Evidence map›Paper›PMID 26686201›Full record

ArticleInvestigational new drugs2016

A phase I trial of ANG1/2-Tie2 inhibitor trebaninib (AMG386) and temsirolimus in advanced solid tumors (PJC008/NCI♯9041).

Joanne W Chiu, Sebastien J Hotte, Christian K Kollmannsberger, Daniel J Renouf, David W Cescon, David Hedley, Sue Chow, Jeffrey Moscow, Zhuo Chen, Meghan Perry and 7 more

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

Article 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-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, 19 citations in OpenAlex.

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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

17 authors at 6 institutions in 2 countries.

Joanne W ChiuDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Sebastien J HotteJuravinski Cancer Centre and Escarpment Cancer Research Institute, Hamilton, ON, Canada.
Christian K KollmannsbergerBritish Columbia Cancer Agency, Vancouver, BC, Canada.
Daniel J RenoufBritish Columbia Cancer Agency, Vancouver, BC, Canada.
David W CesconDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
David HedleyDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Sue ChowDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Jeffrey MoscowNational Cancer Institute, Cancer Therapy Evaluation Program, Rockville, MD, USA.
Zhuo ChenDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Meghan PerryDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Ivan Diaz-PadillaDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
David TanDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Hal HirteJuravinski Cancer Centre and Escarpment Cancer Research Institute, Hamilton, ON, Canada.
Elaine McWhirterJuravinski Cancer Centre and Escarpment Cancer Research Institute, Hamilton, ON, Canada.
Helen ChenNational Cancer Institute, Cancer Therapy Evaluation Program, Rockville, MD, USA.
Lillian L SiuDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Philippe L BedardDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Suite 5-125, 610 University Avenue, Toronto, ON, M5G 2M9, Canada. philippe.bedard@uhn.ca.
University Health Network · CAUniversity of Toronto · CAJuravinski Cancer Centre · CABC Cancer Agency · CANational Cancer Institute · USPrincess Margaret Cancer Centre · CA

Funding

Princess Margaret Phase I Consorium (PMP1C)UM1CA186644 · NCI · UNIVERSITY HEALTH NETWORK · PI Philippe Bedard, Kevin D Courtney · 2014 to 2026
$16.6M
Princess Margaret Hospital Phase I ConsortiumU01CA132123 · NCI · UNIVERSITY HEALTH NETWORK · PI SIU, LILLIAN L · 2008 to 2013
$3.8M
NCI NIH HHS U01 CA132123NCI NIH HHS U01-CA-132123NCI NIH HHS UM1 CA186644NCI NIH HHS UM1CA186644
6 · The paper itself

Abstract

backgroundThere is crosstalk between the ANG-Tie2 and the PI3K/Akt/mTOR pathways. Combined ANG1/2 and mTOR blockade may have additive anti-cancer activity. The combination of trebananib, an inhibitor of ANG1/2-Tie2 interaction, with temsirolimus was evaluated in patients with advanced solid tumors to determine tolerability, maximum tolerated dose (MTD), and preliminary antitumor activity.

methodsPatients were enrolled using 3 + 3 design, and were given intravenous trebananib and temsirolimus on Day 1, 8, 15 and 22 of a 28-day cycle. Dose limiting toxicities (DLTs) were evaluated during cycle 1. Peripheral blood was collected for evaluation of Tie2-expressing monocytes (TEMs) and thymidine phosphorylase (TP). Sparse pharmacokinetic (PK) sampling for trebananib drug levels was performed on Day 1 and 8 of cycle 2.

resultsTwenty-one patients were enrolled, 6 at dose level (DL) 1, 7 at DL -1, and 8 at DL -2. No effect of temsirolimus on trebananib PK was observed. The most common treatment-related adverse events (AEs) were: fatigue (81 %), edema (62 %), anorexia (57 %), nausea (52 %), rash (43 %) and mucositis (43 %). The most common grade ≥ 3 AEs included lymphopenia (28 %) and fatigue (28 %). The MTD was exceeded at DL-2. Of 18 response evaluable patients, 1 partial response was observed (ER+/HER2-/PIK3CA mutant breast cancer) and 4 patients had prolonged SD ≥ 24 weeks. No correlation with clinical benefit was observed with change in number TEMs or TP expression in TEMs with treatment.

conclusionsThe MTD was exceeded at trebananib 10 mg/kg weekly and temsirolimus 20 mg weekly, with frequent overlapping toxicities including fatigue, edema, and anorexia.

Indexed as

AdultAgedAnorexiaAntineoplastic Combined Chemotherapy ProtocolsEdemaFatigueFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasmsRecombinant Fusion ProteinsSirolimusTreatment OutcomeRecombinant Fusion ProteinsSirolimustemsirolimustrebananibAMG386Combination therapyPhase 1TemsirolimusTrebananib

Identifiers

PMID26686201
PMCPMC4718956
OpenAlexW2283246712

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.