Evidence map›Paper›PMID 27300524›Full record

Trial reportJournal of neuro-oncology2016

A phase II trial evaluating the effects and intra-tumoral penetration of bortezomib in patients with recurrent malignant gliomas.

Jeffrey J Raizer, James P Chandler, Roberto Ferrarese, Sean A Grimm, Robert M Levy, Kenji Muro, Joshua Rosenow, Irene Helenowski, Alfred Rademaker, Martin Paton and 1 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

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  6. Transcription Factors with Targeting Potential in Gliomas.International journal of molecular sciences · 2022
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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

11 authors at 8 institutions in 2 countries.

Jeffrey J RaizerDepartment of Neurology, Northwestern University, Abbott Hall, Room 1123, 710 N. Lake Shore Dr., Chicago, IL, 60611, USA. jraizer@nmff.org.
James P ChandlerDepartment of Neurosurgery, Northwestern University, Chicago, IL, USA.
Roberto FerrareseDepartment of Neurosurgery, Neurocenter and Comprehensive Cancer Center, University of Freiburg, Freiburg, Germany.
Sean A GrimmCadence Health Care-Central DuPage Hospital, Winfield, IL, USA.
Robert M LevyMarcus Neuroscience Institute, Boca Raton, FL, USA.
Kenji MuroIllinois Masonic Hospital, Chicago, IL, USA.
Joshua RosenowDepartment of Neurosurgery, Northwestern University, Chicago, IL, USA.
Irene HelenowskiDepartment of Preventive Medicine, Northwestern University, Chicago, IL, USA.
Alfred RademakerDepartment of Preventive Medicine, Northwestern University, Chicago, IL, USA.
Martin PatonMillennium Pharmaceuticals, Inc, Cambridge, MA, UK.
Markus BredelDepartment of Radiation Oncology and Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Northwestern University · USAbbott (United States) · USAdvocate Illinois Masonic Medical Center · USBoca Raton Regional Hospital · USCentral DuPage Hospital · USMillennium Engineering and Integration (United States) · USUniversity Medical Center Freiburg · DEUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One resistance mechanism in malignant gliomas (MG) involves nuclear factor-κB (NF-κB) activation. Bortezomib prevents proteasomal degradation of NF-κB inhibitor α (NFKBIA), an endogenous regulator of NF-κB signaling, thereby limiting the effects of NF-κB on tumor survival and resistance. A presurgical phase II trial of bortezomib in recurrent MG was performed to determine drug concentration in tumor tissue and effects on NFKBIA. Patients were enrolled after signing an IRB approved informed consent. Treatment was bortezomib 1.7 mg/m(2) IV on days 1, 4 and 8 and then surgery on day 8 or 9. Post-operatively, treatment was Temozolomide (TMZ) 75 mg/m(2) PO on days 1-7 and 14-21 and bortezomib 1.7 mg/m(2) on days 7 and 21 [1 cycle was (1) month]. Ten patients were enrolled (8 M and 2 F) with 9 having surgery. Median age and KPS were 50 (42-64) and 90 % (70-100). The median cycles post-operatively was 2 (0-4). The trial was stopped as no patient had a PFS-6. All patients are deceased. Paired plasma and tumor bortezomib concentration measurements revealed higher drug concentrations in tumor than in plasma; NFKBIA protein levels were similar in drug-treated vs. drug-naïve tumor specimens. Nuclear 20S proteasome was less in postoperative samples. Postoperative treatment with TMZ and bortezomib did not show clinical activity. Bortezomib appears to sequester in tumor but pharmacological effects on NFKBIA were not seen, possibly obscured due to downregulation of NFKBIA during tumor progression. Changes in nuclear 20S could be marker of bortezomib effect on tumor.

Indexed as

AdultAntineoplastic AgentsBortezomibBrain NeoplasmsCombined Modality TherapyDacarbazineDrug Therapy, CombinationFemaleGlioblastomaHumansMaleMiddle AgedNeoplasm Recurrence, LocalNF-KappaB Inhibitor alphaProteasome Endopeptidase ComplexTemozolomideAntineoplastic AgentsBortezomibDacarbazineNF-KappaB Inhibitor alphaNFKBIA protein, humanProteasome Endopeptidase ComplexTemozolomideBortezomibMalignant gliomaNuclear factor-κBTemozolomide

Identifiers

PMID27300524
OpenAlexW2423727666

What OpenQuestion holds

Textmetadata
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.