Evidence map›Paper›PMID 28368437›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2017

Phase II randomized study of PM01183 versus topotecan in patients with platinum-resistant/refractory advanced ovarian cancer.

A Poveda, J M Del Campo, I Ray-Coquard, J Alexandre, M Provansal, E M Guerra Alía, A Casado, A Gonzalez-Martin, C Fernández, I Rodriguez and 7 more

Open access · bronzeAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  5. Multicenter Phase II Study of Lurbinectedin in BRCA-Mutated and Unselected Metastatic Advanced Breast Cancer and Biomarker Assessment Substudy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Trial
  6. Review
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  11. Exceptional response to lurbinectedin and irinotecan inTherapeutic advances in chronic disease · 2022
    Article
  12. Review
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  19. Cell proliferation inhibitors and apoptosis promoters.EJC supplements : EJC : official journal of EORTC, European Organization for Research and Treatment of Cancer ... [et al.] · 2020
    Article
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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

17 authors at 10 institutions in 3 countries.

A PovedaDepartment of Gynecologic Oncology, Instituto Valenciano de Oncología, Valencia.
J M Del CampoDepartment of Medical Oncology, Hospital Vall d'Hebrón, Barcelona, Spain.
I Ray-CoquardDepartment of Medical Oncology, Centre Léon Bérard and University Claude Bernard, GINECO Group, Lyon.
J AlexandreDepartment of Medical Oncology, Paris Descartes University, GH Cochin Hôtel Dieu, Paris.
M ProvansalDepartment of Medical Oncology, Institut Paoli Calmettes Marseille, France.
E M Guerra AlíaDepartment of Medical Oncology, Hospital Ramón y Cajal, Madrid.
A CasadoDepartment of Medical Oncology, Hospital Clínico Universitario San Carlos, Madrid.
A Gonzalez-MartinDepartment of Medical Oncology, M.D. Anderson Cancer Center, Madrid.
C FernándezClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
I RodriguezClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
A SotoClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
C KahattClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
C Fernández TeruelClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
C M GalmariniClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
A Pérez de la HazaClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
P BohanClinical R&D, Pharma Mar, S.A, Colmenar Viejo, Madrid, Spain.
D Berton-RigaudDepartment of Oncology, Institut de Cancérologie de l'Ouest, Centre René Gauducheau, Nantes-Saint Herblain, France.
PharmaMar (Spain) · ESFundación Instituto Valenciano de Oncología · ESHospital Clínico San Carlos · ESHospital Universitario Ramón y Cajal · ESInstitut de Cancérologie de l'Ouest · FRInstitut Paoli-Calmettes · FRThe University of Texas MD Anderson Cancer Center · USUniversité Claude Bernard Lyon 1 · FRUniversité Paris Cité · FRVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPM01183 is a new compound that blocks active transcription, produces DNA breaks and apoptosis, and affects the inflammatory microenvironment. PM01183 showed strong antitumor activity in preclinical models of cisplatin-resistant epithelial ovarian cancer. PATIENTS AND

methodsPatients with platinum-resistant/refractory ovarian cancer were included in a two-stage, controlled, randomized (in a second stage), multicenter, phase II study. Primary endpoint was overall response rate (ORR) by RECIST and/or GCIG criteria. The exploratory first stage (n = 22) confirmed the activity of PM01183 as a single agent at 7.0 mg flat dose every 3 weeks (q3wk). The second stage (n = 59) was randomized and controlled with topotecan on days 1-5 q3wk or weekly (every 4 weeks, q4wk).

resultsORR was 23% (95% CI, 13%-37%) for 52 PM01183-treated patients. Median duration of response was 4.6 months (95% CI, 2.5-6.9 months), and 23% (95% CI, 0%-51%) of responses lasted 6 months or more. Ten of the 12 confirmed responses were reported for 33 patients with platinum-resistant disease [ORR = 30% (95% CI, 16%-49%)]; for the 29 patients treated with topotecan in the second stage, no responses were found. Median PFS for all PM01183-treated patients was 4.0 months (95% CI, 2.7-5.6 months), and 5.0 months (95% CI, 2.7-6.9 months) for patients with platinum-resistant disease. Grade 3/4 neutropenia in 85% of patients; febrile neutropenia in 21% and fatigue (grade 3 in 35%) were the principal safety findings for PM01183.

conclusionPM01183 is an active drug in platinum-resistant/refractory ovarian cancer and warrants further development. The highest activity was observed in platinum-resistant disease. Its safety profile indicates the dose should be adjusted to body surface area (mg/m2). TRIAL CODE: EudraCT 2011-002172-16.

Indexed as

AgedAntineoplastic AgentsCarbolinesFemaleHeterocyclic Compounds, 4 or More RingsHumansOvarian NeoplasmsPlatinumTopotecanAntineoplastic AgentsCarbolinesHeterocyclic Compounds, 4 or More RingsPlatinumPM 01183Topotecanlurbinectedinovarian cancerplatinum resistanttopotecan

Identifiers

PMID28368437
PMCPMC5452066
OpenAlexW2597990073

What OpenQuestion holds

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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.