Evidence map›Paper›PMID 28817190›Full record

Trial reportCancer2017

A Phase 1 and 2 study of Filanesib alone and in combination with low-dose dexamethasone in relapsed/refractory multiple myeloma.

Jatin J Shah, Jonathan L Kaufman, Jeffrey A Zonder, Adam D Cohen, William I Bensinger, Brandi W Hilder, Selena A Rush, Duncan H Walker, Brian J Tunquist, Kevin S Litwiler and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Kinesin Spindle Protein (KIF11) in Mitosis and Cancer.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Mechanism and regulation of kinesin motors.Nature reviews. Molecular cell biology · 2025
    Review
  5. Review
  6. Article
  7. The two sides of chromosomal instability: drivers and brakes in cancer.Signal transduction and targeted therapy · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Cells · 2021
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

13 authors at 6 institutions in 1 country.

Jatin J ShahDepartment of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Jonathan L KaufmanWinship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Jeffrey A ZonderBarbara Ann Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
Adam D CohenFox Chase Cancer Center, Philadelphia, Pennsylvania.
William I BensingerFred Hutchinson Cancer Research Center, Seattle, Washington.
Brandi W HilderArray BioPharma, Inc, Boulder, Colorado.
Selena A RushArray BioPharma, Inc, Boulder, Colorado.
Duncan H WalkerArray BioPharma, Inc, Boulder, Colorado.
Brian J TunquistArray BioPharma, Inc, Boulder, Colorado.ORCID http://orcid.org/0000-0002-4331-4515
Kevin S LitwilerArray BioPharma, Inc, Boulder, Colorado.
Mieke PtaszynskiArray BioPharma, Inc, Boulder, Colorado.
Robert Z OrlowskiDepartment of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Sagar LonialWinship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Array BioPharma (United States) · USEmory University · USThe University of Texas MD Anderson Cancer Center · USFox Chase Cancer Center · USFred Hutch Cancer Center · USWayne State University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundFilanesib (ARRY-520) is a highly selective inhibitor of kinesin spindle protein, which has demonstrated preclinical antimyeloma activity.

methodsThis open-label Phase 1/2 study determined the maximum tolerated dose of Filanesib administered on Days 1 and 2 of 14-Day Cycles in patients with multiple myeloma (MM) and included expansion cohorts with and without dexamethasone (40 mg/week). Patients in the dose-escalation (N = 31) and Phase 2 single-agent (N = 32) cohorts had received prior bortezomib as well as prior thalidomide and/or lenalidomide. Patients in the Phase 2 Filanesib plus dexamethasone cohort (N = 55) had received prior alkylator therapy and had disease refractory to lenalidomide, bortezomib, and dexamethasone. Prophylactic filgrastim was incorporated during dose escalation and was used throughout Phase 2.

resultsPatients in each cohort had received a median of ≥6 prior therapies. The most common dose-limiting toxicities were febrile neutropenia and mucosal inflammation. In Phase 2, Grade 3 and 4 cytopenias were reported in approximately 50% of patients. Nonhematologic toxicities were infrequent. Phase 2 response rates (partial responses or better) were 16% (single agent) and 15% (Filanesib plus dexamethasone). All responding patients had low baseline levels of α1-acid glycoprotein, a potential selective biomarker.

conclusionsFilanesib 1.50 mg/m

Indexed as

Salvage TherapyAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesDexamethasoneDrug Resistance, NeoplasmFemaleFollow-Up StudiesHumansMaleMaximum Tolerated DoseMiddle AgedMultiple MyelomaNeoplasm Recurrence, LocalDexamethasonefilanesibThiadiazolesdexamethasonefilanesib. kinesinmaximum tolerated dosemultiple myelomapharmacokineticsspindle poles

Identifiers

PMID28817190
PMCPMC5856158
OpenAlexW2746429831

What OpenQuestion holds

Textmetadata
LicenceTDM
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.