Evidence map›Paper›PMID 29579325›Full record

Trial reportCancer2018

A phase 2 study of the PARP inhibitor veliparib plus temozolomide in patients with heavily pretreated metastatic colorectal cancer.

Michael J Pishvaian, Rebecca S Slack, Wei Jiang, A Ruth He, Jimmy J Hwang, Amy Hankin, Karen Dorsch-Vogel, Divyesh Kukadiya, Louis M Weiner, John L Marshall and 1 more

Erratum issuedOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 6% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Targeted Treatment against Cancer Stem Cells in Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  12. PARP Inhibitors in Colorectal Malignancies: A 2023 Update.Reviews on recent clinical trials · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Michael J PishvaianLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.ORCID 0000-0002-1165-9041
Rebecca S SlackThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Wei JiangCarolinas Medical Center, Charlotte, North Carolina.
A Ruth HeLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Jimmy J HwangCarolinas Medical Center, Charlotte, North Carolina.
Amy HankinLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Karen Dorsch-VogelLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Divyesh KukadiyaLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Louis M WeinerLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
John L MarshallLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
Jonathan R BrodyJefferson Pancreas, Biliary, and Related Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.
Georgetown University · USCarolinas Medical Center · USThe University of Texas MD Anderson Cancer Center · USThomas Jefferson University · US

Funding

Targeting HuR to improve a synthetic lethal therapy for pancreatic cancerR01CA212600 · NCI · THOMAS JEFFERSON UNIVERSITY · PI BRODY, JONATHAN · 2017 to 2021
$1.9M
NCI NIH HHS R01 CA212600
6 · The paper itself

Abstract

backgroundPoly(adenosine diphosphate ribose) polymerase (PARP) inhibitors such as veliparib are potent sensitizing agents and have been safely combined with DNA-damaging agents such as temozolomide. The sensitizing effects of PARP inhibitors are magnified when cells harbor DNA repair defects.

methodsA single-arm, open-label, phase 2 study was performed to investigate the disease control rate (DCR) after 2 cycles of veliparib plus temozolomide in patients with metastatic colorectal cancer (mCRC) refractory to all standard therapies. Fifty patients received temozolomide (150 mg/m

resultsThe combination was well tolerated, although some patients required dose reductions for myelosuppression. The primary endpoint was successfully met with a DCR of 24% and 2 confirmed partial responses. The median progression-free survival was 1.8 months, and the median overall survival was 6.6 months. PTEN protein expression and MGMT protein expression were not predictors of DCR. There was also a suggestion of worse outcomes for patients with dMMR tumors.

conclusionsIn this heavily pretreated mCRC population, a combination of veliparib and temozolomide was well tolerated with temozolomide doses up to 200 mg/m

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesChemotherapy, AdjuvantColectomyColorectal NeoplasmsDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansMaleMiddle AgedPoly(ADP-ribose) Polymerase InhibitorsProctectomyProspective StudiesBenzimidazolesPoly(ADP-ribose) Polymerase InhibitorsTemozolomideveliparibcolorectal cancermismatch repair genesO(6)-methylguanine-DNA methyltransferase (MGMT)phosphatase and tensin homolog deleted on chromosome 10 (PTEN)temozolomideveliparib

Identifiers

PMID29579325
PMCPMC5992024
OpenAlexW2794157907

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.