Evidence map›Paper›PMID 26851029›Full record

Trial reportAnticancer research2016

A Phase II Study of BEZ235 in Patients with Everolimus-resistant, Advanced Pancreatic Neuroendocrine Tumours.

Nicola Fazio, Roberto Buzzoni, Eric Baudin, Lorenzo Antonuzzo, Richard A Hubner, Harald Lahner, Wouter W DE Herder, Markus Raderer, Alexandre Teulé, Jaume Capdevila and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Anticancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01658436 (A Multicenter, Two Stage, Phase II Study, Evaluating the Efficacy of Oral BEZ235 Plus Best Supportive Care), which is not on this map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
–field-weighted citation impact
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.

NCT01658436 phase2completednot on this map

A Multicenter, Two Stage, Phase II Study, Evaluating the Efficacy of Oral BEZ235 Plus Best Supportive Care (BSC) Versus Placebo Plus BSC in the Treatment of Patients With Advanced Pancreatic Neuroendocrine Tumors (pNET) After Failure of mTOR Inhibitor Therapy.

TypeinterventionalSponsorNovartis PharmaceuticalsRan2012 to 2015Enrolled31ConditionsPancreatic Neuroendocrine Tumors (pNET)ArmsBEZ235 (Stage 1)
3 · Its place in the literature

Who cites it

56 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
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  9. Review
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  11. Review
  12. Review
  13. Review
  14. JCO precision oncology · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Targeting RTK-PI3K-mTOR Axis in Gliomas: An Update.International journal of molecular sciences · 2021
    Review
  20. PI3K Inhibitors in Cancer: Clinical Implications and Adverse Effects.International journal of molecular sciences · 2021
    Review
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

18 authors.

Nicola FazioEuropean Institute of Oncology, Milan, Italy nicola.fazio@ieo.it.
Roberto BuzzoniIRCCS National Tumor Institute, Milan, Italy.
Eric BaudinInstitut Gustave Roussy, Villejuif, France.
Lorenzo AntonuzzoCareggi University Hospital, Florence, Italy.
Richard A HubnerThe Christie NHS Foundation Trust, Manchester, U.K.
Harald LahnerUniversity of Duisburg-Essen, Essen, Germany.
Wouter W DE HerderErasmus MC, Rotterdam, the Netherlands.
Markus RadererUniversity Hospital of Vienna, Vienna, Austria.
Alexandre Teulé
Jaume CapdevilaVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Steven K LibuttiMontefiore Medical Center and Albert Einstein College of Medicine, New York, NY, U.S.A.
Matthew H KulkeDana-Farber Cancer Institute, Boston, MA, U.S.A.
Manisha ShahThe James Cancer Hospital and Solove Research Institute, The Ohio State University, Columbus, OH, U.S.A.
Debarshi DeyNovartis Healthcare Private Limited, Hyderabad, India.
Sabine TurriNovartis Pharma AG, Basel, Switzerland.
Paola AimoneNovartis Pharma AG, Basel, Switzerland.
Cristian MassacesiNovartis Oncology, Paris, France.
Chris VerslypeUniversity Hospitals Leuven, Leuven, Belgium.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA174521
6 · The paper itself

Abstract

backgroundThis was a two-stage, phase II trial of the dual phosphatidylinositol 3-kinase/mammalian target of rapamycin inhibitor BEZ235 in patients with everolimus-resistant pancreatic neuroendocrine tumours (pNETs) (NCT01658436). PATIENTS AND

methodsIn stage 1, 11 patients received 400 mg BEZ235 orally twice daily (bid). Due to tolerability concerns, a further 20 patients received BEZ235 300 mg bid. Stage 2 would be triggered by a 16-week progression-free survival (PFS) rate of ≥60% in stage 1.

resultsAs of 30 June, 2014, 29/31 patients had discontinued treatment. Treatment-related grade 3/4 adverse events were reported in eight (72.7%) patients at 400 mg and eight (40.0%) patients at 300 mg, including hyperglycaemia, diarrhoea, nausea, and vomiting. The estimated 16-week PFS rate was 51.6% (90% confidence interval=35.7-67.3%).

conclusionBEZ235 was poorly tolerated by patients with everolimus-resistant pNETs at 400 and 300 mg bid doses. Although evidence of disease stability was observed, the study did not proceed to stage 2.

Indexed as

Drug Resistance, NeoplasmAdministration, OralAdultAgedAged, 80 and overAntineoplastic AgentsDrug Administration ScheduleEverolimusFemaleHumansImidazolesMaleMiddle AgedNeuroendocrine TumorsPancreatic NeoplasmsPhosphatidylinositol 3-KinaseAntineoplastic AgentsdactolisibEverolimusImidazolesMTOR protein, humanPhosphatidylinositol 3-KinasePhosphoinositide-3 Kinase InhibitorsProtein Kinase InhibitorsQuinolinesTOR Serine-Threonine KinasesBEZ235everolimusmTORPI3KpNETs

Identifiers

PMID26851029
PMCPMC5076549

What OpenQuestion holds

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Registered trials

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.