Evidence map›Paper›PMID 28282611›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2017

Phase Ib dose-finding study of abiraterone acetate plus buparlisib (BKM120) or dactolisib (BEZ235) in patients with castration-resistant prostate cancer.

Christophe Massard, Kim Nguyen Chi, Daniel Castellano, Johann de Bono, Gwenaelle Gravis, Luc Dirix, Jean-Pascal Machiels, Alain Mita, Begoña Mellado, Sabine Turri and 4 more

Erratum issuedAbstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 91 citations in OpenAlex.

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  6. Reversal of Lactate and PD-1-mediated Macrophage Immunosuppression Controls Growth of PTEN/p53-deficient Prostate Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 8 countries.

Christophe MassardDrug Development Department, Gustave Roussy, University of Paris Sud, Villejuif, France; Department of Cancer Medicine, Gustave Roussy, University of Paris Sud, Villejuif, France. Electronic address: christophe.massard@gustaveroussy.fr.
Kim Nguyen ChiBC Cancer Agency, Vancouver, Canada.
Daniel CastellanoUniversity Hospital 12 de Octubre, CIBER-ONC, Madrid, Spain.
Johann de BonoInstitute of Cancer Research, London, UK.
Gwenaelle GravisInstitut Paoli-Calmettes, Marseille, France.
Luc DirixSt. Augustinus Hospital, Antwerp, Belgium.
Jean-Pascal MachielsInstitut Roi Albert II, Service d'Oncologie Médicale, Cliniques universitaires Saint-Luc and Institut de Recherche Clinique et Expérimentale, Université catholique de Louvain, Brussels, Belgium.
Alain MitaCedars-Sinai Medical Center, Los Angeles, CA, USA.
Begoña MelladoMedical Oncology Department, Hospital Clínic, IDIBAPS, Barcelona, Spain.
Sabine TurriNovartis Pharma S.A.S, Rueil-Malmaison, France.
Joan MaierNovartis Pharma AG, Basel, Switzerland.
Denes CsonkaNovartis Pharma AG, Basel, Switzerland.
Arunava ChakravarttyNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Karim FizaziDepartment of Cancer Medicine, Gustave Roussy, University of Paris Sud, France.
Novartis (Switzerland) · CHUniversité Paris-Sud · FRBC Cancer Agency · CACedars-Sinai Medical Center · USCentro de Investigación Biomédica en Red de Cáncer · ESCliniques Universitaires Saint-Luc · BEHospital Clínic de Barcelona · ESInstitute of Cancer Research · GBInstitut Paoli-Calmettes · FRNovartis (France) · FRNovartis (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe phosphatidylinositol-3-kinase (PI3K)/protein kinase B (Akt) signalling axis and androgen receptor (AR) pathways exhibit reciprocal feedback regulation in phosphatase and tensin homologue (PTEN)-deficient metastatic castration-resistant prostate cancer (CRPC) in preclinical models. This phase Ib study evaluated the pan-PI3K inhibitor buparlisib (BKM120) and the dual pan-PI3K/ mammalian target of rapamycin (mTOR) inhibitor dactolisib (BEZ235) in combination with abiraterone acetate (AA) in patients with CRPC. MATERIALS AND

methodsPatients with CRPC who had progressed on AA therapy received escalating doses of either buparlisib or dactolisib, along with fixed doses of AA (1000 mg once daily (qd)) and prednisone (5 mg twice daily (bid)). The primary objective was to define the maximum tolerated dose (MTD) and/or the recommended dose for expansion (RDE) of either buparlisib or dactolisib in combination with AA. Secondary objectives included safety, antitumour activity (Prostate Cancer Working Group 2 (PCWG2) criteria; 30% of prostate-specific antigen (PSA) decline at ≥week 12) and pharmacokinetic (PK) profile.

resultsIn buparlisib + AA arm, 25 patients received buparlisib + AA (median age, 67 years; Eastern Cooperative Oncology Group performance status (ECOG PS) of 0/1/2 for 7/17/1 patients, respectively). At 100 mg qd; two patients experienced dose-limiting toxicities (DLTs) (grade 3 hyperglycaemia; grade 2 asthenia), and this was the maximum buparlisib dose explored. Buparlisib + AA showed a 26% lower median area under the curve from time zero to 24°h (AUC

conclusionsBased on the assessment of available pharmacokinetics, safety, and efficacy data, no further study is planned for either buparlisib or dactolisib in combination with AA in CRPC.

Indexed as

Abiraterone AcetateAgedAged, 80 and overAminopyridinesAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveAstheniaChillsDiarrheaFeverHumansHyperglycemiaImidazolesKallikreinsMaleMaximum Tolerated DoseAbiraterone AcetateAminopyridinesdactolisibImidazolesKallikreinsKLK3 protein, humanMorpholinesNVP-BKM120Prostate-Specific AntigenQuinolinesAbiraterone acetate (AA)Buparlisib (BKM120)Castration-resistant prostate cancer (CRPC)Dactolisib (BEZ235)

Identifiers

PMID28282611
OpenAlexW2597432644

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.