Evidence map›Paper›PMID 25682963›Full record

ArticleLeukemia & lymphoma2015

A phase I trial of two sequence-specific schedules of decitabine and vorinostat in patients with acute myeloid leukemia.

Jonathan How, Mark D Minden, Leber Brian, Eric X Chen, Joseph Brandwein, Andre C Schuh, Aaron D Schimmer, Vikas Gupta, Sheila Webster, Tammy Degelder and 11 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
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  9. Article
  10. Review
  11. Histone Deacetylases (HDACs) Guided Novel Therapies for T-cell lymphomas.International journal of medical sciences · 2019
    Review
  12. Leveraging Hypomethylating Agents for Better MDS Therapy.Current hematologic malignancy reports · 2018
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Clinical development of demethylating agents in hematology.The Journal of clinical investigation · 2014
    Review
  19. Epigenetic therapy of leukemia: An update.The international journal of biochemistry & cell biology · 2009
    Review
  20. 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

21 authors.

Jonathan Howa Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Mark D Mindena Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Leber Briana Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Eric X Chena Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Joseph Brandweina Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Andre C Schuha Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Aaron D Schimmera Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Vikas Guptaa Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Sheila Webstera Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Tammy Degeldera Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Patricia Hainesa Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Lee-Anne Staynera Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Shauna McGilla Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Lisa Wanga Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Richard Piekarzb Investigational Drug Branch, Cancer Therapy Evaluation Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute , Bethesda , MD , USA.
Tracy Wonga Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Lillian L Siua Princess Margaret Phase I Consortium , Toronto , ON , Canada.
Igor Espinoza-Delgadob Investigational Drug Branch, Cancer Therapy Evaluation Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute , Bethesda , MD , USA.
Julianne L Holleranc Departments of Medicine and Pharmacology and Cancer Institute , University of Pittsburgh , Pittsburgh , PA , USA.
Merrill J Egorinc Departments of Medicine and Pharmacology and Cancer Institute , University of Pittsburgh , Pittsburgh , PA , USA.
Karen W L Yeea Princess Margaret Phase I Consortium , Toronto , ON , Canada.

Funding

Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Christine Hui · 1994 to 2026
$57.9M
Princess Margaret Phase I Consorium (PMP1C)UM1CA186644 · NCI · UNIVERSITY HEALTH NETWORK · PI Philippe Bedard, Kevin D Courtney · 2014 to 2026
$16.6M
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
Princess Margaret Hospital Phase I ConsortiumU01CA132123 · NCI · UNIVERSITY HEALTH NETWORK · PI SIU, LILLIAN L · 2008 to 2013
$3.8M
NCI NIH HHS N01 CM062203NCI NIH HHS N01-CM-62203NCI NIH HHS U01 CA099168NCI NIH HHS U01 CA132123NCI NIH HHS U01-CA-132123NCI NIH HHS UM1 CA186644NCI NIH HHS UM1 CA186690
6 · The paper itself

Abstract

This phase I trial evaluated two schedules of escalating vorinostat in combination with decitabine every 28 days: (i) sequential or (ii) concurrent. There were three dose-limiting toxicities: grade 3 fatigue and generalized muscle weakness on the sequential schedule (n = 1) and grade 3 fatigue on the concurrent schedule (n = 2). The maximum tolerated dose was not reached on both planned schedules. The overall response rate (ORR) was 23% (three complete response [CR], two CR with incomplete incomplete blood count recovery [CRi], one partial response [PR] and two morphological leukemic free state [MLFS]). The ORR for all and previously untreated patients in the sequential arm was 13% (one CRi; one MLFS) and 0% compared to 30% (three CR; one CRi; one PR; one MLFS) and 36% in the concurrent arm (p = 0.26 for both), respectively. Decitabine plus vorinostat was safe and has clinical activity in patients with previously untreated acute myeloid leukemia. Responses appear higher with the concurrent dose schedule. Cumulative toxicities may limit long-term usage on the current dose/schedules.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAzacitidineDecitabineDrug Administration ScheduleDrug Resistance, NeoplasmFemaleHistone Deacetylase InhibitorsHumansHydroxamic AcidsLeukemia, Myeloid, AcuteMaleMaximum Tolerated DoseMiddle AgedAzacitidineDecitabineHistone Deacetylase InhibitorsHydroxamic AcidsVorinostatacute myeloid leukemiaDecitabinehistone deacetylase inhibitorhypomethylating agentvorinostat

Identifiers

PMID25682963
PMCPMC4688006

What OpenQuestion holds

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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.