Evidence map›Paper›PMID 26149476›Full record

ArticleLung cancer (Amsterdam, Netherlands)2015

Dovitinib and erlotinib in patients with metastatic non-small cell lung cancer: A drug-drug interaction.

Millie Das, Sukhmani K Padda, Adam Frymoyer, Lisa Zhou, Jonathan W Riess, Joel W Neal, Heather A Wakelee

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

Article in Lung cancer (Amsterdam, Netherlands), 2015. 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
1.9field-weighted citation impact, top 14% 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, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

7 authors at 4 institutions in 1 country.

Millie DasDepartment of Medicine, Division of Medical Oncology, Stanford University, Stanford, CA; VA Palo Alto Health Care System, Palo Alto, CA.
Sukhmani K PaddaDepartment of Medicine, Division of Medical Oncology, Stanford University, Stanford, CA.
Adam FrymoyerDepartment of Pediatrics, Stanford University, Stanford, CA.
Lisa ZhouDepartment of Medicine, Division of Medical Oncology, Stanford University, Stanford, CA.
Jonathan W RiessDepartment of Internal Medicine, Division of Hematology/Oncology, University of California Davis School of Medicine, Sacramento, CA.
Joel W NealDepartment of Medicine, Division of Medical Oncology, Stanford University, Stanford, CA.
Heather A WakeleeDepartment of Medicine, Division of Medical Oncology, Stanford University, Stanford, CA. Electronic address: hwakelee@stanford.edu.
Stanford University · USStanford Medicine · USUniversity of California, Davis · USVA Palo Alto Health Care System · US

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
UC Davis Paul Calabresi K12 Clinical Oncology Research Career Development ProgramK12CA138464 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, LARA, PRIMO N. · 2011 to 2025
$11.4M
Spectrum Stanford Center for Clinical and Translational Research and EducationTL1TR001084 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$1.1M
Pharmacology of Aminophylline for Acute Kidney Injury in Neonates and ChildrenK23HD079557 · NICHD · STANFORD UNIVERSITY · PI FRYMOYER, ADAM · 2014 to 2018
$732k
NCATS NIH HHS TL1 TR001084NCATS NIH HHS TL1TR001084NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1TR001085NCI NIH HHS K12 CA138464NICHD NIH HHS K23 HD079557NICHD NIH HHS K23HD079557
6 · The paper itself

Abstract

introductionErlotinib is a FDA approved small molecule inhibitor of epidermal growth factor receptor and dovitinib is a novel small molecule inhibitor of fibroblast growth factor and vascular endothelial growth factor receptor. This phase 1 trial was conducted to characterize the safety and determine the maximum tolerated dose of erlotinib plus dovitinib in patients with previously treated metastatic non-small cell lung cancer.

methodsEscalating dose cohorts of daily erlotinib and dovitinib dosed 5 days on/2 days off, starting after a 2-week lead-in of erlotinib alone, were planned. A potential pharmacokinetic interaction was hypothesized as dovitinib induces CYP1A1/1A2. Only cohort 1 (150 mg erlotinib+300 mg dovitinib) and cohort -1 (150 mg erlotinib+200mg dovitinib) enrolled. Plasma concentrations of erlotinib were measured pre- and post-dovitinib exposure.

resultsTwo of three patients in cohort 1 had a DLT (grade 3 transaminitis and grade 3 syncope). Two of 6 patients in cohort -1 had a DLT (grade 3 pulmonary embolism and grade 3 fatigue); thus, the study was terminated. Erlotinib exposure (average Cmax 2308±698 ng/ml and AUC 0-24 41,030±15,577 ng×h/ml) approximated previous reports in the six patients with pharmacokinetic analysis. However, erlotinib Cmax and AUC0-24 decreased significantly by 93% (p=0.02) and 97% (p<0.01), respectively, during dovitinib co-administration.

conclusionsThis small study demonstrated considerable toxicity and a significant pharmacokinetic interaction with a marked decrease in erlotinib exposure in the presence of dovitinib, likely mediated through CYP1A1/1A2 induction. Given the toxicity and the pharmacokinetic interaction, further investigation with this drug combination will not be pursued.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesCarcinoma, Non-Small-Cell LungDrug InteractionsErlotinib HydrochlorideFemaleHumansLung NeoplasmsMaleMiddle AgedMutationNeoplasm MetastasisProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)4-amino-5-fluoro-3-(5-(4-methylpiperazin-1-yl)-1H-benzimidazol-2-yl)quinolin-2(1H)-oneBenzimidazolesErlotinib HydrochlorideKRAS protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)QuinolonesReceptors, Vascular Endothelial Growth FactorDovitinibEpidermal growth factor receptor (EGFR)ErlotinibNSCLCTKI 258

Identifiers

PMID26149476
PMCPMC4613811
OpenAlexW2118101333

What OpenQuestion holds

Textmetadata
LicenceTDM
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.