Evidence map›Paper›PMID 29420340›Full record

ArticleAnti-cancer drugs2018

Phase I trial of belinostat with cisplatin and etoposide in advanced solid tumors, with a focus on neuroendocrine and small cell cancers of the lung.

Sanjeeve Balasubramaniam, Christophe E Redon, Cody J Peer, Christine Bryla, Min-Jung Lee, Jane B Trepel, Yusuke Tomita, Arun Rajan, Giuseppe Giaccone, William M Bonner and 4 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Anti-cancer drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

37 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Clinical progress and functional modalities of HDAC inhibitor-based combination therapies in cancer treatment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
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  20. Review
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

14 authors at 5 institutions in 2 countries.

Sanjeeve BalasubramaniamMedical Oncology Branch.
Christophe E RedonDevelopmental Therapeutics Branch.
Cody J PeerClinical Pharmacology Program.
Christine BrylaDevelopmental Therapeutics Branch.
Min-Jung LeeDevelopmental Therapeutics Branch.
Jane B TrepelDevelopmental Therapeutics Branch.
Yusuke TomitaDevelopmental Therapeutics Branch.
Arun RajanThoracic and Gastrointestinal Oncology Branch.
Giuseppe GiacconeDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC.
William M BonnerDevelopmental Therapeutics Branch.
William D FiggMedical Oncology Branch.
Tito FojoDepartment of Medicine, Division of Hematology/Oncology, Columbia University/New York Presbyterian Hospital.
Richard L PiekarzCancer Therapy Evaluation Program, National Cancer Institute, Bethesda, Maryland.
Susan E BatesDepartment of Medicine, Division of Hematology/Oncology, Columbia University/New York Presbyterian Hospital.
Institute of Developmental Physiology · RUNewYork–Presbyterian Hospital · USAmerican Society for Gastrointestinal Endoscopy · USGeorgetown University · USNational Cancer Institute · US

Funding

Sample Processing and Analytical Methods Development for New Anticancer AgentsZICSC006536 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI FIGG, WILLIAM DOUGLAS · 2009 to 2025
$18.1M
Using Clinical Pharmacology Principles to Develop New Anticancer TherapiesZICSC006537 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI FIGG, WILLIAM DOUGLAS · 2009 to 2025
$14.4M
Signal Transduction Events and the Regulation of Cell GrowthZICSC006743 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI TREPEL, JANE B · 2009 to 2023
$13.8M
Intramural NIH HHS ZIC SC006537
6 · The paper itself

Abstract

The standard-of-care for advanced small cell lung cancer (SCLC) is chemotherapy with cisplatin+etoposide (C+E). Most patients have chemosensitive disease at the outset, but disease frequently relapses and limits survival. Efforts to improve therapeutic outcomes in SCLC and other neuroendocrine cancers have focused on epigenetic agents, including the histone deacetylase inhibitor belinostat. The primary objective was to determine the maximum tolerated dose of the combination of belinostat (B) with C+E. Belinostat was administered as a 48-h continuous intravenous infusion on days 1-2; cisplatin was administered as a 1-h intravenous infusion on day 2; and etoposide was administered as a 1-h intravenous infusion on days 2, 3, and 4. Twenty-eight patients were recruited in this single-center study. The maximum tolerated dose was belinostat 500 mg/m/24 h, cisplatin 60 mg/m, and etoposide 80 mg/m. The combination was safe, although some patients were more susceptible to adverse events. Hematologic toxicities were most commonly observed. Objective responses were observed in 11 (39%) of 28 patients and seven (47%) of 15 patients with neuroendocrine tumors (including SCLC). Patients carrying more than three copies of variant UGT1A1 (*28 and *60) had higher serum levels of belinostat because of slower clearance. DNA damage peaked at 36 h after the initiation of belinostat, as did global lysine acetylation, but returned to baseline 12 h after the end of infusion. The combination of B+C+E is safe and active in SCLC and other neuroendocrine cancers. Future phase II studies should consider genotyping patients for UGT1A1*28 and UGT1A1*60 and to identify patients at an increased risk of adverse events.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCisplatinEtoposideFemaleGlucuronosyltransferaseHistone Deacetylase InhibitorsHistonesHumansHydroxamic AcidsInfusions, IntravenousLung NeoplasmsMaleMaximum Tolerated DoseMiddle AgedbelinostatCisplatinEtoposideGlucuronosyltransferaseH2AX protein, humanHistone Deacetylase InhibitorsHistonesHydroxamic AcidsSulfonamidesUGT1A1 Enzyme

Identifiers

PMID29420340
PMCPMC6631369
OpenAlexW2793068978

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.