Evidence map›Paper›PMID 25912076›Full record

ArticleCancer science2015

Phase I study of OPB-51602, an oral inhibitor of signal transducer and activator of transcription 3, in patients with relapsed/refractory hematological malignancies.

Michinori Ogura, Toshiki Uchida, Yasuhito Terui, Fumihiko Hayakawa, Yukio Kobayashi, Masafumi Taniwaki, Yasushi Takamatsu, Tomoki Naoe, Kensei Tobinai, Wataru Munakata and 6 more

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

Article in Cancer science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 101 citations in OpenAlex.

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  14. Unraveling the complexity of STAT3 in cancer: molecular understanding and drug discovery.Journal of experimental & clinical cancer research : CR · 2024
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8 more citing papers are in PubMed but not listed here.

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 8 institutions in 1 country.

Michinori OguraDepartment of Hematology and Oncology, Nagoya Daini Red Cross Hospital, Nagoya, Japan.
Toshiki UchidaDepartment of Hematology and Oncology, Nagoya Daini Red Cross Hospital, Nagoya, Japan.
Yasuhito TeruiDepartment of Hematology and Oncology, Cancer Institute Hospital, Japanese Foundation For Cancer Research, Tokyo, Japan.
Fumihiko HayakawaDepartment of Hematology, Nagoya University Hospital, Nagoya, Japan.
Yukio KobayashiHematology Division, National Cancer Center Hospital, Tokyo, Japan.
Masafumi TaniwakiDivision of Hematology and Oncology, University Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yasushi TakamatsuDivision of Medical Oncology, Hematology and Infectious Disease, Fukuoka University Hospital, Fukuoka, Japan.
Tomoki NaoeNagoya Medical Center, Nagoya, Japan.
Kensei TobinaiHematology Division, National Cancer Center Hospital, Tokyo, Japan.
Wataru MunakataHematology Division, National Cancer Center Hospital, Tokyo, Japan.
Takeshi YamauchiFujii Memorial Research Institute, Otsuka Pharmaceutical Co., Ltd., Otsu, Japan.
Akiko KageyamaOtsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Miyuki YuasaOtsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Masaaki MotoyamaOtsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Takeshi TsunodaOtsuka Pharmaceutical Co., Ltd, Tokyo, Japan.
Kiyohiko HatakeDepartment of Hematology and Oncology, Cancer Institute Hospital, Japanese Foundation For Cancer Research, Tokyo, Japan.
Otsuka (Japan) · JPTokyo National Hospital · JPJapanese Foundation For Cancer Research · JPJapanese Red Cross Nagoya Daini Hospital · JPFukuoka University · JPNagoya Medical Center · JPNagoya University Hospital · JPUniversity Hospital Kyoto Prefectural University of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We carried out a multicenter dose-escalation phase I study of oral OPB-51602, a signal transducer and activator of transcription 3 phosphorylation inhibitor, in patients with relapsed or refractory hematological malignancies to evaluate the safety, maximum tolerated dose (MTD), pharmacokinetics, and preliminary antitumor activity. Twenty patients were treated with OPB-51602 at doses of 1, 2, 3, 4, and 6 mg in the "3 + 3" dose escalation design. The most common treatment-related adverse events included nausea (55%), peripheral sensory neuropathy (45%), and diarrhea (40%). The most frequently observed grade 3 or 4 drug-related adverse events were neutropenia (20%), leukopenia (15%), lymphopenia (10%), and thrombocytopenia (10%). The MTD was 6 mg, with dose-limiting toxicities of grade 3 lactic acidosis and increased blood lactic acid levels observed in one of three patients and grade 1-2 peripheral neuropathy in three of three patients. The recommended dose was determined to be 4 mg. OPB-51602 was rapidly absorbed, and exposure tended to increase in a dose-dependent manner. Accumulation of OPB-51602 was seen with 4 weeks of multiple treatments. No clear therapeutic response was observed. Durable stable disease was observed in two patients with acute myeloid leukemia and one with myeloma. In conclusion, the MTD of OPB-51602 was 6 mg. OPB-51602 was safe and well tolerated in a dose range of 1-4 mg. However, long-term administration at higher doses was difficult with the daily dosing schedule, and no response was seen. Therefore, further clinical development of OPB-51602 for hematological malignancies with a daily dosing schedule was terminated.

Indexed as

AgedAntineoplastic AgentsFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, AcuteLymphoma, Non-HodgkinMaleMaximum Tolerated DoseMiddle AgedMultiple MyelomaNauseaPeripheral Nervous System DiseasesPhosphorylationProtein Processing, Post-TranslationalSTAT3 Transcription FactorAntineoplastic AgentsSTAT3 protein, humanSTAT3 Transcription FactorDaily dosing schedulehematological malignancyOPB-51602phase I studySTAT3 inhibitor

Identifiers

PMID25912076
PMCPMC4520642
OpenAlexW1488471235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.