Evidence map›Paper›PMID 31813938›Full record

Trial reportBritish journal of cancer2020

Results of a phase II clinical trial of 6-mercaptopurine (6MP) and methotrexate in patients with BRCA-defective tumours.

Corran Roberts, Victoria Y Strauss, Sylwia Kopijasz, Charlie Gourley, Marcia Hall, Ana Montes, Jacinta Abraham, Andrew Clamp, Richard Kennedy, Susana Banerjee and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01432145 (Phase II Clinical Trial Of 6-Mercaptopurine), 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
0.7field-weighted citation impact, top 26% 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.

NCT01432145 phase2completednot on this map

Phase II Clinical Trial Of 6-Mercaptopurine (6MP) and Low-Dose Methotrexate In Patients With Known BRCA Defective Tumours

TypeinterventionalSponsorUniversity of OxfordRan2011 to 2015Enrolled74ConditionsBreast Cancer, Ovarian CancerArms6-Mercaptopurine, Methotrexate
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Targeting purine metabolism in ovarian cancer.Journal of ovarian research · 2022
    Review
  7. BRCA1 and Breast Cancer: Molecular Mechanisms and Therapeutic Strategies.Frontiers in cell and developmental biology · 2022
    Review
  8. Cytotoxic and targeted therapy for BRCA1/2-driven cancers.Hereditary cancer in clinical practice · 2021
    Review
  9. Article
  10. Article
  11. 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 11 institutions in 1 country.

Corran RobertsCentre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Victoria Y StraussCentre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Sylwia KopijaszOncology Clinical Trials Office (OCTO), Department of Oncology, University of Oxford, Oxford, UK.
Charlie GourleyCancer Research UK Edinburgh Centre, MRC IGMM, University of Edinburgh, Edinburgh, UK.
Marcia HallMount Vernon Cancer Centre, Northwood, Middlesex, UK.
Ana MontesGuy's and St Thomas' NHS Foundation Trust, London, UK.
Jacinta AbrahamVelindre Cancer Centre, Cardiff, UK.
Andrew ClampThe Christie NHS Foundation Trust and Institute of Cancer Sciences, University of Manchester, Manchester, UK.
Richard KennedyCentre for Cancer Research and Cell Biology, Queen's University of Belfast, Belfast, UK.
Susana BanerjeeThe Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London, UK.
Lisa K FolkesCRUK/MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, UK.
Michael StratfordCRUK/MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, UK.
Shibani NicumOxford University Hospitals NHS Trust, Oxford, UK. snicum@nhs.net.
University of Oxford · GBCRUK/MRC Oxford Institute for Radiation Oncology · GBEdinburgh Cancer Research · GBGuy's and St Thomas' NHS Foundation Trust · GBInstitute of Cancer Research · GBMount Vernon Cancer Centre · GBNuffield Orthopaedic Centre · GBOxford University Hospitals NHS Trust · GBQueen's University Belfast · GBUniversity of Manchester · GBVelindre Cancer Centre · GB

Funding

Cancer Research UK 12447Cancer Research UK 16895
6 · The paper itself

Abstract

backgroundTumour cells with BRCA1/2 gene mutations demonstrate increased sensitivity to platinum and poly (ADP-ribose) polymerase (PARP) inhibitors. 6-mercaptopurine (6MP) was found to selectively kill BRCA-defective cells in a xenograft model as effectively as the PARP inhibitor AG014699, even after these cells acquired resistance to a PARP inhibitor or cisplatin.

methodsThis phase II single-arm trial investigated the activity of 6MP 55-75 mg/m

resultsIn total, 67 evaluable patients were recruited; 55 ovarian and 11 breast cancer patients. In total, 21 patients had SD (31%), one had a partial response (1.5%); CBR was 33% at 8 weeks. In total, 12/67 patients (18%) had SD at 16 weeks. In total, five ovarian cancer patients had SD for over 200 days. Median OS was 10.3 months (95% CI 6.9-14.5), median PFS 1.9 months (1.7-2.8).

conclusionsThe overall activity of 6MP and methotrexate in these patients was low; however, there was a small group of patients who appeared to derive longer-term clinical benefit.

trial registrationNCT01432145 http://www.ClinicalTrials.gov.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsDrug Resistance, NeoplasmFemaleHumansMercaptopurineMethotrexateMiddle AgedNeoplasm Recurrence, LocalOvarian NeoplasmsProgression-Free SurvivalSalvage TherapyBRCA1 ProteinBRCA2 ProteinMercaptopurineMethotrexate

Identifiers

PMID31813938
PMCPMC7028724
OpenAlexW2993398929

What OpenQuestion holds

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LicenceCC BY
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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.