Evidence map›Paper›PMID 27872953›Full record

ArticleCancer chemotherapy and pharmacology2017

A phase I study of afatinib combined with paclitaxel and bevacizumab in patients with advanced solid tumors.

James Spicer, Sheeba Irshad, Joo Ern Ang, Deborah Enting, Rebecca Kristeleit, Martina Uttenreuther-Fischer, Karine Pemberton, Katy Pelling, David Schnell, Johann de Bono

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

10 authors.

James SpicerKing's College London, Guy's Hospital, 3rd Floor, Bermondsey Wing, Great Maze Pond, London, SE1 9RT, UK. james.spicer@kcl.ac.uk.
Sheeba IrshadKing's College London, Guy's Hospital, 3rd Floor, Bermondsey Wing, Great Maze Pond, London, SE1 9RT, UK.
Joo Ern AngRoyal Marsden NHS Foundation Trust, Surrey, UK.
Deborah EntingKing's College London, Guy's Hospital, 3rd Floor, Bermondsey Wing, Great Maze Pond, London, SE1 9RT, UK.
Rebecca KristeleitRoyal Marsden NHS Foundation Trust, Surrey, UK.
Martina Uttenreuther-FischerBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Karine PembertonBoehringer Ingelheim Ltd, Bracknell, UK.
Katy PellingBoehringer Ingelheim Ltd, Bracknell, UK.
David SchnellBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Johann de BonoRoyal Marsden NHS Foundation Trust, Surrey, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe combination of afatinib, an irreversible ErbB family blocker, with paclitaxel and bevacizumab was assessed in patients with advanced solid tumors.

methodsThis phase I study used a 3 + 3 design to determine the maximum tolerated dose (MTD) of afatinib combined with paclitaxel and bevacizumab. Safety, pharmacokinetics, and anti-tumor activity were also assessed. The starting dose was oral afatinib 40 mg once daily plus intravenous paclitaxel (fixed dose 80 mg/m

resultsTwenty-nine patients were enroled. The afatinib dose was de-escalated to 30 mg and then 20 mg after 2/6 and 2/5 evaluable patients developed dose-limiting toxicities at 40 and 30 mg, respectively, when combined with paclitaxel and bevacizumab 5 mg/kg. The bevacizumab dose was subsequently escalated to 10 mg/kg, and MTD was defined as afatinib 20 mg plus paclitaxel 80 mg/m

conclusionsThe recommended phase II dose schedule was afatinib 20 mg/day with paclitaxel 80 mg/m

Indexed as

AdultAfatinibAgedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPaclitaxelQuinazolinesAfatinibBevacizumabPaclitaxelQuinazolinesAfatinibBevacizumabPaclitaxelPhase ISolid tumors

Identifiers

PMID27872953
PMCPMC5225194

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Registered trials

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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.