Evidence map›Paper›PMID 31853198›Full record

ArticleCancer management and research2019

First-In-Human Phase I Study Of A Dual mTOR Kinase And DNA-PK Inhibitor (CC-115) In Advanced Malignancy.

Pamela Munster, Monica Mita, Amit Mahipal, John Nemunaitis, Christophe Massard, Tom Mikkelsen, Cristina Cruz, Luis Paz-Ares, Manuel Hidalgo, Dana Rathkopf and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancer management and 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 NCT01353625 (A Phase 1a/1b, Multicenter, Open Label, Dosefinding Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of the Dual Dna-pk and Tor Kinase Inhibitor, Cc-115, Administered Orally to Subjects With Advanced Solid Tumors and Hematologic Malignancies), which is not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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.

NCT01353625 phase1completednot on this map

A Phase 1a/1b, Multicenter, Open Label, Dosefinding Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of the Dual Dna-pk and Tor Kinase Inhibitor, Cc-115, Administered Orally to Subjects With Advanced Solid Tumors and Hematologic Malignancies

TypeinterventionalSponsorCelgeneRan2011 to 2021Enrolled118ConditionsGlioblastoma Multiforme, Squamous Cell Carcinoma of Head and Neck, Prostate Cancer, Ewing's OsteosarcomaArmsCC-115
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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11 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 at 14 institutions in 4 countries.

Pamela MunsterUCSF Helen Diller Family Comprehensive Cancer Center, Department of Medicine, San Francisco, CA, USA.
Monica MitaSamuel Oschin Comprehensive Cancer Institute, Internal Medicine Medical Oncology Department, Los Angeles, CA, USA.
Amit MahipalMayo Clinic, Medical Oncology Department, Rochester, MN, USA.
John NemunaitisUniversity of Toledo College of Medicine and Life Sciences, Hematology/Oncology Department, Toledo, OH, USA.
Christophe MassardInstitut Gustave Roussy, Drug Development Department, Paris, France.
Tom MikkelsenHenry Ford Health System, Neurology Department, Detroit, MI, USA.
Cristina CruzVall d'Hebron University Hospital, Medical Oncology Department, Barcelona, Spain.ORCID 0000-0002-6474-7504
Luis Paz-AresUniversity Hospital 12 de Octubre, CNIO, Universidad Complutense & Ciberonc, Medical Oncology Department, Madrid, Spain.ORCID 0000-0002-1947-3364
Manuel HidalgoCentro Integral Oncológico Clara Campal, Oncology Department, Madrid, Spain.
Dana RathkopfMemorial Sloan Kettering Cancer Center, Department of Medicine, New York, NY, USA.
George BlumenscheinThe University of Texas MD Anderson Cancer Center, Department of Thoracic/Head and Neck Medical Oncology, Houston, TX, USA.
David C SmithUniversity of Michigan, Urology Oncology, Ann Arbor, MI, USA.
Barbara EichhorstUniversity Hospital of Cologne, Department I for Internal Medicine, Cologne, Germany.
Tim CloughesyDavid Geffen School of Medicine, Neurology Department, UCLA, Los Angeles, CA, USA.
Ellen H FilvaroffCelgene Corporation, Translational Development Department, San Francisco, CA, USA.
Shaoyi LiCelgene Corporation, Department of Statistics, Summit, NJ, USA.ORCID 0000-0003-0376-8106
Heather RaymonCelgene Corporation, Department of Pharmacology, San Diego, CA, USA.
Hans de HaanCelgene Corporation, Translational Development Department, San Francisco, CA, USA.
Kristen HegeCelgene Corporation, Translational Development Department, San Francisco, CA, USA.
Johanna C BendellSarah Cannon Research Institute, Drug Development Unit, Tennessee Oncology, Nashville, TN, USA.
Centro Oncológico de Galicia · ESHenry Ford Health System · USInstitut Gustave Roussy · FRMayo Clinic in Arizona · USMemorial Sloan Kettering Cancer Center · USSamueli Institute · USSarah Cannon · USThe University of Texas MD Anderson Cancer Center · USUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity Hospital Cologne · DEUniversity of California, Los Angeles · USUniversity of Michigan · USUniversity of Toledo · USVall d'Hebron Hospital Universitari · ES

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThis first-in-human Phase I study investigated the safety, pharmacokinetics (PK), pharmacodynamic profile, and preliminary efficacy of CC-115, a dual inhibitor of mammalian target of rapamycin (mTOR) kinase and DNA-dependent protein kinase. PATIENTS AND

methodsPatients with advanced solid or hematologic malignancies were enrolled in dose-finding and cohort expansion phases. In dose-finding, once-daily or twice-daily (BID) ascending oral doses of CC-115 (range: 0.5-40 mg/day) in 28-day continuous cycles identified the maximum-tolerated dose for cohort expansion in 5 specified tumor types. Twelve additional patients with mixed solid tumors participated in a bioavailability substudy.

resultsForty-four patients were enrolled in the dose-finding cohort. Dose-limiting toxicity included thrombocytopenia, stomatitis, hyperglycemia, asthenia/fatigue, and increased transaminases. CC-115 10 mg BID was selected for cohort expansion (n=74) in which fatigue, nausea, and decreased appetite were the most frequent toxicities. Dose-proportional PK was found. CC-115 distributed to glioblastoma tissue (mean tumor/plasma concentration ratio: 0.713). Total exposure of CC-115 was similar under fasting and fed conditions. A patient with endometrial carcinoma remained in complete remission >4 years. Partial response (PR; n=2) and stable disease (SD; n=4) were reported in the bioavailability substudy; SD was reached in 53%, 22%, 21%, and 64% of patients with head and neck squamous cell carcinoma, Ewing sarcoma, glioblastoma multiforme, and castration-resistant prostate cancer, respectively. Chronic lymphocytic leukemia/small lymphocytic lymphoma showed 38% PR and 25% SD.

conclusionCC-115 was well-tolerated, with toxicities consistent with mTOR inhibitors. Together with biomarker inhibition and preliminary efficacy, oral CC-115 10 mg BID is a promising novel anticancer treatment. CLINICAL

trial registrationNCT01353625.

Indexed as

CC-115DNA-PK inhibitormTORC1/mTORC2mTOR inhibitorPhase I study

Identifiers

PMID31853198
PMCPMC6916675
OpenAlexW2996267996

What OpenQuestion holds

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LicenceCC BY-NC
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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.