Evidence map›Paper›PMID 30535536›Full record

ArticleCancer chemotherapy and pharmacology2019

A window-of-opportunity clinical trial of dasatinib in women with newly diagnosed endometrial cancer.

Linda R Duska, Gina R Petroni, Heather Lothamer, William Faust, Jan H Beumer, Susan M Christner, Anne M Mills, Paula M Fracasso, Sarah J Parsons

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

9 authors at 4 institutions in 1 country.

Linda R DuskaDepartment of Obstetrics and Gynecology, Division of Gynecology Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA. lduska@virginia.edu.
Gina R PetroniDepartment of Public Health Services, University of Virginia School of Medicine, Charlottesville, VA, USA.
Heather LothamerDepartment of Obstetrics and Gynecology, Division of Gynecology Oncology, University of Virginia School of Medicine, Charlottesville, VA, USA.
William FaustDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Jan H BeumerCancer Therapeutics Program, UPMC Hillman Cancer Center, Pittsburgh, PA, USA.
Susan M ChristnerCancer Therapeutics Program, UPMC Hillman Cancer Center, Pittsburgh, PA, USA.
Anne M MillsDepartment of Pathology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Paula M FracassoDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Sarah J ParsonsDepartment of Microbiology, Immunology, and Cancer Biology, University of Virginia School of Medicine, Charlottesville, VA, USA.
University of Virginia · USUniversity of Virginia Cancer CenterUniversity of Pittsburgh · USUPMC Hillman Cancer Center · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
NCI NIH HHS P30 CA044579NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

objectiveTo determine the extent of dasatinib uptake and effect on Src kinase activity in tumor, normal adjacent tissue, and blood in newly diagnosed endometrial cancer patients.

methodsDasatinib was dosed at 100 or 200 mg PO BID at 32 and 8 h preoperatively. Blood and tissue were collected pre-treatment and at surgery to assess active (pY419) and total Src protein (pharmacodynamics [PD]) and pharmacokinetics (PK). Plasma PK and PD were also analyzed at 2, 4 and 8 h following the second dose.

resultsTen patients completed the study, 5 at each dose level (DL). Average (median, standard deviation, range) 2 h plasma concentration of drug was 119 (121, 80, 226) and 236 (162, 248, 633) ng/mL, for the 100 and 200 mg DL, respectively. Average ratio of 8 h normal and tumor tissue to plasma concentration overall was 3.6 (2.3, 3.4, 9.6) and 8.3 (3.2, 11.9, 38.7), respectively. Dasatinib concentration in tumor was higher than in plasma for both DL. Four patients displayed significant reductions in pTyr419Src at ≥ 1 time points in blood, and four patients satisfied the PD activity criteria in tissue, with reductions in pTyr419Src of ≥ 60%.

conclusionsThis is the first study to show PK and PD effects of dasatinib in tumor tissue, allowing evaluation of tissue PD markers as a function of tumor dasatinib concentration. Dasatinib tissue concentrations at 8 h after dosing were associated with modulation of pTyr419Src, total Src protein, and pTyr419Src/Src ratio. All patients had reduction in at least one Src parameter in either tissue or blood.

Indexed as

Administration, OralAgedBiomarkers, TumorBiopsyCell Line, TumorDasatinibEndometrial NeoplasmsEndometriumFemaleHumansHysterectomyMiddle AgedNeoadjuvant TherapyProtein Kinase InhibitorsSalpingo-oophorectomysrc-Family KinasesBiomarkers, TumorDasatinibProtein Kinase Inhibitorssrc-Family KinasesDasatinibEndometrial cancerPharmacodynamicsSrc inhibition

Identifiers

PMID30535536
PMCPMC6628688
OpenAlexW2903657740

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.