Evidence map›Paper›PMID 28571114›Full record

Trial reportCPT: pharmacometrics & systems pharmacology2017

Population Modeling Integrating Pharmacokinetics, Pharmacodynamics, Pharmacogenetics, and Clinical Outcome in Patients With Sunitinib-Treated Cancer.

M H Diekstra, A Fritsch, F Kanefendt, J J Swen, Djar Moes, F Sörgel, M Kinzig, C Stelzer, D Schindele, T Gauler and 10 more

Open access · goldAbstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in CPT: pharmacometrics & systems pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Phase III Trial of Adjuvant Sunitinib in Patients with High-Risk Renal Cell Carcinoma: Exploratory Pharmacogenomic Analysis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Therapeutic drug monitoring of oral targeted antineoplastic drugs.European journal of clinical pharmacology · 2021
    Review
  13. Article
  14. Review
  15. Article
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

20 authors at 11 institutions in 3 countries.

M H DiekstraDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
A FritschInstitute of Pharmacy, Clinical Pharmacy, University of Bonn, Bonn, Germany.
F KanefendtInstitute of Pharmacy, Clinical Pharmacy, University of Bonn, Bonn, Germany.
J J SwenDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
Djar MoesDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
F SörgelIBMP - Institute for Biomedical and Pharmaceutical Research, Nürnberg-Heroldsberg, Germany.
M KinzigIBMP - Institute for Biomedical and Pharmaceutical Research, Nürnberg-Heroldsberg, Germany.
C StelzerIBMP - Institute for Biomedical and Pharmaceutical Research, Nürnberg-Heroldsberg, Germany.
D SchindeleDepartment for Urology and Paediatric Urology, University of Magdeburg, Magdeburg, Germany.
T GaulerWest German Cancer Center, University Hospital Essen, Essen, Germany.
S HauserDepartment of Urology, University Hospital Bonn, Bonn, Germany.
D HoutsmaHaga Hospital, Den Haag, The Netherlands.
M RoesslerCESAR Central Office, Vienna, Austria.
B MoritzCESAR Central Office, Vienna, Austria.
K MrossDepartment of Medical Oncology, Tumor Biology Center Freiburg, Freiburg, Germany.
L BergmannCancer-Center Rhein-Main, University Hospital Frankfurt, Frankfurt, Germany.
E OosterwijkDepartment of Urology, Radboud University Nijmegen, Nijmegen, The Netherlands.
L A KiemeneyDepartment of Epidemiology and Biostatistics, Radboud University Nijmegen, Nijmegen, The Netherlands.
H J GuchelaarDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
U JaehdeInstitute of Pharmacy, Clinical Pharmacy, University of Bonn, Bonn, Germany.
Leiden University Medical Center · NLUniversity Hospital Bonn · DEInstitute for Biomedical and Pharmaceutical Research · DECentral Statistical Office · ZMHaga Hospital · NLRadboud University Medical Center · NLRadboud University Nijmegen · NLUniversity Hospital Frankfurt · DEUniversity Hospital Magdeburg · DEUniversity Medical Center Freiburg · DEWest German Heart and Vascular Center Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The tyrosine kinase inhibitor sunitinib is used as first-line therapy in patients with metastasized renal cell carcinoma (mRCC), given in fixed-dose regimens despite its high variability in pharmacokinetics (PKs). Interindividual variability of drug exposure may be responsible for differences in response. Therefore, dosing strategies based on pharmacokinetic/pharmacodynamic (PK/PD) models may be useful to optimize treatment. Plasma concentrations of sunitinib, its active metabolite SU12662, and the soluble vascular endothelial growth factor receptors sVEGFR-2 and sVEGFR-3, were measured in 26 patients with mRCC within the EuroTARGET project and 21 patients with metastasized colorectal cancer (mCRC) from the C-II-005 study. Based on these observations, PK/PD models with potential influence of genetic predictors were developed and linked to time-to-event (TTE) models. Baseline sVEGFR-2 levels were associated with clinical outcome in patients with mRCC, whereas active drug PKs seemed to be more predictive in patients with mCRC. The models provide the basis of PK/PD-guided strategies for the individualization of anti-angiogenic therapies.

Indexed as

Models, BiologicalAdultAgedAged, 80 and overAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily BCarcinoma, Renal CellColorectal NeoplasmsCytochrome P-450 CYP3AFemaleGenotypeHumansIndolesInterleukin-8Kidney NeoplasmsMaleABCB1 protein, humanAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily BCXCL8 protein, humanCYP3A5 protein, humanCytochrome P-450 CYP3AFLT4 protein, humanIndolesInterleukin-8KDR protein, humanProtein Kinase InhibitorsPyrrolesSU 12662SunitinibVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Receptor-2Vascular Endothelial Growth Factor Receptor-3VEGFA protein, human

Identifiers

PMID28571114
PMCPMC5613186
OpenAlexW2766506945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.