Evidence map›Paper›PMID 28848672›Full record

ArticleESMO open2016

Safety and activity of IT-139, a ruthenium-based compound, in patients with advanced solid tumours: a first-in-human, open-label, dose-escalation phase I study with expansion cohort.

Howard A Burris, Suzanne Bakewell, Johanna C Bendell, Jeffrey Infante, Suzanne F Jones, David R Spigel, Glen J Weiss, Ramesh K Ramanathan, Angela Ogden, Daniel Von Hoff

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in ESMO open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415297 (A Phase I Dose Escalation Study of NKP-1339 Administered on Days 1, 8 and 15 of Each 28-Day Cycle in Patients With Advanced Solid Tumors Refractory to Treatment), which is not on this map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
5.1field-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.

NCT01415297 phase1completednot on this map

A Phase I Dose Escalation Study of NKP-1339 Administered on Days 1, 8 and 15 of Each 28-Day Cycle in Patients With Advanced Solid Tumors Refractory to Treatment

TypeinterventionalSponsorNiiki Pharma Inc.Ran2009 to 2016Enrolled46ConditionsSolid TumorsArmsNKP-1339
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 1 synthesis or guideline pooled it, 151 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Howard A BurrisSarah Cannon Research Institute, Nashville, Tennessee, USA.
Suzanne BakewellIntezyne Technologies, Tampa, Florida, USA. Electronic address: suzanne.bakewell@intezyne.com.
Johanna C BendellSarah Cannon Research Institute, Nashville, Tennessee, USA.
Jeffrey InfanteSarah Cannon Research Institute, Nashville, Tennessee, USA.
Suzanne F JonesSarah Cannon Research Institute, Nashville, Tennessee, USA.
David R SpigelSarah Cannon Research Institute, Nashville, Tennessee, USA.
Glen J WeissCancer Treatment Centers of America, Western Regional Medical Center, Goodyear, Arizona, USA.
Ramesh K RamanathanTranslational Genomics Research Institute, Phoenix, Arizona, USA.
Angela OgdenNovateur Ventures,Vancouver, British Columbia, Canada.
Daniel Von HoffTranslational Genomics Research Institute, Phoenix, Arizona, USA.
Sarah Cannon · USTranslational Genomics Research Institute · USTeledyne Technologies (United States) · USWestern Regional Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis phase I clinical study (NCT01415297) evaluated the safety, tolerability, maximum-tolerated dose (MTD), pharmacokinetics and pharmacodynamics of IT-139 (formerly NKP-1339) monotherapy in patients with advanced solid tumours. IT-139, sodium trans-(tetrachlorobis(1H-indazole)ruthenate(III)), is a novel small molecule that suppresses the stress induction of GRP78 in tumour cells. GRP78 is a key regulator of misfolded protein processing, and its upregulation in tumours is associated with intrinsic and drug-induced resistance.

methodsForty-six patients with advanced solid tumours refractory to treatment received intravenous infusions of IT-139 on days 1, 8 and 15 for every 28 days, and doses were evaluated across nine cohorts at 20, 40, 80, 160, 320, 420, 500, 625 and 780 mg/m

resultsOverall, IT-139 was well tolerated. The treatment-emergent adverse events (AEs) occurring in ≥20% of patients were nausea, fatigue, vomiting, anaemia and dehydration. The majority of patients had AEs that were ≤grade 2, regardless of relationship with the study drug. Of the total 38 efficacy-evaluable patients, one patient with a carcinoid tumour achieved a durable partial response. Nine additional patients achieved stable disease . The MTD was determined to be 625 mg/m

conclusionsIT-139 demonstrated a manageable safety profile at the MTD and modest anti-tumour activity in this study of patients with solid tumours refractory to treatment. The lack of dose-limiting haematological toxicity and the absence of neurotoxicity position IT-139 well for use in combination with a broad spectrum of anticancer drugs. TRIAL REGISTRATION NUMBER: NCT01415297.

Indexed as

drug resistanceGRP78IT-139phase 1ruthenium small molecule

Identifiers

PMID28848672
PMCPMC5548977
OpenAlexW2591076645

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.