Evidence map›Paper›PMID 31527168›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2020

Development of 2 Bromodomain and Extraterminal Inhibitors With Distinct Pharmacokinetic and Pharmacodynamic Profiles for the Treatment of Advanced Malignancies.

Gerald Falchook, Seth Rosen, Patricia LoRusso, Justin Watts, Shilpa Gupta, Catherine C Coombs, Moshe Talpaz, Razelle Kurzrock, Monica Mita, Ryan Cassaday and 12 more

2 registry-linked trialsAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing 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.

NCT02431260 phase1 / phase2terminatednot on this map

A Phase 1/2, Open-Label, Dose-Escalation, Safety and Tolerability Study of INCB054329 in Subjects With Advanced Malignancies

TypeinterventionalSponsorIncyte CorporationRan2015 to 2018Enrolled69ConditionsSolid Tumors and Hematologic MalignancyArmsINCB054329 Monotherapy
NCT02711137 phase1 / phase2terminatednot on this map

A Phase 1/2, Open-Label, Dose-Escalation/Dose-Expansion, Safety and Tolerability Study of INCB057643 in Subjects With Advanced Malignancies

TypeinterventionalSponsorIncyte CorporationRan2016 to 2019Enrolled137ConditionsSolid TumorsArmsINCB057643, Gemcitabine, Paclitaxel, Rucaparib, Abiraterone
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Targeting lysine acetylation readers and writers.Nature reviews. Drug discovery · 2025
    Review
  4. Review
  5. Article
  6. Investigational drugs in early phase trials for myelofibrosis.Expert opinion on investigational drugs · 2024
    Review
  7. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
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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

22 authors.

Gerald FalchookSarah Cannon Research Institute at HealthONE, Denver, Colorado. gerald.falchook@scresearch.net.
Seth RosenHematology-Oncology Associates of Treasure Coast, Port St Lucie, Florida.
Patricia LoRussoYale University, New Haven, Connecticut.
Justin WattsSylvester Comprehensive Cancer Center, Miami, Florida.
Shilpa GuptaUniversity of Minnesota, Minneapolis, Minnesota.
Catherine C CoombsUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Moshe TalpazUniversity of Michigan, Ann Arbor, Michigan.
Razelle KurzrockUniversity of California, La Jolla, California.ORCID 0000-0003-4110-1214
Monica MitaCedars-Sinai Medical Center, Los Angeles, California.
Ryan CassadayUniversity of Washington and Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0002-3424-2425
Wael HarbHorizon Oncology Center, Lafeyette, Indiana.
Julio PegueroOncology Consultants, P.A., Houston, Texas.
David C SmithUniversity of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-9465-988X
Sarina A Piha-PaulThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Russ SzmulewitzThe University of Chicago Medical Center, Chicago, Illinois.
Marcus S NoelUniversity of Rochester, Wilmot Cancer Center, Rochester, New York.
Swamy YeleswaramIncyte Research Institute, Incyte Corporation, Wilmington, Delaware.
Phillip LiuIncyte Research Institute, Incyte Corporation, Wilmington, Delaware.
Julie SwitzkyIncyte Corporation, Wilmington, Delaware.
Gongfu ZhouIncyte Corporation, Wilmington, Delaware.
Fred ZhengIncyte Corporation, Wilmington, Delaware.
Amitkumar MehtaUniversity of Alabama, Birmingham, Alabama.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UNC Oncology K12K12CA120780 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WILLIAM Y. KIM · 2007 to 2026
$9.6M
NCATS NIH HHS UL1 TR001863NCI NIH HHS K12 CA120780
6 · The paper itself

Abstract

purposeBromodomain and extraterminal (BET) proteins are key epigenetic transcriptional regulators, inhibition of which may suppress oncogene expression. We report results from 2 independent first-in-human phase 1/2 dose-escalation and expansion, safety and tolerability studies of BET inhibitors INCB054329 (study INCB 54329-101; NCT02431260) and INCB057643 (study INCB 57643-101; NCT02711137). PATIENTS AND

methodsPatients (≥18 years) with advanced malignancies, ≥1 prior therapy, and adequate organ functions received oral INCB054329 (monotherapy) or INCB057643 (monotherapy or in combination with standard-of-care) in 21-day cycles (or 28-day cycles depending on standard-of-care combination). Primary endpoints were safety and tolerability.

resultsSixty-nine and 134 patients received INCB054329 and INCB057643, respectively. Study INCB 54329-101 has been completed; INCB 57643-101 is currently active, but not recruiting (no patients were receiving treatment as of January 8, 2019). Terminal elimination half-life was shorter for INCB054329 versus INCB057643 (mean [SD], 2.24 [2.03] vs. 11.1 [8.27] hours). INCB054329 demonstrated higher interpatient variability in oral clearance versus INCB057643 (CV%, 142% vs. 45.5%). Most common (>20%) any-grade treatment-related adverse events were similar for both drugs (INCB054329; INCB057643): nausea (35%; 30%), thrombocytopenia (33%; 32%), fatigue (29%; 30%), decreased appetite (26%; 22%). Two confirmed complete responses and 4 confirmed partial responses with INCB057643 were reported as best responses.

conclusionsINCB057643 exhibited a more favorable PK profile versus INCB054329; exposure-dependent thrombocytopenia was observed with both drugs which limited the target inhibition that could be safely maintained. Further efforts are required to identify patient populations that can benefit most, and an optimal dosing scheme to maximize therapeutic index.

Indexed as

AdolescentAdultAgedAged, 80 and overAntineoplastic AgentsBoronic AcidsBromodomain Containing ProteinsDose-Response Relationship, DrugFemaleHumansMaleMaximum Tolerated DoseMiddle AgedNauseaNeoplasmsOrganic ChemicalsAntineoplastic AgentsBoronic Acidsbromodomain and extra-terminal domain protein, humanBromodomain Containing ProteinsINCB054329INCB057643Organic ChemicalsProteinsPyrimidines

Identifiers

PMID31527168
PMCPMC7528620

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.