Evidence map›Paper›PMID 31367538›Full record

ArticleTranslational lung cancer research2019

A phase I/II study of pemetrexed with sirolimus in advanced, previously treated non-small cell lung cancer.

Takefumi Komiya, Regan M Memmott, Gideon M Blumenthal, Wendy Bernstein, Marc S Ballas, Roopa De Chowdhury, Guinevere Chun, Cody J Peer, William D Figg, David J Liewehr and 7 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00923273 (A Phase II Trial of Pemetrexed), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 13% 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.

NCT00923273 phase1 / phase2terminatednot on this map

A Phase II Trial of Pemetrexed (Alimta [Registered Trademark]) Combined With Sirolimus (Rapamycin, Rapamune [Registered Trademark]) in Subjects With Relapsed or Refractory NSCLC

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2008 to 2013Enrolled42ConditionsCarcinoma, Non-Small-Cell LungArmsFDG-PET, Pemetrexed, Sirolimus, Vitamin B12, Folic acid tablets
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Repurposing Drugs in Small Animal Oncology.Animals : an open access journal from MDPI · 2022
    Review
  4. Review
  5. Article
  6. HighOncotarget · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

17 authors at 1 institution in 1 country.

Takefumi KomiyaMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Regan M MemmottMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Gideon M BlumenthalMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Wendy BernsteinMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Marc S BallasMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Roopa De ChowdhuryMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Guinevere ChunMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Cody J PeerMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
William D FiggMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
David J LiewehrBiostatistics and Data Management Section, National Cancer Institute, Rockville, MD, USA.
Seth M SteinbergBiostatistics and Data Management Section, National Cancer Institute, Rockville, MD, USA.
Giuseppe GiacconeMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Eva SzaboMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Shigeru KawabataMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Junji TsurutaniMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Arun RajanMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Phillip A DennisMedical Oncology Service, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
National Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-agent pemetrexed is a treatment for recurrent non-squamous non-small cell lung cancer (NSCLC) that provides limited benefit. Preclinical studies showed promising synergistic effects when the mammalian target of rapamycin (mTOR) inhibitor sirolimus was added to pemetrexed.

methodsThis was a single-institution phase I/II study of pemetrexed in combination with sirolimus. The primary endpoint for the phase I was to determine the maximum tolerated dose (MTD) and safety of the combination. The primary endpoint for the phase II portion was to determine the overall response rate at the MTD. Key eligibility criteria included recurrent, metastatic NSCLC, ECOG performance status of 0-2, and adequate organ function. Sirolimus was administered orally daily after an initial loading dose, and pemetrexed was given intravenously on day 1 of every 21-day cycle.

resultsForty-two patients with recurrent, metastatic NSCLC were enrolled, 22 in phase I and 20 in phase II. The MTD was pemetrexed 500 mg/m

conclusionsThe combination of pemetrexed and sirolimus is active in heavily-pretreated NSCLC (ClinicalTrials.gov Identifier: NCT00923273).

Indexed as

Lung cancerpemetrexedphase I/II, sirolimusthymidylate synthase (TS)

Identifiers

PMID31367538
PMCPMC6626857
OpenAlexW2944819641

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.