Evidence map›Paper›PMID 26321472›Full record

Trial reportCancer chemotherapy and pharmacology2015

Oral and intravenous pharmacokinetics of 5-fluoro-2'-deoxycytidine and THU in cynomolgus monkeys and humans.

Julianne L Holleran, Jan H Beumer, David L McCormick, William D Johnson, Edward M Newman, James H Doroshow, Shivaani Kummar, Joseph M Covey, Myrtle Davis, Julie L Eiseman

Abstract readClinical Trial
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Biodistribution, Tumor Detection, and Radiation Dosimetry ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  3. Article
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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

10 authors at 5 institutions in 1 country.

Julianne L HolleranCancer Therapeutics Program, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Jan H BeumerCancer Therapeutics Program, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, PA, 15213, USA. beumerj@gmail.com.
David L McCormickIIT Research Institute, 10 West 35th Street, Chicago, IL, 60616, USA.
William D JohnsonIIT Research Institute, 10 West 35th Street, Chicago, IL, 60616, USA.
Edward M NewmanDepartment of Cancer Biology, City of Hope Beckman Research Institute, 1500 East Duarte Road, Duarte, CA, 91010, USA.
James H DoroshowDivision of Cancer Treatment and Diagnosis, NCI, NIH, Bethesda, MD, 20892, USA.
Shivaani KummarDivision of Cancer Treatment and Diagnosis, NCI, NIH, Bethesda, MD, 20892, USA.
Joseph M CoveyDivision of Cancer Treatment and Diagnosis, NCI, NIH, Bethesda, MD, 20892, USA.
Myrtle DavisDivision of Cancer Treatment and Diagnosis, NCI, NIH, Bethesda, MD, 20892, USA.
Julie L EisemanCancer Therapeutics Program, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, PA, 15213, USA. eisemanj@upmc.edu.
Center for Cancer Research · USIIT Research Institute · USUPMC Hillman Cancer Center · USBeckman Research InstituteUniversity of Pittsburgh · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Phase I Molecular and Clinical Pharmacodynamic Trials ETCTNUM1CA186717 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI A. Dimitrios Colevas, Alexey V. Danilov · 2014 to 2026
$19.8M
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 01 Clinical TrialsZIABC011078 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DOROSHOW, JAMES · 2009 to 2025
$9.0M
NCI NIH HHS N01 CM042202NCI NIH HHS N01 CM052202NCI NIH HHS N01CM-2011-0015NCI NIH HHS N01-CM-42202NCI NIH HHS N01-CM-52202NCI NIH HHS P30 CA047904NCI NIH HHS P30CA047904NCI NIH HHS UM1 CA186690NCI NIH HHS UM1CA186690NCI NIH HHS UM1 CA186717NCI NIH HHS UM1CA186717
6 · The paper itself

Abstract

introduction5-Fluoro-2'-deoxycytidine (FdCyd; NSC48006), a fluoropyrimidine nucleoside inhibitor of DNA methylation, is degraded by cytidine deaminase (CD). Pharmacokinetic evaluation was carried out in cynomolgus monkeys in support of an ongoing phase I study of the PO combination of FdCyd and the CD inhibitor tetrahydrouridine (THU; NSC112907).

methodsAnimals were dosed intravenously (IV) or per os (PO). Plasma samples were analyzed by LC-MS/MS for FdCyd, metabolites, and THU. Clinical chemistry and hematology were performed at various times after dosing. A pilot pharmacokinetic study was performed in humans to assess FdCyd bioavailability.

resultsAfter IV FdCyd and THU administration, FdCyd C(max) and AUC increased with dose. FdCyd half-life ranged between 22 and 56 min, and clearance was approximately 15 mL/min/kg. FdCyd PO bioavailability after THU ranged between 9 and 25 % and increased with increasing THU dose. PO bioavailability of THU was less than 5 %, but did result in plasma concentrations associated with inhibition of its target CD. Human pilot studies showed comparable bioavailability for FdCyd (10 %) and THU (4.1 %).

conclusionAdministration of THU with FdCyd increased the exposure to FdCyd and improved PO FdCyd bioavailability from <1 to 24 %. Concentrations of THU and FdCyd achieved after PO administration are associated with CD inhibition and hypomethylation, respectively. The schedule currently studied in phase I studies of PO FdCyd and THU is daily times three at the beginning of the first and second weeks of a 28-day cycle.

Indexed as

Administration, OralAnimalsAntimetabolites, AntineoplasticBiological AvailabilityBiotransformationCohort StudiesCytidine DeaminaseDeoxycytidineDose-Response Relationship, DrugDrug CombinationsDrug Evaluation, PreclinicalEnzyme InhibitorsFemaleHalf-LifeHumansInfusions, Intravenous5-fluoro-2'-deoxycytidineAntimetabolites, AntineoplasticCytidine DeaminaseDeoxycytidineDrug CombinationsEnzyme InhibitorsTetrahydrouridineDNA methylation inhibitorFluorodeoxycytidineMonkeysTetrahydrouridineToxicityToxicokinetics

Identifiers

PMID26321472
PMCPMC4573928
OpenAlexW1208478680

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.