Evidence map›Paper›PMID 31172407›Full record

Trial reportBreast cancer research and treatment2019

Iniparib administered weekly or twice-weekly in combination with gemcitabine/carboplatin in patients with metastatic triple-negative breast cancer: a phase II randomized open-label study with pharmacokinetics.

Véronique Diéras, Hervé Bonnefoi, Emilio Alba, Ahmad Awada, Bruno Coudert, Xavier Pivot, Joseph Gligorov, Agnes Jager, Stefania Zambelli, Geoffrey J Lindeman and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01045304 (Multicenter, Randomized, Open Label Study Evaluating a Poly), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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.

NCT01045304 phase2completednot on this map

Multicenter, Randomized, Open Label Study Evaluating a Poly(ADP-ribose) Polymerase-1(PARP-1) Inhibitor, SAR240550 (BSI-201), Administered Twice Weekly or Weekly, in Combination With Gemcitabine/Carboplatin, in Patients With Metastatic Triple Negative Breast Cancer (mTNBC)

TypeinterventionalSponsorSanofiRan2010 to 2012Enrolled163ConditionsBreast Cancer, MetastaticArmsIniparib, Gemcitabine, Carboplatin
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Patterns and Prevalence of GermlineJournal of oncology · 2020
    Article
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

15 authors.

Véronique DiérasDepartment of Medical Oncology, Institut Curie, Paris, France. v.dieras@rennes.unicancer.fr.ORCID http://orcid.org/0000-0001-8094-4738
Hervé BonnefoiInstitut Bergonié, Univ. Bordeaux, INSERM U1218, INSERM CIC1401, Bordeaux, France.
Emilio AlbaDepartment of Clinical Oncology, Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain.
Ahmad AwadaOncology Medicine Department, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Bruno CoudertMedical Oncology Department, Centre Georges François Leclerc, Dijon, France.
Xavier PivotDepartment of Medical Oncology, Centre Paul Strauss, Strasbourg, France.
Joseph GligorovMedical Oncology Dept Tenon Hospital, Inserm U938, Institut Universitaire de Cancérologie APHP-Sorbonne Université, Paris, France.
Agnes JagerDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Stefania ZambelliDepartment of Medical Oncology, IRCCS OSR, San Raffaele, Milan, Italy.
Geoffrey J LindemanDepartment of Medical Oncology, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, The Walter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-9386-2416
Eric CharpentierStatistics Department, Sanofi, 640 Memorial Drive, Cambridge, MA, 02139, USA.
Gary T EmmonsTranslational Medicine and Early Development, Sanofi, Bridgewater, NJ, USA.
Ignacio Garcia-RibasEarly Oncology Development, Sanofi, Madrid, Spain.
Robert ParidaensDepartment of Medical Oncology, University Hospital Gasthuisberg, Catholic University of Leuven, Leuven, Belgium.
Jaap VerweijDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMetastatic triple-negative breast cancer (TNBC) is a phenotypic breast cancer subgroup with a very poor prognosis, despite standard treatments. Combined twice-weekly iniparib and gemcitabine/carboplatin (GC+tw-iniparib) showed benefit over gemcitabine/carboplatin in a randomized phase II trial, and a phase III was initiated comparing these regimens. The present phase II study was initiated to compare GC+tw-iniparib with a more practical once-weekly schedule (GC+w-iniparib) in TNBC.

methodsMetastatic TNBC patients were randomized to receive iniparib weekly (11.2 mg/kg on days 1 and 8) or twice-weekly (5.6 mg/kg on days 1, 4, 8, and 11) with gemcitabine (1000 mg/m

resultsA total of 163 patients were randomized, 82 GC+w-iniparib and 81 GC+tw-iniparib. Demographic and baseline characteristics were well balanced. ORR was 34.1% (95% CI 23.9-44.4%) vs. 29.6% (95% CI 19.7-39.6%) and median progression-free survival was 5.5 months (95% CI 4.2-5.7) vs. 4.3 months (95% CI 3.0-5.8) for GC+w-iniparib and GC+tw-iniparib, respectively. Safety was similar across treatment arms in terms of event severity and type. Iniparib plasma concentrations and exposure were two-fold higher with w-iniparib compared to tw-iniparib. Iniparib and its metabolites were cleared rapidly with a terminal half-life of < 1 h, without accumulation.

conclusionsDespite a doubled maximum concentration with weekly iniparib, no detectable differences in safety or efficacy were observed between the weekly and twice-weekly administration schedules in this population.

trial registrationClinicalTrial.gov Identifier NCT01045304.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBenzamidesBiomarkers, TumorCarboplatinDeoxycytidineDrug Administration ScheduleFemaleGemcitabineHumansKaplan-Meier EstimateMiddle AgedNeoplasm MetastasisNeoplasm StagingRetreatmentBenzamidesBiomarkers, TumorCarboplatinDeoxycytidineGemcitabineiniparibAdministration scheduleIniparibMetastatic triple-negative breast cancerPharmacokinetics

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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.