Evidence map›Paper›PMID 27927766›Full record

ArticleHaematologica2017

Phase 1 dose-finding study of rebastinib (DCC-2036) in patients with relapsed chronic myeloid leukemia and acute myeloid leukemia.

Jorge Cortes, Moshe Talpaz, Hedy P Smith, David S Snyder, Jean Khoury, Kapil N Bhalla, Javier Pinilla-Ibarz, Richard Larson, David Mitchell, Scott C Wise and 6 more

Abstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Haematologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. DCC-2036 induces repolarization of TAMs to M1 type and enhances CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Monocyte Involvement in the Pathogenesis of Myeloproliferative Neoplasms.International journal of molecular sciences · 2025
    Review
  12. Review
  13. Current and future of targeted therapies against BCR::ABL kinases.Journal of the Egyptian National Cancer Institute · 2025
    Review
  14. Article
  15. Article
  16. Novel targeted therapies in chronic myeloid leukemia.Pharmaceutical science advances · 2024
    Review
  17. Review
  18. Review
  19. Review
  20. Review
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

16 authors.

Jorge CortesUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA jcortes@mdanderson.org.
Moshe TalpazUniversity of Michigan, Ann Arbor, MI, USA.
Hedy P SmithTufts Medical Center, Boston, MA, USA.
David S SnyderCity of Hope Cancer Center, Duarte, CA, USA.
Jean KhouryWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Kapil N BhallaUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Javier Pinilla-IbarzH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Richard LarsonUniversity of Chicago, IL, USA.
David MitchellMitchell Pharmaceutical Consulting, Lafayette, CO, USA.
Scott C WiseDeciphera Pharmaceuticals LLC, Waltham, MA, USA.
Thomas J RutkoskiDeciphera Pharmaceuticals LLC, Waltham, MA, USA.
Bryan D SmithDeciphera Pharmaceuticals LLC, Waltham, MA, USA.
Daniel L FlynnDeciphera Pharmaceuticals LLC, Waltham, MA, USA.
Hagop M KantarjianUniversity of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Oliver RosenDeciphera Pharmaceuticals LLC, Waltham, MA, USA.
Richard A Van EttenUC Irvine Chao Family Comprehensive Cancer Center, Orange, CA, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Christine Hui · 1994 to 2026
$57.9M
TOLERANCE INDUCTION BY MEGADOSE STEM CELL TRANSPLANTS IN CML--GVHD AND GVLP01CA049639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI THALL, PETER F · 1990 to 2014
$41.8M
STUDIES OF BCR/ABL LEUKEMOGENESIS IN MICER01CA090576 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI VAN ETTEN, RICHARD A. · 2001 to 2021
$5.9M
Novel Targeted Therapy for AMLR01CA171338 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BHALLA, KAPIL · 2013 to 2017
$1.6M
NCI NIH HHS P01 CA049639NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA062203NCI NIH HHS R01 CA090576NCI NIH HHS R01 CA171338
6 · The paper itself

Abstract

A vailable tyrosine kinase inhibitors for chronic myeloid leukemia bind in an adenosine 5'-triphosphate-binding pocket and are affected by evolving mutations that confer resistance. Rebastinib was identified as a switch control inhibitor of BCR-ABL1 and FLT3 and may be active against resistant mutations. A Phase 1, first-in-human, single-agent study investigated rebastinib in relapsed or refractory chronic or acute myeloid leukemia. The primary objectives were to investigate the safety of rebastinib and establish the maximum tolerated dose and recommended Phase 2 dose. Fifty-seven patients received treatment with rebastinib. Sixteen patients were treated using powder-in-capsule preparations at doses from 57 mg to 1200 mg daily, and 41 received tablet preparations at doses of 100 mg to 400 mg daily. Dose-limiting toxicities were dysarthria, muscle weakness, and peripheral neuropathy. The maximum tolerated dose was 150 mg tablets administered twice daily. Rebastinib was rapidly absorbed. Bioavailability was 3- to 4-fold greater with formulated tablets compared to unformulated capsules. Eight complete hematologic responses were achieved in 40 evaluable chronic myeloid leukemia patients, 4 of which had a T315I mutation. None of the 5 patients with acute myeloid leukemia responded. Pharmacodynamic analysis showed inhibition of phosphorylation of substrates of BCR-ABL1 or FLT3 by rebastinib. Although clinical activity was observed, clinical benefit was insufficient to justify continued development in chronic or acute myeloid leukemia. Pharmacodynamic analyses suggest that other kinases inhibited by rebastinib, such as TIE2, may be more relevant targets for the clinical development of rebastinib (

Indexed as

AdultAgedAged, 80 and overDrug MonitoringDrug Resistance, NeoplasmFemaleFusion Proteins, bcr-ablHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, AcuteMaleMaximum Tolerated DoseMiddle AgedMutationProtein Kinase InhibitorsQuinolinesDCC-2036Fusion Proteins, bcr-ablProtein Kinase InhibitorsQuinolines

Identifiers

PMID27927766
PMCPMC5394958

What OpenQuestion holds

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Read underepoch 390

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.