsos, Kami J Maddocks, Ellen J Sass, Margaret S Lucas, Weihong Chase, Sharon Waymer, Yonghua Ling and 5 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Leukemia & lymphoma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Protein Profiles Predict Treatment Responses to the PI3K Inhibitor Umbralisib in Patients with Chronic Lymphocytic Leukemia.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Carfilzomib Triggers Cell Death in Chronic Lymphocytic Leukemia by Inducing Proapoptotic and Endoplasmic Reticulum Stress Responses.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Article
  8. Review
  9. Idelalisib for the treatment of non-Hodgkin lymphoma.Expert opinion on pharmacotherapy · 2016
    Review
  10. Review
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

15 authors.

Farrukh T Awana The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Joseph M Flynna The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Jeffrey A Jonesa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Leslie A Andritsosa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Kami J Maddocksa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Ellen J Sassa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Margaret S Lucasa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Weihong Chasea The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Sharon Waymera The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Yonghua Linga The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Yao Jianga The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Mitch A Phelpsa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
John C Byrda The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
David M Lucasa The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.
Jennifer A Woyacha The Ohio State University Comprehensive Cancer Center , Columbus , OH , USA.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158NCI NIH HHS P50-CA140158
6 · The paper itself

Abstract

The proteasome complex degrades proteins involved in a variety of cellular processes and is a powerful therapeutic target in several malignancies. Carfilzomib is a potent proteasome inhibitor which induces rapid chronic lymphocytic leukemia (CLL) cell apoptosis in vitro. We conducted a phase I dose-escalation trial to determine the safety and tolerability of carfilzomib in relapsed/refractory CLL or small lymphocytic lymphoma (SLL). Nineteen patients were treated with carfilzomib initially at 20 mg/m(2), then escalated in four cohorts (27, 36, 45 and 56 mg/m(2)) on days 1, 2, 8, 9, 15 and 16 of 28-day cycles. Therapy was generally well tolerated, and no dose limiting toxicities were observed. The most common hematologic toxicities were thrombocytopenia and neutropenia. All patients evaluable for response had stable disease, including patients with del17p13 and fludarabine-resistant disease. This trial shows acceptable tolerability and limited preliminary efficacy of carfilzomib in CLL and SLL.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsChromosome AberrationsDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansImmunoglobulin Heavy ChainsLeukemia, Lymphocytic, Chronic, B-CellMaleMaximum Tolerated DoseMiddle AgedMutationOligopeptidesAntineoplastic AgentscarfilzomibImmunoglobulin Heavy ChainsOligopeptidesProteasome Inhibitorscarfilzomibchronic lymphocytic leukemiaProteasome inhibitor

Identifiers

PMID25669927
PMCPMC4835239

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.