Evidence map›Paper›PMID 31471312›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Phase I Study of the Novel Enhancer of Zeste Homolog 2 (EZH2) Inhibitor GSK2816126 in Patients with Advanced Hematologic and Solid Tumors.

Timothy A Yap, Jane N Winter, Lisa Giulino-Roth, Jemma Longley, Juanita Lopez, Jean-Marie Michot, John P Leonard, Vincent Ribrag, Michael T McCabe, Caretha L Creasy and 10 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for 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 NCT02082977 (A Phase I Open-label, Dose Escalation Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of GSK2816126 in Subjects With Relapsed/Refractory Diffuse Large B Cell Lymphoma, Transformed Follicular Lymphoma, Other Non-Hodgkin's Lymphomas, Solid Tumors and Multiple Myeloma), which is not on this map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 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.

NCT02082977 phase1terminatednot on this map

A Phase I Open-label, Dose Escalation Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of GSK2816126 in Subjects With Relapsed/Refractory Diffuse Large B Cell Lymphoma, Transformed Follicular Lymphoma, Other Non-Hodgkin's Lymphomas, Solid Tumors and Multiple Myeloma

TypeinterventionalSponsorGlaxoSmithKlineRan2014 to 2017Enrolled41ConditionsCancer, NeoplasmsArmsGSK2816126
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Advances and Perspectives in the Treatment of T-PLL.Current hematologic malignancy reports · 2020
    Pooled it
  3. Review
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  11. Article
  12. Cancers · 2025
    Article
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  14. Article
  15. Precision epigenetic therapies in oncology.Cancer metastasis reviews · 2025
    Review
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  18. Article
  19. Review
  20. Article

42 more citing papers are in PubMed but not listed here.

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

20 authors.

Timothy A YapDrug Development Unit, Royal Marsden Hospital, London, England, United Kingdom.
Jane N WinterMedicine (Hematology and Oncology), Robert H. Lurie Comprehensive Cancer Center and Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Lisa Giulino-RothDepartments of Pediatrics and Medicine and Laboratory Medicine, Weill Cornell Medical College, New York, New York.
Jemma LongleyCancer Research UK Centre, University of Southampton, Southampton, United Kingdom.ORCID 0000-0002-3829-0686
Juanita LopezConsultant Medical Oncologist, Institute of Cancer Research, Royal Marsden, London, United Kingdom.
Jean-Marie MichotDepartment of Hematology and Innovative Drugs, Institut Gustave Roussy, France.ORCID 0000-0003-3482-3331
John P LeonardDepartments of Pediatrics and Medicine and Laboratory Medicine, Weill Cornell Medical College, New York, New York.
Vincent RibragDepartment of Hematology and Innovative Drugs, Institut Gustave Roussy, France.
Michael T McCabeResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Caretha L CreasyResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.ORCID 0000-0002-3735-6401
Melissa SternResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Teodora Pene DumitrescuResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Xiaowei WangResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Steve FreyResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Jennifer CarverResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.ORCID 0000-0003-0132-064X
Thierry HornerResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.ORCID 0000-0002-8248-6993
Choon OhResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Ahmed KhaledResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Arindam DharResearch and Development, GlaxoSmithKline, Collegeville, Pennsylvania.ORCID 0000-0002-7929-0877
Peter W M JohnsonCancer Research UK Centre, University of Southampton, Southampton, United Kingdom. johnsonp@soton.ac.uk.ORCID 0000-0003-2306-4974

Funding

Rational Translation of EZH2 Targeted Therapy in Germinal Center B-cell LymphomaK08CA219473 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROTH, LISA GIULINO · 2017 to 2020
$684k
NCI NIH HHS K08 CA219473
6 · The paper itself

Abstract

purposeEnhancer of zeste homolog 2 (EZH2) activity is dysregulated in many cancers. PATIENTS AND

methodsThis phase I study determined the safety, maximum-tolerated dose (MTD), pharmacokinetics, and pharmacodynamics of the intravenously administered, highly selective EZH2 inhibitor, GSK2816126, (NCT02082977). Doses of GSK2816126 ranged from 50 to 3,000 mg twice weekly, and GSK2816126 was given 3-weeks-on/1-week-off in 28-day cycles. Eligible patients had solid tumors or B-cell lymphomas with no available standard treatment regimen.

resultsForty-one patients (21 solid tumors, 20 lymphoma) received treatment. All patients experienced ≥1 adverse event (AE). Fatigue [22 of 41 (53.7%)] and nausea [20 of 41 (48.8%)] were the most common toxicity. Twelve (32%) patients experienced a serious AE. Dose-limiting elevated liver transaminases occurred in 2 of 7 patients receiving 3,000 mg of GSK2816126; 2,400 mg was therefore established as the MTD. Following intravenous administration of 50 to 3,000 mg twice weekly, plasma GSK2816126 levels decreased biexponentially, with a mean terminal elimination half-life of approximately 27 hours. GSK2816126 exposure (maximum observed plasma concentration and area under the plasma-time curve) increased in a dose-proportional manner. No change from baseline in H3K27me3 was seen in peripheral blood mononuclear cells. Fourteen of 41 (34%) patients had radiological best response of stable disease, 1 patient with lymphoma achieved a partial response, 21 of 41 (51%) patients had progressive disease, and 5 patients were unevaluable for antitumor response.

conclusionsThe MTD of GSK2816126 was established at 2,400 mg, but the dosing method and relatively short half-life limited effective exposure, and modest anticancer activity was observed at tolerable doses.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsEnhancer of Zeste Homolog 2 ProteinFemaleHumansIndolesLymphoma, B-CellMaleMaximum Tolerated DoseMiddle AgedNeoplasmsPatient SafetyPrognosisPyridonesAntineoplastic AgentsEnhancer of Zeste Homolog 2 ProteinEZH2 protein, humanGSK-2816126IndolesPyridones

Identifiers

PMID31471312
PMCPMC7377921

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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.