Evidence map›Paper›PMID 31498564›Full record

ArticleClinical and translational science2020

Impact of Disease and Treatment Response in Drug-Drug Interaction Studies: Osimertinib and Simvastatin in Advanced Non-Small Cell Lung Cancer.

Karthick Vishwanathan, Mireille Cantarini, Karen So, Eric Masson, Jennifer Fetterolf, Suresh S Ramalingam, R Donald Harvey

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Clinical and translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02197234 (A Phase I, Open-Label, Non-Randomised, Multicentre Study to Assess the Effect of AZD9291 on the Pharmacokinetics of Simvastatin), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 34% 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.

NCT02197234 phase1completednot on this map

A Phase I, Open-Label, Non-Randomised, Multicentre Study to Assess the Effect of AZD9291 on the Pharmacokinetics of Simvastatin (a Sensitive CYP3A4 Substrate) in Patients With EGFRm Positive NSCLC Whose Disease Has Progressed on an EGFR TKI

TypeinterventionalSponsorAstraZenecaRan2014 to 2024Enrolled52ConditionsNon Small Cell Lung CancerArmsPharmacokinetic sampling - AZD9291, Simvastatin, AZD9291 tablet dosing, Pharmacokinetic sampling - simvastatin, Pharmacokinetic sampling - AZ5140 and AZ7550
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 4 institutions in 4 countries.

Karthick VishwanathanClinical Pharmacology and Safety Sciences, Research & Development, AstraZeneca, Waltham, Massachusetts, USA.
Mireille CantariniOncology Research & Development, AstraZeneca, Macclesfield, UK.
Karen SoOncology Research & Development, AstraZeneca, Cambridge, UK.
Eric MassonClinical Pharmacology and Safety Sciences, Research & Development, AstraZeneca, Waltham, Massachusetts, USA.
Jennifer FetterolfBioPharmaceuticals Research & Development, AstraZeneca, Gaithersburg, Maryland, USA.
Suresh S RamalingamWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
R Donald HarveyWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
AstraZeneca (South Korea) · KRAstraZeneca (United Kingdom) · GBEmory University · USAstraZeneca (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A phase I, open-label study (NCT02197234) assessed the effects of osimertinib on simvastatin exposure in patients with advanced epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer and disease progression post-EGFR tyrosine kinase inhibitor treatment. Here, we report on a retrospective analysis of two patients (patients 1 and 2) who had liver metastases and high simvastatin exposure prior to osimertinib treatment, which changed following treatment. Patients received single oral doses of simvastatin 40 mg on day (D) 1 and D31, and osimertinib 80 mg once daily on D3-32. At baseline, both patients had abnormal liver function tests (LFTs; Child-Pugh scores of 6 and 8, respectively), significant liver metastasis, and, after a single simvastatin dose, had higher (~ 10-fold) exposure compared with all other patients. Following 31 days of continuous osimertinib treatment, simvastatin exposures (area under the plasma concentration-time curve from zero to infinity (AUC) and maximum plasma concentration (C

Indexed as

AcrylamidesAdministration, OralAdultAgedAged, 80 and overAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsArea Under CurveCarcinoma, Non-Small-Cell LungDrug Administration ScheduleDrug InteractionsFemaleFollow-Up StudiesHumansIndolesLiverAcrylamidesAniline CompoundsIndolesosimertinibPyrimidinesSimvastatin

Identifiers

PMID31498564
PMCPMC6951454
OpenAlexW2972607056

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.