Evidence map›Paper›PMID 29438372›Full record

ArticleBritish journal of cancer2018

A phase I trial of the γ-secretase inhibitor MK-0752 in combination with gemcitabine in patients with pancreatic ductal adenocarcinoma.

Natalie Cook, Bristi Basu, Donna-Michelle Smith, Aarthi Gopinathan, Jeffry Evans, William P Steward, Daniel Palmer, David Propper, Balaji Venugopal, Mirela Hategan and 9 more

Open access · hybridAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
6.2field-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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Immunosuppressive JAG2Cancer communications (London, England) · 2025
    Article
  11. Decoding the NRF2-NOTCH Crosstalk in Lung Cancer-An Update.Antioxidants (Basel, Switzerland) · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. Article
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  18. Review
  19. Recent advances in drug delivery and targeting for the treatment of pancreatic cancer.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
  20. Review

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

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

19 authors at 11 institutions in 2 countries.

Natalie CookCancer Research UK, Cambridge Research Institute, University of Cambridge Robinson Way, Cambridge CB2 0RE, UK.
Bristi BasuCancer Research UK, Cambridge Research Institute, University of Cambridge Robinson Way, Cambridge CB2 0RE, UK.
Donna-Michelle SmithCancer Research UK, Cambridge Research Institute, University of Cambridge Robinson Way, Cambridge CB2 0RE, UK.
Aarthi GopinathanCancer Research UK, Cambridge Research Institute, University of Cambridge Robinson Way, Cambridge CB2 0RE, UK.
Jeffry EvansBeatson West of Scotland Cancer Centre, University of Glasgow, Glasgow G12 0YN, United Kingdom.
William P StewardDepartment of Oncology, University of Leicester, Leicester LE2 7LX, UK.
Daniel PalmerClatterbridge Cancer Centre, Clatterbridge Road, Bebington, Wirral CH63 4JY, UK.
David PropperBart's Cancer Institute, Queen Mary University of London EC1M 6BQ, London, UK.
Balaji VenugopalCancer Research UK, Centre for Drug Development, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
Mirela HateganAddenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0RE, UK.
D Alan AnthoneySt James Institute of Oncology, University of Leeds & Leeds Teaching Hospitals Trust, Leeds LS9 7TF, UK.
Lisa V HampsonDepartment of Mathematics and Statistics, Fylde College, Lancaster University, Lancaster LA1 4YF, UK.
Michael NebozhynMerck & Co., Inc., Kenilworth, NJ 07033, USA.
David TuvesonCold Spring Harbor Laboratories, Cold Spring Harbor, NY 11724, USA.
Hayley Farmer-HallCancer Research UK, Centre for Drug Development, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
Helen TurnerCancer Research UK, Centre for Drug Development, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
Robert McLeodCancer Research UK, Centre for Drug Development, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
Sarah HalfordCancer Research UK, Centre for Drug Development, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
Duncan JodrellCancer Research UK, Cambridge Research Institute, University of Cambridge Robinson Way, Cambridge CB2 0RE, UK.
Cancer Research UK · GBAddenbrooke's Hospital · GBUniversity of Cambridge · GBClatterbridge Cancer Centre NHS Foundation Trust · GBCold Spring Harbor Laboratory · USLancaster University · GBLeeds Teaching Hospitals NHS Trust · GBMerck & Co., Inc., Rahway, NJ, USA (United States) · USQueen Mary University of London · GBUniversity of Glasgow · GBUniversity of Leicester · GB

Funding

Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI John Edward Moses · 1987 to 2026
$118.9M
Cancer Research UK 10126Cancer Research UK 11650Cancer Research UK 12946Cancer Research UK 15678Cancer Research UK 20409NCI NIH HHS P30 CA045508
6 · The paper itself

Abstract

backgroundThe Notch pathway is frequently activated in cancer. Pathway inhibition by γ-secretase inhibitors has been shown to be effective in pre-clinical models of pancreatic cancer, in combination with gemcitabine.

methodsA multi-centre, non-randomised Bayesian adaptive design study of MK-0752, administered per os weekly, in combination with gemcitabine administered intravenously on days 1, 8 and 15 (28 day cycle) at 800 or 1000 mg m

resultsOverall, 44 eligible patients (performance status 0 or 1 with adequate organ function) received gemcitabine and MK-0752 as first or second line treatment for pancreatic cancer. RP2Ds of MK-0752 and gemcitabine as single agents could be combined safely. The Bayesian algorithm allowed further dose escalation, but pharmacokinetic analysis showed no increase in MK-0752 AUC (area under the curve) beyond 1800 mg once weekly. Tumour response evaluation was available in 19 patients; 13 achieved stable disease and 1 patient achieved a confirmed partial response.

conclusionsGemcitabine and a γ-secretase inhibitor (MK-0752) can be combined at their full, single-agent RP2Ds.

Indexed as

AdultAgedAmyloid Precursor Protein SecretasesAntineoplastic Combined Chemotherapy ProtocolsBayes TheoremBenzene DerivativesCarcinoma, Pancreatic DuctalDeoxycytidineDrug Administration ScheduleFemaleGemcitabineHumansInfusions, IntravenousMaleMiddle AgedPancreatic Neoplasms3-(4-((4-chlorophenyl)sulfonyl)-4-(2,5-difluorophenyl)cyclohexyl)propanoic acidAmyloid Precursor Protein SecretasesBenzene DerivativesDeoxycytidineGemcitabinePropionatesReceptors, NotchSulfones

Identifiers

PMID29438372
PMCPMC5877439
OpenAlexW2787162962

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.