Evidence map›Paper›PMID 31012962›Full record

ArticleCancer2019

A phase 1 trial of the oral DNA methyltransferase inhibitor CC-486 and the histone deacetylase inhibitor romidepsin in advanced solid tumors.

Stéphanie L Gaillard, Marianna Zahurak, Anup Sharma, Jennifer N Durham, Kim A Reiss, Susan Sartorius-Mergenthaler, Melinda Downs, Nicole M Anders, Nita Ahuja, Michelle A Rudek and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01537744 (Phase I Trial of Oral 5-azacitidine With Romidepsin in Advanced Solid Tumors, With an Expansion Cohort in Virally Mediated Cancers and Liposarcoma), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-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.

NCT01537744 phase1completednot on this map

Phase I Trial of Oral 5-azacitidine With Romidepsin in Advanced Solid Tumors, With an Expansion Cohort in Virally Mediated Cancers and Liposarcoma

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2012 to 2016Enrolled18ConditionsSolid Tumors, Virally Mediated Cancers and LiposarcomaArmsoral 5-azacitidine in combination with romidepsin
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. What nature has to offer: Opportunities for immuno-oncology.Journal of food and drug analysis · 2023
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Romidepsin (FK228) in a Mouse Model of Lipopolysaccharide-Induced Acute Kidney Injury is Associated with Down-Regulation of the CYP2E1 Gene.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  13. 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 at 2 institutions in 1 country.

Stéphanie L GaillardDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Marianna ZahurakDepartment of Oncology, Division of Biostatistics and Bioinformatics, Johns Hopkins School of Medicine, Baltimore, Maryland.
Anup SharmaDepartment of Surgery, Division of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Jennifer N DurhamDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Kim A ReissDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Susan Sartorius-MergenthalerDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Melinda DownsDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Nicole M AndersDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Nita AhujaDepartment of Surgery, Division of Surgical Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Michelle A RudekDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Nilofer AzadDepartment of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
The Johns Hopkins Translational Science Team for the ET-CTNUM1CA186691 · NCI · JOHNS HOPKINS UNIVERSITY · PI Jan Hendrik Beumer, Michael A Carducci · 2014 to 2026
$21.9M
UPLC with Tandem MS for Sensitive Quantitative Analysis of Small MoleculesS10RR026824 · NCRR · JOHNS HOPKINS UNIVERSITY · PI RUDEK, MICHELLE A · 2010 to 2010
$429k
NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA006973NCI NIH HHS UM1 CA186691NCRR NIH HHS S10 RR026824
6 · The paper itself

Abstract

backgroundEpigenetic abnormalities are manifold in all solid tumors and include changes in chromatin configuration and DNA methylation. The authors designed a phase 1 study to evaluate the oral DNA methyltransferase inhibitor CC-486 combined with the histone deacetylase inhibitor romidepsin in advanced solid tumors with dose expansion to further evaluate pharmacodynamics and possible clinical benefit of the recommended phase 2 dose (RP2D).

methodsThis was a phase 1 study with a 3 + 3 dose-escalation design and an expansion phase for patients with virally mediated cancers. The disease control rate (DCR) was the primary outcome for the expansion cohort. Correlative studies included long interspersed nucleotide element 1 (LINE-1) methylation and drug exposure in blood samples (clinicaltrials.gov identifier NCT01537744).

resultsFourteen patients were enrolled in the dose-escalation portion at 3 dose levels. Three patients experienced dose-limiting toxicities; the RP2D was oral CC-486 300 mg daily on days 1 through 14 and romidepsin 8 mg/m

conclusionsAlthough, at the RP2D, the combination of CC-486 and romidepsin was tolerable, no significant anticancer activity was observed. Significant demethylation in post-treatment circulating tumor DNA and biopsies provided proof of target acquisition.

Indexed as

Administration, OralAdultAgedAged, 80 and overAnorexiaAntineoplastic Combined Chemotherapy ProtocolsAzacitidineDepsipeptidesDNA Modification MethylasesDrug Administration ScheduleFemaleHistone Deacetylase InhibitorsHumansLong Interspersed Nucleotide ElementsMaleMaximum Tolerated DoseAzacitidinecc-486DepsipeptidesDNA Modification MethylasesHistone Deacetylase InhibitorsMethyltransferasesromidepsinCC-486DNA methyltransferase (DNMT) inhibitorsepigenetic therapyhistone deacetylase (HDAC) inhibitorsphase 1 clinical trialromidepsin

Identifiers

PMID31012962
PMCPMC6663621
OpenAlexW2940459491

What OpenQuestion holds

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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.