Evidence map›Paper›PMID 30088048›Full record

ArticleCancer chemotherapy and pharmacology2018

A phase I study to assess afatinib in combination with carboplatin or with carboplatin plus paclitaxel in patients with advanced solid tumors.

Mary E R O'Brien, Debashis Sarker, Jaishree Bhosle, Kiruthikah Thillai, Timothy A Yap, Martina Uttenreuther-Fischer, Karine Pemberton, Xidong Jin, Sabrina Wiebe, Johann de Bono and 1 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00809133 (A Phase I Open Label Trial of Continuous Dosing With BIBW 2992 Combined With Paclitaxel and BIBW 2992 Combined With Paclitaxel and Bevacizumab, BIBW 2992 Combined With Carboplatin and BIBW 2992 Combined With Paclitaxel and Carboplatin in Patients With Advanced Solid Tumours), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT00809133 phase1completednot on this map

A Phase I Open Label Trial of Continuous Dosing With BIBW 2992 Combined With Paclitaxel and BIBW 2992 Combined With Paclitaxel and Bevacizumab, BIBW 2992 Combined With Carboplatin and BIBW 2992 Combined With Paclitaxel and Carboplatin in Patients With Advanced Solid Tumours

TypeinterventionalSponsorBoehringer IngelheimRan2007 to 2015Enrolled83ConditionsNeoplasmsArmsPaclitaxel, Carboplatin, BIBW 2992, BIBW2992, Bevacizumab
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Review
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

11 authors.

Mary E R O'BrienRoyal Marsden NHS Foundation Trust, Downs Road, Sutton, UK.
Debashis SarkerKing's College London, Guy's Hospital, 3rd Floor Bermondsey Wing, London, UK.
Jaishree BhosleRoyal Marsden NHS Foundation Trust, Downs Road, Sutton, UK.
Kiruthikah ThillaiKing's College London, Guy's Hospital, 3rd Floor Bermondsey Wing, London, UK.
Timothy A YapRoyal Marsden NHS Foundation Trust, Downs Road, Sutton, UK.
Martina Uttenreuther-FischerBoehringer Ingelheim International GmbH, Biberach, Germany.
Karine PembertonBoehringer Ingelheim Ltd, Bracknell, UK.
Xidong JinBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Sabrina WiebeBoehringer Ingelheim International GmbH, Biberach, Germany.
Johann de BonoRoyal Marsden NHS Foundation Trust, Downs Road, Sutton, UK.
James SpicerKing's College London, Guy's Hospital, 3rd Floor Bermondsey Wing, London, UK. james.spicer@kcl.ac.uk.

Funding

Cancer Research UK 18887Department of Health
6 · The paper itself

Abstract

purposeAfatinib, an irreversible ErbB family blocker, has demonstrated preclinical antitumor activity with chemotherapy.

methodsAs part of a phase I trial in patients with advanced solid tumors (NCT00809133; 3 + 3 dose-escalation design), we determined the maximum tolerated dose (MTD) of afatinib with carboplatin (A/C) or with carboplatin plus paclitaxel (A/C/P). Starting doses: afatinib 20 mg/day, carboplatin AUC6 (A/C) with paclitaxel 175 mg/m

resultsThirty-eight patients received A/C (n = 12) or A/C/P (n = 26). No dose-limiting toxicities (DLTs) were reported with A(20 mg)/C(AUC6). One patient experienced DLT in the A(40 mg)/C(AUC6) cohort (grade 3 acneiform rash); A(40 mg)/C(AUC6) was determined as the recommended phase II dose (RP2D) for A/C. Two patients each had DLTs with A(20 mg/day)/C(AUC6)/P(175 mg/m

conclusionsAfatinib 40 mg/day (approved monotherapy dose) with carboplatin AUC6, and afatinib 20 mg/day with carboplatin AUC5 and paclitaxel 175 mg/m

Indexed as

AfatinibAntineoplastic Combined Chemotherapy ProtocolsCarboplatinDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPaclitaxelTreatment OutcomeAfatinibCarboplatinPaclitaxelAfatinibCarboplatinPaclitaxelPhase ISolid tumors

Identifiers

PMID30088048
PMCPMC6182763

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Registered trials

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.