Evidence map›Paper›PMID 27663390›Full record

Trial reportNeuro-oncology2017

Feasibility, phase I, and phase II studies of tandutinib, an oral platelet-derived growth factor receptor-β tyrosine kinase inhibitor, in patients with recurrent glioblastoma.

Tracy T Batchelor, Elizabeth R Gerstner, Xiaobu Ye, Serena Desideri, Daniel G Duda, David Peereboom, Glenn J Lesser, Sajeel Chowdhary, Patrick Y Wen, Stuart Grossman and 1 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Neuro-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
1.0field-weighted citation impact, top 22% 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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  3. Molecular Biomarkers in Glioblastoma: A Systematic Review and Meta-Analysis.International journal of molecular sciences · 2022
    Pooled it
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  5. Review
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  8. Antibody-conjugated polymer nanoparticles for brain cancer.Drug delivery and translational research · 2025
    Review
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  12. Article
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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 1 country.

Tracy T BatchelorDepartments of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Elizabeth R GerstnerDepartments of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Xiaobu YeJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Serena DesideriJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Daniel G DudaRadiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
David PeereboomCleveland Clinic, Cleveland, Ohio, USA.
Glenn J LesserWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, North Carolina, USA.
Sajeel ChowdharyMoffitt Cancer Center, Tampa, Florida, USA.
Patrick Y WenDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Stuart GrossmanJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeffrey G SupkoDivision of Hematology and Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Harvard University · USJohns Hopkins University · USMassachusetts General Hospital · USAtrium Health Wake Forest Baptist · USCleveland Clinic · USDana-Farber Cancer Institute · USJohns Hopkins Medicine · USMoffitt Cancer Center · US

Funding

Adult Brain Tumor Consortium (ABTC)U01CA137443 · NCI · JOHNS HOPKINS UNIVERSITY · PI GROSSMAN, STUART A, PRADOS, MICHAEL D · 2009 to 2013
$11.0M
NCI NIH HHS U01 CA137443
6 · The paper itself

Abstract

Background: Platelet-derived growth factor (PDGF) signaling is important in gliomagenesis and PDGF receptor-β is expressed on most endothelial cells in glioblastoma specimens. Methods: We report the results of feasibility, phase I, and phase II studies of tandutinib (MLN518), an orally bioavailable inhibitor of type III receptor tyrosine kinases including PDGF receptor-β, Fms-like tyrosine kinase 3, and c-Kit in patients with recurrent glioblastoma. Results: In an initial feasibility study, 6 patients underwent resection for recurrent glioblastoma after receiving tandutinib 500mg twice daily for 7 days. The mean ratio of tandutinib concentration in brain tumor-to-plasma was 13.1±8.9 in 4 of the 6 patients. In the phase I study, 19 patients were treated at 500, 600, and 700mg twice daily dose levels. The maximum tolerated dose was found to be 600mg twice daily, and 30 patients were treated with this dose in the phase II study. The trial was closed after interim analysis, as the prespecified goal of patients alive and progression-free survival at 6 months was not achieved. Biomarker studies suggested that tandutinib treatment could lead to vascular disruption rather than normalization, which was associated with rapid progression. Conclusions: Tandutinib readily distributed into the brain following oral administration and achieved concentrations within the tumor that exceed the corresponding concentration in plasma. The phase II study was closed at interim analysis due to lack of efficacy, although this study was not enriched for glioblastomas with alterations of the PDGF pathway.

Indexed as

Administration, OralAdultAgedAntineoplastic AgentsBiomarkers, TumorBrainBrain NeoplasmsDisease-Free SurvivalFemaleGlioblastomaHumansMaleMaximum Tolerated DoseMiddle AgedPiperazinesQuinazolinesAntineoplastic AgentsBiomarkers, TumorPiperazinesQuinazolinesReceptor, Platelet-Derived Growth Factor betatandutinibglioblastomaoverall survivalplatelet-derived growth factor receptorprogression-free survivaltandutinib

Identifiers

PMID27663390
PMCPMC5464374
OpenAlexW2521085243

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.