Evidence map›Paper›PMID 30394521›Full record

ArticleCancer2018

A study of axitinib, a VEGF receptor tyrosine kinase inhibitor, in children and adolescents with recurrent or refractory solid tumors: A Children's Oncology Group phase 1 and pilot consortium trial (ADVL1315).

James I Geller, Elizabeth Fox, Brian K Turpin, Stuart L Goldstein, Xiaowei Liu, Charles G Minard, Rachel A Kudgus, Joel M Reid, Stacey L Berg, Brenda J Weigel

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

Article 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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.8field-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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Erratum issued
    Erratum.2019 · Abstract corrected
5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

James I GellerCancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
Elizabeth FoxDevelopmental Therapeutics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Brian K TurpinCancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
Stuart L GoldsteinCancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
Xiaowei LiuChildren's Oncology Group, Monrovia, California.
Charles G MinardDan L, Duncan Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, Texas.
Rachel A KudgusDepartment of Oncology Research, Mayo Clinic, Rochester, Minnesota.
Joel M ReidDepartment of Oncology Research, Mayo Clinic, Rochester, Minnesota.
Stacey L BergDan L, Duncan Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, Texas.
Brenda J WeigelDepartment of Pediatrics, Masonic Children's Hospital, University of Minnesota Medical Center, Minneapolis, Minnesota.
Cincinnati Children's Hospital Medical Center · USHouston Institute for Clinical Research · USWinnMed · USChildren's Hospital of Philadelphia · USChildren's Oncology Group · USUniversity of Cincinnati · USUniversity of Minnesota Medical Center · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
PEP-CTN EHR to RAVE supplementUM1CA228823 · NCI · PUBLIC HEALTH INSTITUTE · PI Elizabeth Fox · 2018 to 2026
$39.6M
Pediatric Phase 1/Pilot ConsortiumUM1CA097452 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI WEIGEL, BRENDA J. · 2009 to 2018
$17.7M
Champions FORE ChildrenChildren's Oncology Group FoundationComprehensive Cancer CenterCookies for Kids' Cancer FoundationMayo ClinicMayo Clinic Comprehensive Cancer Center P30 CA15083-43Mayo Clinic Comprehensive Cancer Center Grant P30 CA15083-43NCI NIH HHS UM1 CA097452NCI NIH HHS UM1 CA228823NIH HHS
6 · The paper itself

Abstract

backgroundAxitinib is an oral small molecule that inhibits receptor tyrosine kinases vascular endothelial growth factor receptors 1 to 3. A phase 1 and pharmacokinetic (PK) trial evaluating axitinib was conducted in children with refractory solid tumors.

methodsAxitinib was administered orally twice daily in continuous 28-day cycles. Dose levels (2.4 mg/m

resultsA total of 19 patients were enrolled; 1 patient was ineligible due to inadequate time having elapsed from prior therapy. The median age of the patients was 13.5 years (range, 5-17 years). Two of 5 patients who were treated at dose level 2 experienced dose-limiting toxicities (palmar-plantar erythryodysesthesia syndrome in 1 patient and intratumoral hemorrhage in 1 patient). Frequent (>20%) grade 1 to 2 toxicities during cycle 1 included anemia, anorexia, fatigue, diarrhea, nausea, and hypertension. Nonhematological toxicities of grade ≥3 in subsequent cycles included hypertension and elevated serum lipase. PK analysis demonstrated variability in axitinib exposure, the median time to peak plasma concentration was 2 hours, and the half-life ranged from 0.7 to 5.2 hours. Exposure and dose were not found to be significantly associated with hypertension. Five patients achieved stable disease for ≤6 cycles as their best response, including patients with malignant peripheral nerve sheath tumor (1 patient), Ewing sarcoma (1 patient), hepatocellular carcinoma (1 patient), and osteosarcoma (2 patients). One patient with alveolar soft part sarcoma achieved a partial response. Kidney injury biomarkers were found to be elevated at baseline; no trends were identified.

conclusionsIn children with refractory solid tumors, the maximum tolerated and recommended dose of axitinib appears to be 2.4 mg/m

Indexed as

Administration, OralAdolescentAxitinibChildDrug Administration ScheduleFemaleHumansMaleMaximum Tolerated DoseNeoplasm Recurrence, LocalNeoplasmsPilot ProjectsProtein Kinase InhibitorsSurvival AnalysisTreatment OutcomeAxitinibProtein Kinase InhibitorsaxitinibInlytapediatric solid tumorphase 1vascular endothelial growth factor receptor (VEGFR)

Identifiers

PMID30394521
PMCPMC6289772
OpenAlexW2899867523

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.