Evidence map›Paper›PMID 27516093›Full record

Trial reportJournal of hematology & oncology2016

Phase II trial of utidelone as monotherapy or in combination with capecitabine in heavily pretreated metastatic breast cancer patients.

Pin Zhang, Zhongsheng Tong, Fuguo Tian, Yongsheng Wang, Junlan Yang, Weilian Li, Lijun Di, Wei Liu, Li Tang, Rongguo Qiu and 1 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of hematology & oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07363330 (Utidelone Combined With Toripalimab in Patients With Pretreated Recurrent or Metastatic Cervical Cancers), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT07363330 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Utidelone Combined With Toripalimab in Patients With Pretreated Recurrent or Metastatic Cervical Cancers: a Single-Arm, Phase II Study

TypeinterventionalSponsorZhongnan HospitalRan2026 to 2028Enrolled32ConditionsCervical Cancer, Recurrent, MetastaticArmsUtidelone plus Toripalimab
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Trial
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  4. Review
  5. Article
  6. Article
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  13. Epothilones as Natural Compounds for Novel Anticancer Drugs Development.International journal of molecular sciences · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. MAT1 correlates with molecular subtypes and predicts poor survival in breast cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2018
    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

11 authors.

Pin ZhangNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17# Panjiayuan Nanli, Beijing, 100021, China.
Zhongsheng TongCancer Hospital, Tianjin Medical University, Tianjin, China.
Fuguo TianShanxi Cancer Hospital, Taiyuan, Shanxi, China.
Yongsheng WangShandong Cancer Hospital, Jinan, Shandong, China.
Junlan YangPLA General Hospital, Beijing, China.
Weilian LiTianjin People's Hospital, Tianjin, China.
Lijun DiCancer Hospital, Peking University, Beijing, China.
Wei LiuHebei Cancer Hospital, Shijiazhuang, Hebei, China.
Li TangBeijing Biostar Technologies, Ltd., Beijing, China.
Rongguo QiuBeijing Biostar Technologies, Ltd., Beijing, China.
Binghe XuNational Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17# Panjiayuan Nanli, Beijing, 100021, China. xubh2014@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of metastatic breast cancer (MBC) remains a great clinical challenge as drug resistance frequently develops. Alternative agents that can overcome drug resistance would offer new therapeutic options. The primary aim of this phase II study was to evaluate the efficacy and safety of utidelone as a monotherapy or in combination with capecitabine in metastatic breast cancer patients previously treated with and resistant to anthracyclines and taxanes.

methodsIn two open-label, noncomparative clinical studies, patients with metastatic breast cancer who previously received anthracycline- and/or taxane-containing regimens were given (1) 25 to 35 mg/m(2)/day intravenously infused utidelone, once daily for 5 days, in combination with 14 days of 2000 mg/m(2) capecitabine, divided in two equal daily oral doses or (2) 40 mg/m(2)/day intravenously infused utidelone, once daily for 5 days. These regimens were administered per each 21-day treatment cycle, and the maximum of treatment cycles allowed per protocol is 6. Objective response rate (ORR), progression-free survival (PFS), and tolerability were evaluated.

resultsIn the combination study, 33 patients completed a median of 6 cycles of therapy, which was the highest cycles a trial patient could receive under the criteria of the study protocol. Efficacy was evaluated (n = 32) with an ORR of 42.4 % (FAS, 95 % CI, 26.6, 60.9) and a median PFS of 7.9 (FAS, 95 % CI, 6.1, 9.8) months. The monotherapy study (n = 63) resulted in an ORR of 28.57 % (FAS, 95 % CI, 18.4, 40.6) and a median PFS of 5.4 (FAS, 95 % CI, 2.9, 9.8) months. In both studies, common toxicities associated with utidelone administration included peripheral neuropathy, fatigue, myalgia, and arthralgia, but the toxicities were limited and manageable. Notably, very mild myelosuppression, low liver and renal toxicities, and very limited gastrointestinal toxic effect were observed, in contrast to other agents in the same class.

conclusionsUtidelone showed promising efficacy, tolerability, and advantageous safety profiles in the treatment of patients with advanced anthracycline/taxane-refractory metastatic breast cancer and may offer new treatment options to overcome drug resistance.

trial registrationCHiCTR-TRC-13004205 , registered on August 15, 2013.

Indexed as

Drug Resistance, NeoplasmAdolescentAdultAgedAnthracyclinesAntimetabolites, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCapecitabineDisease-Free SurvivalDrug Administration ScheduleEpothilonesFemaleHumansMiddle AgedNeoplasm MetastasisAnthracyclinesAntimetabolites, AntineoplasticCapecitabineEpothilonesTaxoidsDrug resistanceMetastatic breast cancerPhase II trialUtidelone

Identifiers

PMID27516093
PMCPMC4982136

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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.