Evidence map›Paper›PMID 27278668›Full record

ArticleCancer chemotherapy and pharmacology2016

Pharmacokinetics and safety of vitamin E δ-tocotrienol after single and multiple doses in healthy subjects with measurement of vitamin E metabolites.

Amit Mahipal, Jason Klapman, Shivakumar Vignesh, Chung S Yang, Anthony Neuger, Dung-Tsa Chen, Mokenge P Malafa

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IValidation Study
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. It is linked to trial NCT02581085 (Tocotrienol Against the Progression of End Stage Liver Disease), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.8field-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.

NCT02581085 phase2active not recruitingnot on this mapstarted 2019, after this paper: background citation

Tocotrienol Against the Progression of End Stage Liver Disease

TypeinterventionalSponsorChandan SenRan2019 to 2028Enrolled70ConditionsEnd Stage Liver Disease, NASH - Nonalcoholic Steatohepatitis, NAFLD - Nonalcoholic Fatty Liver DiseaseArmsTocotrienol (TCT), Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Significance of Vitamins A and E in Cancer Progression and Prevention.International journal of molecular sciences · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Vitamin E in the management of pancreatic cancer: A scoping review.World journal of gastrointestinal oncology · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Concise Synthesis of (ACS omega · 2021
    Article
  17. Synthesis of [Molecules (Basel, Switzerland) · 2020
    Article
  18. Article
  19. Review
  20. 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

7 authors at 3 institutions in 1 country.

Amit MahipalDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive FOB-2, Tampa, FL, 33612, USA.
Jason KlapmanDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive FOB-2, Tampa, FL, 33612, USA.
Shivakumar VigneshDivision of Gastroenterology and Hepatology, SUNY Health Sciences Center at Brooklyn, Brooklyn, NY, 11203, USA.
Chung S YangDepartment of Chemical Biology, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway Township, NJ, USA.
Anthony NeugerTranslational Research Core, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Dung-Tsa ChenDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Mokenge P MalafaDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive FOB-2, Tampa, FL, 33612, USA. mokenge.malafa@moffitt.org.
Moffitt Cancer Center · USRutgers, The State University of New Jersey · USSUNY Downstate Health Sciences University · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Intervention of Pancreatic Oncogenic Pathways with Dietary TocotrienolR01CA129227 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI MALAFA, MOKENGE P. · 2008 to 2012
$3.2M
NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA129227
6 · The paper itself

Abstract

purposeVitamin E delta-tocotrienol (VEDT) has demonstrated chemopreventive and antineoplastic activity in preclinical models. The aim of our study was to determine the safety and pharmacokinetics of VEDT and its metabolites after single- and multiple-dose administrations in healthy subjects.

methodsThirty-six subjects received from 100 to 1600 mg of oral VEDT as a single dose or twice daily for 14 consecutive days. A 3 + 3 dose escalation design was utilized. Pharmacokinetic data were derived from high-performance liquid chromatography (HPLC) assays. Serial blood and urine samples were collected before and during VEDT administration, with serum and urine metabolites assessed using HPLC.

resultsNo drug-related adverse events were observed. Pharmacokinetic parameters for single and multiple doses were, respectively, as follows (shown as range): time to maximum concentration of 4-9.3 and 4.7-7.3 h, maximum concentration of 795.6-3742.6 and 493.3-3746 ng/mL, half-life of 1.7-5.9 and 2.3-6.9 h, and 0-12 h area under the curve of 4518.7-20,781.4 and 1987.7-22,171.2 ng h/mL. Plasma tocotrienols were significantly increased after VEDT administration, indicating oral bioavailability of VEDT in humans. Plasma and urine levels of metabolites, δ-carboxyethyl hydroxychroman, and δ-carboxymethylbutyl hydroxychroman were elevated after VEDT administration in a dose-dependent manner and were 30-60 times significantly higher than δ-tocotrienol levels. VEDT can be safely administered at doses up to 1600 mg twice daily. Plasma VEDT concentrations were comparable to those obtained in VEDT-treated mice in which tumor growth was delayed.

conclusionsOur results suggest that VEDT can be safely consumed by healthy subjects and achieve bioactive levels, supporting the investigation of VEDT for chemoprevention.

Indexed as

AdultAnimalsAntineoplastic AgentsArea Under CurveChromatography, High Pressure LiquidDose-Response Relationship, DrugDrug Administration ScheduleFemaleHalf-LifeHumansMaleMiceMiddle AgedSpecies SpecificityVitamin EYoung AdultAntineoplastic Agentstocotrienol, deltaVitamin EAntitumor agentBiomarkerChemopreventionPancreatic cancerTocochromanol

Identifiers

PMID27278668
PMCPMC4939900
OpenAlexW2408828789

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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.