Evidence map›Paper›PMID 26581400›Full record

Trial reportInvestigational new drugs2016

A phase II trial of ganetespib, a heat shock protein 90 Hsp90) inhibitor, in patients with docetaxel-pretreated metastatic castrate-resistant prostate cancer (CRPC)-a prostate cancer clinical trials consortium (PCCTC) study.

Manish K Thakur, Lance K Heilbrun, Shijie Sheng, Mark Stein, Glenn Liu, Emmanuel S Antonarakis, Ulka Vaishampayan, Sijana H Dzinic, Xiaohua Li, Stacy Freeman and 2 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Investigational new drugs, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

36 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
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  6. Article
  7. CRM1 regulates androgen receptor stability and impacts DNA repair pathways in prostate cancer, independent of the androgen receptor.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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  10. Review
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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.

Manish K ThakurKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Lance K HeilbrunKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Shijie ShengKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Mark SteinRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Glenn LiuUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
Emmanuel S AntonarakisSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA.
Ulka VaishampayanKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Sijana H DzinicKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Xiaohua LiKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Stacy FreemanKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Daryn SmithKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA.
Elisabeth I HeathKarmanos Cancer Institute, Wayne State University, Detroit, MI, USA. heathe@karmanos.org.
The Barbara Ann Karmanos Cancer Institute · USWayne State University · USRutgers Cancer Institute of New JerseySidney Kimmel Comprehensive Cancer Center · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
The therapeutic potential of maspin in prostate cancerR01CA084176 · NCI · WAYNE STATE UNIVERSITY · PI SHENG, SHIJIE · 2001 to 2011
$2.7M
A Role of Novel Serpin Maspinin Prostate Tumor/Bone InteractionR01CA127735 · NCI · WAYNE STATE UNIVERSITY · PI SHENG, SHIJIE · 2008 to 2012
$1.5M
NCI NIH HHS CA022453NCI NIH HHS CA084176NCI NIH HHS CA127735NCI NIH HHS P30 CA022453NCI NIH HHS R01 CA084176NCI NIH HHS R01 CA127735
6 · The paper itself

Abstract

introductionHeat shock protein 90 (Hsp90) has been studied as a therapeutic target in many cancers. In preclinical trials, the Hsp90 ATPase inhibitor ganetespib demonstrated potent inhibition of solid tumor growth, with superior potency than prior Hsp90 inhibitors. Given the promising preclinical outcome and favorable pharmacologic properties of ganetespib, we conducted a phase II trial of single-agent ganetespib in patients with metastatic, castrate-resistant prostate cancer (mCRPC). The primary objective of the study was to determine the 6-month progression-free survival (PFS) rate.

methodsPatients with mCRPC who had been previously treated with docetaxel were enrolled after meeting eligibility criteria. All patients received ganetespib at 200 mg/m(2) on days 1, 8, and 15 of every 28 days (one cycle). Subjects who tolerated therapy were continued on ganetespib until disease progression. Considering that Hsp90 acetylation may confer insensitivity to Hsp90 inhibitors and maspin inhibits protein deacetylation, maspin-associated molecular markers were evaluated.

resultsEighteen patients were recruited into the trial; most were Caucasian, had performance status 1, had received prior docetaxel, and were heavily pretreated. Of the 17 patients who were treated, none attained 6-month PFS. Only 2 patients achieved PFS > 4 months. The median PFS was 1.9 months. As per the study design, the trial was terminated after the interim analysis. The most frequent types of Grade 3 toxicity were dehydration, diarrhea, and fatigue. Molecular markers provided little additional insight regarding drug activity.

conclusionsGanetespib demonstrated minimal clinical activity in men with mCRPC. The true 6-month PFS rate was, at most, 0.20. Possible reasons for this include selection of a heavily pretreated patient population and lack of agent potency in patients with mCRPC.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsDisease-Free SurvivalDocetaxelHSP90 Heat-Shock ProteinsHumansMaleMiddle AgedNeoplasm MetastasisProstatic Neoplasms, Castration-ResistantTaxoidsTreatment OutcomeTriazolesAntineoplastic AgentsDocetaxelHSP90 Heat-Shock ProteinsSTA 9090TaxoidsTriazolesGanetespibHeat shock proteinProstate cancer

Identifiers

PMID26581400
PMCPMC6820516
OpenAlexW2176548633

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.