Evidence map›Paper›PMID 29512900›Full record

ArticlePediatric blood & cancer2018

Phase 1 trial, pharmacokinetics, and pharmacodynamics of dasatinib combined with crizotinib in children with recurrent or progressive high-grade and diffuse intrinsic pontine glioma.

Alberto Broniscer, Sujuan Jia, Belinda Mandrell, Dima Hamideh, Jie Huang, Arzu Onar-Thomas, Amar Gajjar, Susana C Raimondi, Ruth G Tatevossian, Clinton F Stewart

Abstract readClinical Trial, Phase I
In one paragraph

Article in Pediatric blood & cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Alberto BroniscerDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0001-9646-0463
Sujuan JiaDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Belinda MandrellDepartment of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee.
Dima HamidehDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Jie HuangDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Arzu Onar-ThomasDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Amar GajjarDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Susana C RaimondiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Ruth G TatevossianDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Clinton F StewartDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

backgroundProgressive/recurrent high-grade and diffuse intrinsic pontine gliomas (DIPGs) are fatal. Treatments targeting molecular pathways critical for these cancers are needed.

methodsWe conducted a phase 1 study (rolling-six design) to establish the safety and maximum tolerated dose (MTD) of dasatinib, an oral platelet-derived growth factor receptor A (PDGFRA) inhibitor, and crizotinib, an oral c-Met inhibitor, in such patients. Pharmacokinetics of both agents were performed. Biomarkers of cellular pathway activation in peripheral-blood mononuclear cells (PBMC) were evaluated before and after administration of dasatinib. PDGFRA and MET amplification, and PDGFRA mutations were studied in tumor samples.

resultsTwenty-five patients were enrolled in this study (median age: 11.9 years). Eleven patients had DIPG. Glioblastoma accounted for 40% of cases. Dasatinib at 50 mg/m

conclusionsThis drug combination was poorly tolerated and its activity was minimal. We do not recommend further testing of this combination in children.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsBrain Stem NeoplasmsChildChild, PreschoolCrizotinibDasatinibDisease ProgressionFemaleFollow-Up StudiesGliomaHumansInfantMaleMaximum Tolerated DoseCrizotinibDasatinibchildrenc-Metcrizotinibdasatinibdiffuse intrinsic pontine gliomahigh-grade gliomaPDGFRA

Identifiers

PMID29512900
PMCPMC5980705
OpenAlexW2792724391

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.