Evidence map›Paper›PMID 27838777›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

A proof-of-concept trial of protein kinase C iota inhibition with auranofin for the paclitaxel-induced acute pain syndrome.

Aminah Jatoi, Megan E Grudem, Travis J Dockter, Matthew S Block, Jose C Villasboas, Angelina Tan, Erin Deering, Pashtoon M Kasi, Aaron S Mansfield, Juliana Perez Botero and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

13 authors at 2 institutions in 1 country.

Aminah JatoiDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. jatoi.aminah@mayo.edu.
Megan E GrudemDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Travis J DockterDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Matthew S BlockDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Jose C VillasboasDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Angelina TanDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Erin DeeringDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Pashtoon M KasiDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Aaron S MansfieldDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Juliana Perez BoteroDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Scott H OkunoDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Deanne R SmithDepartment of Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Alan P FieldsCancer Biology, Mayo Clinic, Jacksonville, FL, USA.
Mayo Clinic · USMayo Clinic in Florida · US

Funding

The pathophysiology and palliation of the paclitaxel-induced acute pain syndromeR21CA180997 · NCI · MAYO CLINIC ROCHESTER · PI FIELDS, ALAN P., JATOI, AMINAH · 2014 to 2015
$365k
NCI NIH HHS R21 CA180997
6 · The paper itself

Abstract

purposePaclitaxel causes the paclitaxel-induced acute pain (PIAP) syndrome. Based on preclinical data, we hypothesized that the protein kinase C (PKC) iota inhibitor, auranofin (a gold salt used for other pain conditions), palliates this pain.

methodsIn a randomized, double-blinded manner, patients who had suffered this syndrome were assigned a one-time dose of auranofin 6 mg orally on day #2 of the chemotherapy cycle (post-paclitaxel) versus placebo. Patients completed the Brief Pain Inventory and a pain diary on days 2 through 8 and at the end of the cycle. The primary endpoint was pain scores, as calculated by area under the curve, in response to "Please rate your pain by circling the one number that best describes your pain at its worse in the last 24 hours."

resultsThirty patients were enrolled. For the primary endpoint, mean area under the curve of 55 units (standard deviation 19) and 61 units (standard deviation 22) were observed in auranofin-treated and placebo-exposed patients, respectively (p = 0.44). On day 8 and at the end of the cycle, pain scores in auranofin-treated patients were more favorable, although differences were not statistically significant.

conclusionsIn the dose schedule studied, auranofin did not palliate the PIAP syndrome, but delayed beneficial trends suggest further study for this indication.

Indexed as

Acute PainAdministration, OralAntineoplastic Agents, PhytogenicAuranofinDouble-Blind MethodFemaleHumansIsoenzymesMaleMiddle AgedPaclitaxelPeripheral Nervous System DiseasesProtein Kinase CProtein Kinase C-lambdaProtein Kinase InhibitorsSyndromeAntineoplastic Agents, PhytogenicAuranofinIsoenzymesPaclitaxelProtein Kinase CProtein Kinase C-lambdaProtein Kinase InhibitorsAuranofinMyalgiasProtein kinase C

Identifiers

PMID27838777
PMCPMC5269609
OpenAlexW2555631900

What OpenQuestion holds

Textmetadata
LicenceTDM
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.