Evidence map›Paper›PMID 29788497›Full record

ArticleNeuro-oncology2018

A study of the focal adhesion kinase inhibitor GSK2256098 in patients with recurrent glioblastoma with evaluation of tumor penetration of [11C]GSK2256098.

Nicholas F Brown, Matthew Williams, Hendrik-Tobias Arkenau, Ronald A Fleming, Jerry Tolson, Li Yan, Jianping Zhang, Rajendra Singh, Kurt R Auger, Laurie Lenox and 7 more

Erratum issuedOpen access · bronzeAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Neuro-oncology, 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 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Beyond DNA damage: 3D tumor models and the integrin mechanobiology of radioresistance.Journal of experimental & clinical cancer research : CR · 2026
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  17. New Insights on the Nuclear Functions and Targeting of FAK in Cancer.International journal of molecular sciences · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Nicholas F BrownNIHR UCLH Clinical Research Facility, University College London Hospitals NHS Foundation Trust, London, UK.
Matthew WilliamsComputational Oncology Lab, Institute of Global Health Innovation, South Kensington Campus, Imperial College, London, UK.
Hendrik-Tobias ArkenauDepartment of Oncology, UCL Cancer Institute, London, UK.
Ronald A FlemingGlaxoSmithKline, Research Triangle Park, Durham, North Carolina, USA.
Jerry TolsonGlaxoSmithKline, Research Triangle Park, Durham, North Carolina, USA.
Li Yan
Jianping ZhangPAREXEL International, Durham, North Carolina, USA.
Rajendra SinghGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Kurt R AugerGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Laurie LenoxGlaxoSmithKline, Collegeville, Pennsylvania, USA.
David CoxGlaxoSmithKline Research & Development Ltd, Uxbridge, UK.
Yvonne LewisGlaxoSmithKline, Collegeville, Pennsylvania, USA.
Christophe PlissonImanova Ltd, Centre for Imaging Sciences, London, UK.
Graham SearleImanova Ltd, Centre for Imaging Sciences, London, UK.
Azeem SaleemImanova Ltd, Centre for Imaging Sciences, London, UK.
Sarah BlagdenNIHR/Wellcome Trust Imperial CRF, Imperial Centre for Translational and Experimental Medicine, Hammersmith Hospital, London, UK.
Paul MulhollandNIHR UCLH Clinical Research Facility, University College London Hospitals NHS Foundation Trust, London, UK.
GlaxoSmithKline (United States) · USResearch Triangle Park Foundation · USUniversity College London Hospitals NHS Foundation Trust · GBCharing Cross Hospital · GBGlaxoSmithKline (United Kingdom) · GBHammersmith Hospital · GBPAREXEL International (United States) · USSarah Cannon Research Institute · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: GSK2256098 is a novel oral focal adhesion kinase (FAK) inhibitor. Preclinical studies demonstrate growth inhibition in glioblastoma cell lines. However, rodent studies indicate limited blood-brain barrier (BBB) penetration. In this expansion cohort within a phase I study, the safety, tolerability, pharmacokinetics (PK), and clinical activity of GSK2256098 were evaluated in patients with recurrent glioblastoma. Biodistribution and kinetics of [11C]GSK2256098 were assessed in a substudy using positron-emission tomography (PET). Methods: Patients were treated with GSK2256098 until disease progression or withdrawal due to adverse events (AEs). Serial PK samples were collected on day 1. On a single day between days 9 and 20, patients received a microdose of intravenous [11C]GSK2256098 and were scanned with PET over 90 minutes with parallel PK sample collection. Response was assessed by MRI every 6 weeks. Results: Thirteen patients were treated in 3 dose cohorts (1000 mg, 750 mg, 500 mg; all dosed twice daily). The maximum tolerated dose was 1000 mg twice daily. Dose-limiting toxicities were related to cerebral edema. Treatment-related AEs (>25%) were diarrhea, fatigue, and nausea. Eight patients participated in the PET substudy, with [11C]GSK2256098 VT (volume of distribution) estimates of 0.9 in tumor tissue, 0.5 in surrounding T2 enhancing areas, and 0.4 in normal brain. Best response of stable disease was observed in 3 patients, including 1 patient on treatment for 11.3 months. Conclusions: GSK2256098 was tolerable in patients with relapsed glioblastoma. GSK2256098 crossed the BBB at low levels into normal brain, but at markedly higher levels into tumor, consistent with tumor-associated BBB disruption. Additional clinical trials of GSK2256098 are ongoing.

Indexed as

AdolescentAdultAgedAminopyridinesCarbon RadioisotopesCohort StudiesFemaleFocal Adhesion Protein-Tyrosine KinasesFollow-Up StudiesGlioblastomaHumansHydroxamic AcidsMaleMaximum Tolerated DoseMiddle AgedNeoplasm Recurrence, LocalAminopyridinesCarbon RadioisotopesFocal Adhesion Protein-Tyrosine KinasesGSK2256098Hydroxamic Acids

Identifiers

PMID29788497
PMCPMC6231205
OpenAlexW2804613528

What OpenQuestion holds

Textmetadata
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.