Evidence map›Paper›PMID 26403509›Full record

ArticleInvestigational new drugs2015

A first-in-human phase I dose-escalation, pharmacokinetic, and pharmacodynamic evaluation of intravenous LY2090314, a glycogen synthase kinase 3 inhibitor, administered in combination with pemetrexed and carboplatin.

Jhanelle E Gray, Jeffrey R Infante, Les H Brail, George R Simon, Jennifer F Cooksey, Suzanne F Jones, Daphne L Farrington, Adeline Yeo, Kimberley A Jackson, Kay H Chow and 2 more

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  16. Wnt/β-catenin signaling in cancers and targeted therapies.Signal transduction and targeted therapy · 2021
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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

12 authors at 5 institutions in 1 country.

Jhanelle E GrayH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Jeffrey R InfanteSarah Cannon Research Institute and Tennessee Oncology, 250 25th Avenue North, Suite 200, Nashville, TN, 37203, USA.
Les H BrailEli Lilly and Company, Indianapolis, IN, USA.
George R SimonMD Anderson Cancer Center, Houston, TX, USA.
Jennifer F CookseyH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Suzanne F JonesSarah Cannon Research Institute and Tennessee Oncology, 250 25th Avenue North, Suite 200, Nashville, TN, 37203, USA.
Daphne L FarringtonEli Lilly and Company, Indianapolis, IN, USA.
Adeline YeoDOCS, San Diego, CA, USA.
Kimberley A JacksonEli Lilly and Company, Indianapolis, IN, USA.
Kay H ChowEli Lilly and Company, Indianapolis, IN, USA.
Maciej J Zamek-GliszczynskiEli Lilly and Company, Indianapolis, IN, USA.
Howard A BurrisSarah Cannon Research Institute and Tennessee Oncology, 250 25th Avenue North, Suite 200, Nashville, TN, 37203, USA. howard.burris@scresearch.net.
Eli Lilly (United States) · USMoffitt Cancer Center · USSarah Cannon · USTennessee Oncology · USThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLY2090314 (LY) is a glycogen synthase kinase 3 inhibitor with preclinical efficacy in xenograft models when combined with platinum regimens. A first-in-human phase 1 dose-escalation study evaluated the combination of LY with pemetrexed/carboplatin. PATIENTS AND

methodsForty-one patients with advanced solid tumors received single-dose LY monotherapy lead-in and 37 patients received LY (10-120 mg) plus pemetrexed/carboplatin (500 mg/m(2) and 5-6 AUC, respectively) across 8 dose levels every 21 days. Primary objective was maximum tolerated dose (MTD) determination; secondary endpoints included safety, antitumor activity, pharmacokinetics, and beta-catenin pharmacodynamics.

resultsMTD of LY with pemetrexed/carboplatin was 40 mg. Eleven dose-limiting toxicities (DLTs) occurred in ten patients. DLTs during LY monotherapy occurred at ≥ 40 mg: grade 2 visual disturbance (n = 1) and grade 3/4 peri-infusional thoracic pain during or shortly post infusion (n = 4; chest, upper abdominal, and back pain). Ranitidine was added after de-escalation to 80 mg LY to minimize peri-infusional thoracic pain. Following LY with pemetrexed/carboplatin therapy, DLTs included grade 3/4 thrombocytopenia (n = 4) and grade 4 neutropenia (n = 1). Best overall response by RECIST included 5 confirmed partial responses (non-small cell lung cancer [n = 3], mesothelioma, and breast cancer) and 19 patients having stable disease. Systemic LY exposure was approximately linear over dose range studied. Transient upregulation of beta-catenin measured in peripheral blood mononuclear cells (PBMCs) occurred at 40 mg LY.

conclusionsThe initial safety profile of LY2090314 was established. MTD LY dose with pemetrexed/carboplatin is 40 mg IV every 3 weeks plus ranitidine. Efficacy of LY plus pemetrexed/carboplatin requires confirmation in randomized trials.

Indexed as

Administration, IntravenousAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCohort StudiesDose-Response Relationship, DrugFemaleFollow-Up StudiesGlycogen Synthase Kinase 3Heterocyclic Compounds, 3-RingHumansMaleMaleimidesMiddle AgedNeoplasms3-(9-fluoro-2-(piperidin-1-ylcarbonyl)-1,2,3,4-tetrahydro(1,4)diazepino(6,7,1-hi)indol-7-yl)-4-imidazo(1,2-a)pyridin-3-yl-1H-pyrrole-2,5-dioneCarboplatinGlycogen Synthase Kinase 3Heterocyclic Compounds, 3-RingMaleimidesPemetrexedGlycogen synthase kinase 3 inhibitorLY2090314Phase 1Solid tumors

Identifiers

PMID26403509
OpenAlexW2095971007

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.