Evidence map›Paper›PMID 31792036›Full record

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

Phase I/II Study of the Mesothelin-targeted Immunotoxin LMB-100 with Nab-Paclitaxel for Patients with Advanced Pancreatic Adenocarcinoma.

Christine Alewine, Mehwish Ahmad, Cody J Peer, Zishuo I Hu, Min-Jung Lee, Akira Yuno, Jessica D Kindrick, Anish Thomas, Seth M Steinberg, Jane B Trepel and 3 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase II
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. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.2field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
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  11. Article
  12. Enhanced cytotoxicity of aFrontiers in pharmacology · 2023
    Article
  13. The role of molecular testing in pancreatic cancer.Therapeutic advances in gastroenterology · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Antibody-Based Approaches to Target Pancreatic Tumours.Antibodies (Basel, Switzerland) · 2022
    Review
  18. Review
  19. Article
  20. 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

13 authors at 1 institution in 1 country.

Christine AlewineLaboratory of Molecular Biology, Center for Cancer Research, NCI, NIH, Bethesda, Maryland. alewinecc@mail.nih.gov.
Mehwish AhmadOffice of Research Nursing, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Cody J PeerClinical Pharmacology Program, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Zishuo I HuMedical Oncology Service, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Min-Jung LeeDevelopmental Therapeutics Branch, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Akira YunoDevelopmental Therapeutics Branch, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Jessica D KindrickClinical Pharmacology Program, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Anish ThomasDevelopmental Therapeutics Branch, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Seth M SteinbergBiostatistics and Data Management Section, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Jane B TrepelDevelopmental Therapeutics Branch, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
William D FiggClinical Pharmacology Program, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Raffit HassanThoracic and Gastrointestinal Malignancies Branch, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Ira PastanLaboratory of Molecular Biology, Center for Cancer Research, NCI, NIH, Bethesda, Maryland.
Center for Cancer Research · US

Funding

Immunotherapy for Malignant Mesothelioma, Lung Cancer and Thymic MalignanciesZIABC010816 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HASSAN, RAFFIT · 2009 to 2025
$25.5M
Thoracic and Gastrointestinal Oncology Branch Medical Clinical CoreZIDBC011540 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HASSAN, RAFFIT · 2014 to 2025
$17.7M
Office of Collaborative BiostatisticsZIDSC007202 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI CHOO-WOSOBA, HYOYOUNG · 2009 to 2025
$14.5M
Using Clinical Pharmacology Principles to Develop New Anticancer TherapiesZICSC006537 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI FIGG, WILLIAM DOUGLAS · 2009 to 2025
$14.4M
Signal Transduction Events and the Regulation of Cell GrowthZICSC006743 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI TREPEL, JANE B · 2009 to 2023
$13.8M
Clinical Trials with ImmunotoxinsZIABC010020 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PASTAN, IRA · 2009 to 2022
$11.7M
Precision Therapy to Target Pancreatic Ductal AdenocarcinomaZIABC011652 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ALEWINE, CHRISTINE · 2015 to 2025
$7.9M
Intramural NIH HHS ZIA BC010020Intramural NIH HHS ZIA BC011652
6 · The paper itself

Abstract

purposeLMB-100 is a recombinant immunotoxin (iTox) consisting of a mesothelin-binding Fab for targeting and a modified PATIENTS AND

methodsPatients (

resultsFourteen patients were treated on the dose escalation and an additional six in the phase II expansion. MTD of 65 μg/kg was established for the combination. Dose-limiting toxicity resulting from capillary leak syndrome (CLS) was seen in two of five patients treated at 100 μg/kg and one of six evaluable phase I patients receiving the MTD. Severity of CLS was associated with increases in apoptotic circulating endothelial cells. LMB-100 exposure was unaffected by anti-LMB-100 antibody formation in five of 13 patients during cycle 2. Seven of 17 evaluable patients experienced >50% decrease in CA 19-9, including three with previous exposure to nab-paclitaxel. One patient developed an objective partial response. Patients with biomarker responses had higher tumor mesothelin expression.

conclusionsAlthough clinical activity was observed, the combination was not well tolerated and alternative drug combinations with LMB-100 will be pursued.

Indexed as

AdenocarcinomaAdultAgedAlbuminsAntineoplastic Combined Chemotherapy ProtocolsDrug Administration ScheduleFemaleGPI-Linked ProteinsHumansImmunoconjugatesMaleMaximum Tolerated DoseMesothelinMiddle AgedMolecular Targeted TherapyPaclitaxel130-nm albumin-bound paclitaxelAlbuminsGPI-Linked ProteinsImmunoconjugatesLMB-100MesothelinPaclitaxel

Identifiers

PMID31792036
PMCPMC8268773
OpenAlexW2991264338

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.