Evidence map›Paper›PMID 30279233›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2019

A Phase I/II Study of Evofosfamide, A Hypoxia-activated Prodrug with or without Bortezomib in Subjects with Relapsed/Refractory Multiple Myeloma.

Jacob P Laubach, Chia-Jen Liu, Noopur S Raje, Andrew J Yee, Philippe Armand, Robert L Schlossman, Jacalyn Rosenblatt, Jacquelyn Hedlund, Michael Martin, Craig Reynolds and 14 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.6field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Drug and Clinical Candidate Drug Data in ChEMBL.Journal of medicinal chemistry · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Recent advances in targeted drug delivery systems for multiple myeloma.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Targeting hypoxia in solid and haematological malignancies.Journal of experimental & clinical cancer research : CR · 2022
    Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

24 authors at 1 institution in 1 country.

Jacob P LaubachDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Chia-Jen LiuDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Noopur S RajeMassachusetts General Hospital, Boston, Massachusetts.
Andrew J YeeMassachusetts General Hospital, Boston, Massachusetts.
Philippe ArmandDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Robert L SchlossmanDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Jacalyn RosenblattBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Jacquelyn HedlundBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Michael MartinBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Craig ReynoldsBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Kenneth H ShainMoffitt Cancer Center, Tampa, Florida.
Ira ZackonBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Laura StamplemanBlood Cancer Research Partnership (BCRP), Boston, Massachusetts.
Patrick HenrickDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Bradley RivottoDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Kalvis T V HornburgDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Henry J DumkeDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Stacey ChumaDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Alexandra SavellDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Damian R HandisidesThreshold Pharmaceuticals, South San Francisco, California.
Stew KrollThreshold Pharmaceuticals, South San Francisco, California.
Kenneth C AndersonDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Paul G RichardsonDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts. irene_ghobrial@dfci.harvard.edu paul_richardson@dfci.harvard.edu.
Irene M GhobrialDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts. irene_ghobrial@dfci.harvard.edu paul_richardson@dfci.harvard.edu.
Massachusetts General Hospital · US

Funding

Stroma-mediated clonal evolution in Multiple MyelomaR01CA181683 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2014 to 2018
$1.8M
CXCR4 regulation of tumor progression in Multiple MyelomaR01CA125690 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2012
$1.6M
Targeting cell trafficking as a new therapeutic modality for Multiple MyelomaR01CA133799 · NCI · DANA-FARBER CANCER INST · PI GHOBRIAL, IRENE M. · 2008 to 2011
$1.4M
NCI NIH HHS R01 CA125690NCI NIH HHS R01 CA133799NCI NIH HHS R01 CA181683
6 · The paper itself

Abstract

purposeThe presence of hypoxia in the diseased bone marrow presents a new therapeutic target for multiple myeloma. Evofosfamide (formerly TH-302) is a 2-nitroimidazole prodrug of the DNA alkylator, bromo-isophosphoramide mustard, which is selectively activated under hypoxia. This trial was designed as a phase I/II study investigating evofosfamide in combination with dexamethasone, and in combination with bortezomib and dexamethasone in relapsed/refractory multiple myeloma. PATIENTS AND

methodsFifty-nine patients initiated therapy, 31 received the combination of evofosfamide and dexamethasone, and 28 received the combination of evofosfamide, bortezomib, and dexamethasone. Patients were heavily pretreated with a median number of prior therapies of 7 (range: 2-15). All had previously received bortezomib and immunomodulators. The MTD, treatment toxicity, and efficacy were determined.

resultsThe MTD was established at 340 mg/m

conclusionsEvofosfamide can be administered at 340 mg/m

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBortezomibDisease ProgressionDrug Resistance, NeoplasmFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultiple MyelomaNeoplasm Recurrence, LocalNeoplasm StagingNitroimidazolesPhosphoramide MustardsBortezomibNitroimidazolesPhosphoramide MustardsTH 302

Identifiers

PMID30279233
PMCPMC6335171
OpenAlexW2894596467

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.