Evidence map›Paper›PMID 26791870›Full record

ArticleCancer chemotherapy and pharmacology2016

A pharmacodynamically guided dose selection of PF-00337210 in a phase I study in patients with advanced solid tumors.

Justine Yang Bruce, Patricia M LoRusso, Priscila H Goncalves, Elisabeth I Heath, Elizabeth Sadowski, David R Shalinsky, Yanwei Zhang, Anne M Traynor, Aurora Breazna, Alejandro D Ricart and 2 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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 4 institutions in 1 country.

Justine Yang BruceWisconsin Institute for Medical Research, University of Wisconsin Carbone Cancer Center, Room 7105, 1111 Highland Avenue, Madison, WI, 53705, USA. jybruce@medicine.wisc.edu.
Patricia M LoRussoKarmanos Cancer Institute, Wayne State University, 4100 John R Street, Detroit, MI, 48201, USA.
Priscila H GoncalvesKarmanos Cancer Institute, Wayne State University, 4100 John R Street, Detroit, MI, 48201, USA.
Elisabeth I HeathKarmanos Cancer Institute, Wayne State University, 4100 John R Street, Detroit, MI, 48201, USA.
Elizabeth SadowskiE3/366 Clinical Science Center, Department of Radiology, University of Wisconsin SMPH, 600 Highland Avenue, Madison, WI, 53792-3252, USA.
David R ShalinskyDepartment of Pharmacology, Pfizer, Inc., 235 E. 42nd Street, New York, NY, 10017, USA.
Yanwei ZhangDepartment of Statistics, Pfizer Inc., 610 Main Street, Cambridge, MA, 02139, USA.
Anne M TraynorWisconsin Institute for Medical Research, University of Wisconsin Carbone Cancer Center, Room 3103, 1111 Highland Avenue, Madison, WI, 53705, USA.
Aurora BreaznaDepartment of Biostatistics, Pfizer, Inc., 235 E. 42nd Street, New York, NY, 10017, USA.
Alejandro D RicartDepartment of Biotechnology and Oncology Research, Pfizer, Inc., 235 E. 42nd Street, New York, NY, 10017, USA.
Michael TortoriciDepartment of Clinical Pharmacology, Pfizer, Inc., 235 E. 42nd Street, New York, NY, 10017, USA.
Glenn LiuWisconsin Institute for Medical Research, University of Wisconsin Carbone Cancer Center, Room 7105, 1111 Highland Avenue, Madison, WI, 53705, USA.
Pfizer (United States) · USUniversity of Wisconsin Carbone Cancer Center · USWayne State University · USUniversity of Wisconsin–Madison · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA014520NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

purposePF-00337210 is an oral, highly selective vascular endothelial growth factor receptor (VEGFR) inhibitor. We evaluated a composite of biomarkers in real time to identify the recommended phase 2 dose (RP2D) and preliminary anticancer activity of PF-00337210. PATIENTS AND

methodsPatients (Pts) with advanced cancers were treated once (QD) or twice daily (BID) with escalating doses. Acute effects on tumor perfusion and vascularity were assessed using DCE-MRI, weekly BP readings, soluble VEGFR-2, and hemoglobin levels.

resultsForty-six pts were treated with 0.67-9 mg QD and 4-6 mg BID of PF-00337210. Nineteen pts (41%) previously received VEGF/VEGFR inhibitors. Two pts had dose-limiting toxicity (DLT) at 9 mg QD (troponin I increase and hypertension). The MTD at QD dose was 8 mg. Common drug-related adverse events were hypertension, fatigue, proteinuria, and nausea. Hypertension incidence and intensity corresponded with dose, but was well controlled with medication. Two confirmed partial responses and minor regressions (>10 to <30% reduction in target lesions) were noted. Complete DCE-MRI was acquired in 21 pts (20 evaluable for vascular response). Ten pts were vascular responders, including 5/6 pts at BID doses. Greatest modulation of soluble VEGFR-2 was at 6 mg BID. The maximum change from baseline in diastolic BP was higher at BID doses. There were no significant differences for systolic BP and hemoglobin levels.

conclusionsPF-00337210 has profound VEGFR inhibition effects at well-tolerated doses. Antitumor activity and VEGF inhibition effects were observed across BID doses. The RP2D was 6 mg BID.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBenzofuransBiomarkers, PharmacologicalDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansMagnetic Resonance ImagingMaleMaximum Tolerated DoseMiddle AgedNeoplasmsQuinolinesAntineoplastic AgentsBenzofuransBiomarkers, PharmacologicalPF 00337210QuinolinesReceptors, Vascular Endothelial Growth FactorVascular Endothelial Growth Factor Receptor-2DCEMRI imagingPharmacodynamic analysisTyrosine kinase inhibitorVEGF receptor

Identifiers

PMID26791870
PMCPMC6849384
OpenAlexW2276093033

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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.