Evidence map›Paper›PMID 26486517›Full record

Trial reportCancer chemotherapy and pharmacology2015

Pharmacokinetic and pharmacodynamic study of tariquidar (XR9576), a P-glycoprotein inhibitor, in combination with doxorubicin, vinorelbine, or docetaxel in children and adolescents with refractory solid tumors.

Elizabeth Fox, Brigitte C Widemann, Devang Pastakia, Clara C Chen, Sherry X Yang, Diane Cole, Frank M Balis

Open access · greenAbstract 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 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.2field-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

34 citing papers in PubMed, 68 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Elizabeth FoxThe Children's Hospital of Philadelphia, The Perelman School of Medicine at The University of Pennsylvania, CTRB 4016, 3501 Civic Center Blvd, Philadelphia, PA, 19104, USA. foxe@email.chop.edu.
Brigitte C WidemannThe Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Devang PastakiaDepartment of Pediatrics, Vanderbilt Medical School, Nashville, TN, USA.
Clara C ChenDepartment of Nuclear Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Sherry X YangDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD, USA.
Diane ColeThe Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Frank M BalisThe Children's Hospital of Philadelphia, The Perelman School of Medicine at The University of Pennsylvania, CTRB 4016, 3501 Civic Center Blvd, Philadelphia, PA, 19104, USA.
National Cancer Institute · USUniversity of Pennsylvania · USNational Institutes of Health Clinical Center · USVanderbilt University · US

Funding

Therapies for patients with rare tumors and genetic tumor predispositionZIASC010354 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2025
$19.2M
NOVEL DRUGS FOR CHILDREN WITH CANCER &NEUROFIBROMATOSISZ01SC010354 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2000 to 2008
$473k
Intramural NIH HHS Z01 SC010354
6 · The paper itself

Abstract

purposeP-glycoprotein (Pgp), an ATP-dependent transport protein, confers multidrug resistance in cancer cells. Tariquidar binds and inhibits Pgp. To assess the toxicity, pharmacokinetics (PK), and pharmacodynamics of tariquidar, we conducted a phase I trial of tariquidar in combination with doxorubicin, docetaxel, or vinorelbine in children and adolescents with recurrent or refractory solid tumors.

methodsPatients less than 19 years of age with refractory or recurrent solid tumors were eligible. Tariquidar (1, 1.5, or 2 mg/kg) was administered alone and in combination with doxorubicin, docetaxel, or vinorelbine. PK of tariquidar and cytotoxic drugs was performed. Pgp function was assessed by a rhodamine efflux assay and (99m)Tc-sestamibi scintigraphy. Tumor Pgp expression was assessed by immunohistochemistry. Response was assessed using Response Evaluation Criteria in Solid Tumors.

resultsTwenty-nine subjects were enrolled. No tariquidar-related dose-limiting toxicity (DLT) was observed. DLT related to cytotoxic drugs occurred in 12 % of subjects receiving tariquidar 2 mg/kg. When administered in combination with tariquidar, the clearance of docetaxel and vinorelbine was reduced compared to prior studies. Inhibition of rhodamine efflux was dose dependent. After tariquidar administration, (99m)Tc-sestamibi accumulation in tumor increased by 22 %. Objective responses (1 complete, 2 partial) were observed. There was no association between tumor Pgp expression and response.

conclusionA tolerable and biologically active dose of tariquidar was established in children and adolescents. This trial demonstrates that modulators of resistance can be evaluated in combination with chemotherapy, and pharmacokinetic and pharmacodynamic endpoints can be useful in determination of recommended dose in children and adolescents.

Indexed as

AdolescentAnemiaAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveATP Binding Cassette Transporter, Subfamily BChildChild, PreschoolDocetaxelDose-Response Relationship, DrugDoxorubicinDrug Resistance, NeoplasmFemaleHumansMaleMetabolic Clearance RateNeoplasmsATP Binding Cassette Transporter, Subfamily BDocetaxelDoxorubicinQuinolinestariquidarTaxoidsVinblastineVinorelbineMultidrug resistancePediatric cancerP-glycoproteinPharmacokineticsPhase I

Identifiers

PMID26486517
PMCPMC7751951
OpenAlexW1791352086

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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.