Evidence map›Paper›PMID 28357727›Full record

ArticleTargeted oncology2017

A Phase Ib Study of the Dual PI3K/mTOR Inhibitor Dactolisib (BEZ235) Combined with Everolimus in Patients with Advanced Solid Malignancies.

Trisha M Wise-Draper, Ganesh Moorthy, Mohamad A Salkeni, Nagla Abdel Karim, Hala Elnakat Thomas, Carol A Mercer, M Shalaan Beg, Sue O'Gara, Olugbenga Olowokure, Hassana Fathallah and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Targeted oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01508104 (A Dose Escalation, Single Arm, Phase 1b-2 Combination Study of BEZ235 With Everolimus to Determine the Safety, Pharmacodynamics and Pharmacokinetics in Subjects With Advanced Solid Malignancies), which is not on this map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
4.9field-weighted citation impact, top 4% 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.

NCT01508104 phase1terminatednot on this map

A Dose Escalation, Single Arm, Phase 1b-2 Combination Study of BEZ235 With Everolimus to Determine the Safety, Pharmacodynamics and Pharmacokinetics in Subjects With Advanced Solid Malignancies

TypeinterventionalSponsorUniversity of CincinnatiRan2012 to 2014Enrolled19ConditionsCancerArmsBEZ235, Everolimus
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 113 citations in OpenAlex.

  1. Trial
  2. Article
  3. The impact of the PI3K/AKT/mTOR signaling pathway on trastuzumab resistance in HER2-positive gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Targeted Treatment against Cancer Stem Cells in Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  15. PI3K/Akt/mTOR Signaling Pathway as a Target for Colorectal Cancer Treatment.International journal of molecular sciences · 2024
    Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Everolimus-induced hyperpermeability of endothelial cells causes lung injury.Experimental biology and medicine (Maywood, N.J.) · 2023
    Article

15 more citing papers are in PubMed but not listed here.

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

15 authors at 4 institutions in 2 countries.

Trisha M Wise-DraperDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Ganesh MoorthyDivision of Pharmaceutical Sciences, University of Cincinnati, Cincinnati, OH, 45267, USA.
Mohamad A SalkeniDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Nagla Abdel KarimDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Hala Elnakat ThomasDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Carol A MercerDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
M Shalaan BegDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Sue O'GaraDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Olugbenga OlowokureDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Hassana FathallahDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Sara C KozmaDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
George ThomasDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Olivier RixeDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA.
Pankaj DesaiDivision of Pharmaceutical Sciences, University of Cincinnati, Cincinnati, OH, 45267, USA. pankaj.desai@uc.edu.
John C MorrisDivision of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, 45267, USA. morri2j7@ucmail.uc.edu.
University of Cincinnati · USDuran i Reynals Hospital · ESThe University of Texas Southwestern Medical Center · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combination of everolimus and the imidazoquinoline derivative, BEZ235 (dactolisib), a dual PI3K/mTOR inhibitor, demonstrated synergy in a preclinical model.

objectiveTo establish clinical feasibility, a phase Ib dose-escalation trial investigating safety and pharmacokinetics of this combination in patients with advanced tumors was performed. PATIENTS AND

methodsBEZ235 was orally administered daily in escalating doses of 200, 400, and 800 mg along with everolimus at 2.5 mg daily in 28-day cycles. Nineteen patients were enrolled. Adverse events and tumor responses were evaluated using CTCAE v4.0 and RECIST 1.1, respectively. Pharmacokinetic analyses were performed.

resultsCommon toxicities observed included fatigue, diarrhea, nausea, mucositis, and elevated liver enzymes. No confirmed responses were observed. BEZ235 pharmacokinetics exhibited dose-proportional increases in C

conclusionsThe combination of BEZ235 and everolimus demonstrated limited efficacy and tolerance. BEZ235 systemic exposure increased in a dose-proportional manner while oral bioavailability was quite low, which may be related to gastrointestinal-specific toxicity. The changes in steady-state pharmacokinetics of everolimus with BEZ235 highlight potential drug-drug interactions when these two drugs are administered together. Clinicaltrials.gov: NCT01508104.

Indexed as

Administration, OralAdultAgedAntineoplastic Combined Chemotherapy ProtocolsDrug Evaluation, PreclinicalDrug SynergismEverolimusFemaleHumansImidazolesMaleMaximum Tolerated DoseMiddle AgedNeoplasmsNeoplasm StagingPhosphatidylinositol 3-KinasesdactolisibEverolimusImidazolesPhosphatidylinositol 3-KinasesQuinolinesTOR Serine-Threonine Kinases

Identifiers

PMID28357727
PMCPMC5447332
OpenAlexW2600787041

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.