Evidence map›Paper›PMID 28264648›Full record

ArticleBMC cancer2017

A phase I dose-escalation study of selumetinib in combination with docetaxel or dacarbazine in patients with advanced solid tumors.

Patricia M LoRusso, Jeffrey R Infante, Kevin B Kim, Howard A Burris, Gregory Curt, Ugochi Emeribe, Delyth Clemett, Helen K Tomkinson, Roger B Cohen

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00600496 (A Phase I, Open-Label, Multi-center Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD6244), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

NCT00600496 phase1completednot on this map

A Phase I, Open-Label, Multi-center Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD6244 (ARRY-142886) When Given in Combination With Standard Doses of Selected Chemotherapies to Patients With Advanced Solid Tumors

TypeinterventionalSponsorAstraZenecaRan2007 to 2025Enrolled140ConditionsBreast Cancer, Breast Neoplasms, Colon Cancer, Colonic CancerArmsAZD6244, Dacarbazine, Erlotinib, Docetaxel, Temsirolimus
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Targeting KRAS in Colorectal Cancer: A Bench to Bedside Review.International journal of molecular sciences · 2023
    Review
  7. Review
  8. Review
  9. Article
  10. ERK Regulates HIF1α-Mediated Platinum Resistance by Directly Targeting PHD2 in Ovarian Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Article
  11. Article
  12. MEK inhibitors for the treatment of NRAS mutant melanoma.Drug design, development and therapy · 2018
    Review
  13. 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

9 authors at 6 institutions in 2 countries.

Patricia M LoRussoYale Cancer Center, PO Box 208028, New Haven, CT, 06520-8028, USA. patricia.lorusso@yale.edu.
Jeffrey R InfanteSarah Cannon Research Institute, Nashville, TN, USA.
Kevin B KimCalifornia Pacific Medical Center, San Francisco, CA, USA.
Howard A BurrisSarah Cannon Research Institute, Nashville, TN, USA.
Gregory CurtAstraZeneca, Wilmington, DE, USA.
Ugochi EmeribeAstraZeneca, Wilmington, DE, USA.
Delyth ClemettAstraZeneca, Macclesfield, UK.
Helen K TomkinsonAstraZeneca, Macclesfield, UK.
Roger B CohenFox Chase Cancer Center, Philadelphia, PA, USA.
AstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USSarah Cannon · USCalifornia Pacific Medical Center · USFox Chase Cancer Center · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundThe RAS/RAF/MEK/ERK pathway is constitutively activated in many cancers. Selumetinib (AZD6244, ARRY-142886) is an oral, potent and highly selective, allosteric MEK1/2 inhibitor with a short half-life that has shown clinical activity as monotherapy in phase I and II studies of advanced cancer. Preclinical data suggest that selumetinib may enhance the activity of chemotherapeutic agents. We assessed the safety, tolerability, and pharmacokinetics (PK) of selumetinib (AZD6244, ARRY-142886) in combination with docetaxel or dacarbazine in patients with advanced solid tumors.

methodsThis study was a phase I, open-label, multicenter study in patients aged ≥18 years with advanced solid tumors who were candidates for docetaxel or dacarbazine treatment. Part A of the study (dose escalation) evaluated safety, tolerability, PK, and maximum tolerated dose (MTD) of selumetinib twice daily (BID) with docetaxel 75 mg/m

resultsA total of 35 patients received selumetinib plus docetaxel, and 25 received selumetinib plus dacarbazine. The MTD of selumetinib was 75 mg BID in combination with either docetaxel (two dose-limiting toxicity [DLT] events: neutropenia with fever, and thrombocytopenia) or dacarbazine (one DLT event: thrombocytopenia). Common adverse events occurring with each treatment combination were diarrhea, peripheral/periorbital edema, fatigue, and nausea. PK parameters for selumetinib and docetaxel or dacarbazine were similar when administered alone or in combination. Partial responses were reported in 6/35 patients receiving selumetinib plus docetaxel and 4/25 patients receiving selumetinib plus dacarbazine.

conclusionsThe combinations of selumetinib plus docetaxel and selumetinib plus dacarbazine demonstrated manageable safety and tolerability profiles and preliminary signs of clinical activity in patients with advanced solid tumors.

trial registrationClinicalTrials.gov NCT00600496; registered 8 July 2009.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesDacarbazineDocetaxelFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPatient SafetyTaxoidsAZD 6244BenzimidazolesDacarbazineDocetaxelTaxoidsAdvanced solid tumorsDacarbazineDocetaxelDose-escalationSelumetinib

Identifiers

PMID28264648
PMCPMC5340007
OpenAlexW2593064308

What OpenQuestion holds

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LicenceCC BY
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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.