Evidence map›Paper›PMID 30033575›Full record

ArticleAmerican journal of hematology2018

Duvelisib, an oral dual PI3K-δ, γ inhibitor, shows clinical activity in indolent non-Hodgkin lymphoma in a phase 1 study.

Ian W Flinn, Manish Patel, Yasuhiro Oki, Steven Horwitz, Francine F Foss, Kerstin Allen, Mark Douglas, Howard Stern, Jennifer Sweeney, Jahnavi Kharidia and 3 more

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

Article in American journal of hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Early Progressing Follicular Lymphoma.Current oncology reports · 2021
    Review
  10. Review
  11. Review
  12. Article
  13. Managing toxicities of phosphatidylinositol-3-kinase (PI3K) inhibitors.Hematology. American Society of Hematology. Education Program · 2020
    Review
  14. Article
  15. Article
  16. Review
  17. Article
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

13 authors at 7 institutions in 1 country.

Ian W FlinnSarah Cannon Research Institute, Nashville, Tennessee.
Manish PatelSarah Cannon Research Institute, Nashville, Tennessee.
Yasuhiro OkiMD Anderson Cancer Center, Houston, Texas.
Steven HorwitzMemorial Sloan Kettering Cancer Center, New York, New York.
Francine F FossYale University Cancer Center, New Haven, Connecticut.
Kerstin AllenInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Mark DouglasInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Howard SternInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Jennifer SweeneyInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Jahnavi KharidiaInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Patrick KellyInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Virginia M KellyInfinity Pharmaceuticals, Inc., Cambridge, Massachusetts.
Brad KahlWashington University, St. Louis, Missouri.
Infinity Pharmaceuticals (United States) · USMemorial Sloan Kettering Cancer Center · USSarah Cannon · USTennessee Oncology · USThe University of Texas MD Anderson Cancer Center · USWashington University in St. Louis · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Infinity PharmaceuticalsNCI NIH HHS P30 CA008748Verastem Inc.
6 · The paper itself

Abstract

Duvelisib (IPI-145) is an oral dual inhibitor of phosphoinositide-3-kinase (PI3K)-δ and -γ in clinical development for the treatment of hematologic malignancies, including indolent non-Hodgkin lymphoma (iNHL). In a Phase 1, open-label study to determine the maximum tolerated dose (MTD), pharmacokinetics, pharmacodynamics, clinical activity, and safety of duvelisib monotherapy in patients with advanced hematologic malignancies, duvelisib was administered at eight dose levels (8-100 mg BID) in a dose-escalation phase (n = 31 evaluable patients). Two dose-limiting toxicities (DLTs), Grade 3 transaminase elevations and Grade 3 rash, occurred at 100 mg BID, and the MTD was determined to be 75 mg BID. Across all doses, 58.1% of iNHL patients had a response (19.4% complete, 35.5% partial, and 3.2% minor); median time to response was 1.84 months and duration of response was 16.9 months. Median progression-free survival was 14.7 months, and the probability of overall survival at 24 months was 71.7%. Severe (Grade ≥ 3) adverse events included elevated liver enzymes (38.7%), diarrhea (25.8%), and neutropenia (29.0%). Three patients, all in the 75 mg BID cohort, experienced fatal AEs: E. coli sepsis, acute respiratory failure, and fungal pneumonia. No iNHL patients experienced Pneumocystis pneumonia. Duvelisib demonstrated favorable clinical activity and an acceptable safety profile in these high-risk, heavily pretreated, relapsed/refractory iNHL patients, with 25 mg BID selected for further clinical development.

Indexed as

AdultAgedExanthemaFemaleHumansIsoquinolinesLymphoma, Non-HodgkinMaleMaximum Tolerated DoseMiddle AgedPhosphoinositide-3 Kinase InhibitorsPurinesSurvival AnalysisTransaminasesTreatment OutcomeduvelisibIsoquinolinesPhosphoinositide-3 Kinase InhibitorsPurinesTransaminases

Identifiers

PMID30033575
PMCPMC6220789
OpenAlexW2883482938

What OpenQuestion holds

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LicenceCC BY-NC
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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.