Evidence map›Paper›PMID 25921059›Full record

Trial reportBlood2015

The mTORC1 inhibitor everolimus has antitumor activity in vitro and produces tumor responses in patients with relapsed T-cell lymphoma.

Thomas E Witzig, Craig Reeder, Jing Jing Han, Betsy LaPlant, Mary Stenson, Han W Tun, William Macon, Stephen M Ansell, Thomas M Habermann, David J Inwards and 7 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00436618 (Phase II Trial of Everolimus), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
13.9field-weighted citation impact, top 1% 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.

NCT00436618 phase2completednot on this map

Phase II Trial of Everolimus (RAD001) in Relapsed/Refractory Lymphoma

TypeinterventionalSponsorMayo ClinicRan2005 to 2019Enrolled277ConditionsLeukemia, Lymphoma, Lymphoproliferative DisorderArmsEverolimus
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Thomas E WitzigDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;ORCID http://orcid.org/0000-0002-4215-6500
Craig ReederDivision of Hematology, Department of Medicine, Mayo Clinic Scottsdale, Scottsdale, AZ;
Jing Jing HanDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Betsy LaPlantDivision of Biomedical Statistics and Bioinformatics, Department of Health Sciences Research, Mayo Clinic Rochester, Rochester, MN;
Mary StensonDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Han W TunDivision of Hematology, Department of Medicine, Mayo Clinic Jacksonville, Jacksonville, FL; and.
William MaconDivision of Hematopathology, Department of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, MN.
Stephen M AnsellDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Thomas M HabermannDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
David J InwardsDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Ivana N MicallefDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Patrick B JohnstonDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Luis F PorrataDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Joseph P ColganDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Svetomir MarkovicDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Grzegorz S NowakowskiDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Mamta GuptaDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN;
Mayo Clinic · USJacksonville College · USMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI WEINER, GEORGE J. · 2002 to 2021
$45.7M
Signal transduction inhibitor therapy for LymphomaR01CA127433 · NCI · MAYO CLINIC ROCHESTER · PI WITZIG, THOMAS E. · 2007 to 2011
$1.7M
NCI NIH HHS CA127433NCI NIH HHS CA97274NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA097274NCI NIH HHS R01 CA127433
6 · The paper itself

Abstract

Everolimus is an oral agent that targets the mammalian target of rapamycin (mTOR) pathway. This study investigated mTOR pathway activation in T-cell lymphoma (TCL) cell lines and assessed antitumor activity in patients with relapsed/refractory TCL in a phase 2 trial. The mTOR pathway was activated in all 6 TCL cell lines tested and everolimus strongly inhibited malignant T-cell proliferation with minimal cytotoxic effects. Everolimus completely inhibited phosphorylation of ribosomal S6, a raptor/mTOR complex 1 (mTORC1) target, without a compensatory activation of the rictor/mTORC2 target Akt (S475). In the clinical trial, 16 patients with relapsed TCL were enrolled and received everolimus 10 mg by mouth daily. Seven patients (44%) had cutaneous (all mycosis fungoides); 4 (25%) had peripheral T cell not otherwise specified; 2 (13%) had anaplastic large cell; and 1 each had extranodal natural killer/T cell, angioimmunoblastic, and precursor T-lymphoblastic leukemia/lymphoma types. The overall response rate was 44% (7/16; 95% confidence interval [CI]: 20% to 70%). The median progression-free survival was 4.1 months (95% CI, 1.5-6.5) and the median overall survival was 10.2 months (95% CI, 2.6-44.3). The median duration of response for the 7 responders was 8.5 months (95% CI, 1.0 to not reached). These studies indicate that everolimus has antitumor activity and provide proof-of-concept that targeting the mTORC1 pathway in TCL is clinically relevant. This trial was registered at www.clinicaltrials.gov as #NCT00436618.

Indexed as

AdultAgedAged, 80 and overAnimalsApoptosisBlotting, WesternCell ProliferationCytokinesEverolimusFemaleFlow CytometryHumansImmunosuppressive AgentsIn Vitro TechniquesLymphoma, T-CellMaleCytokinesEverolimusImmunosuppressive AgentsMechanistic Target of Rapamycin Complex 1Mechanistic Target of Rapamycin Complex 2MTOR protein, humanMultiprotein ComplexesSirolimusTOR Serine-Threonine Kinases

Identifiers

PMID25921059
PMCPMC4504947
OpenAlexW2013811004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.