Evidence map›Paper›PMID 31988233›Full record

ArticleBMJ open2020

Pharmacodynamics effects of CDK4/6 inhibitor LEE011 (ribociclib) in high-risk, localised prostate cancer: a study protocol for a randomised controlled phase II trial (LEEP study: LEE011 in high-risk, localised Prostate cancer).

Tahlia Scheinberg, James Kench, Martin Stockler, Kate L Mahon, Lucille Sebastian, Phillip Stricker, Anthony M Joshua, H Woo, Ruban Thanigasalam, Nariman Ahmadi and 3 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Tahlia ScheinbergMedical Oncology, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.ORCID 0000-0003-4539-6216
James KenchSchool of Medicine, The University of Sydney, Sydney, New South Wales, Australia.
Martin StocklerMedical Oncology, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Kate L MahonMedical Oncology, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Lucille SebastianNHMRC Clinical Trials Centre, University of Sydney, Camperdown, New South Wales, Australia.
Phillip StrickerCancer Research, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia.
Anthony M JoshuaCancer Research, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia.
H WooSchool of Medicine, The University of Sydney, Sydney, New South Wales, Australia.
Ruban ThanigasalamSchool of Medicine, The University of Sydney, Sydney, New South Wales, Australia.
Nariman AhmadiUrology, Chris O'Brien Lifehouse, Camperdown, NSW, Australia.
Margaret M CenteneraProstate Cancer Research Group, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Lisa M Butler *Prostate Cancer Research Group, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Lisa G Horvath *Medical Oncology, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia lisa.horvath@lh.org.au.
The University of Sydney · AUGarvan Institute of Medical Research · AUSouth Australian Health and Medical Research Institute · AUChris O’Brien Lifehouse · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the development of new therapies for advanced prostate cancer, it remains the most common cause of cancer and the second leading cause of cancer death in men. It is critical to develop novel agents for the treatment of prostate cancer, particularly those that target aspects of androgen receptor (AR) signalling or prostate biology other than inhibition of androgen synthesis or AR binding. Neoadjuvant pharmacodynamic studies allow for a rational approach to the decisions regarding which targeted therapies should progress to phase II/III trials. CDK4/6 inhibitors have evidence of efficacy in breast cancer, and have been shown to have activity in preclinical models of hormone sensitive and castrate resistant prostate cancer. The LEEP trial aims to assess the pharmacodynamic effects of LEE011 (ribociclib), an orally bioavailable and highly selective CDK4/6 inhibitor, in men undergoing radical prostatectomy for high-risk, localised prostate cancer. METHODS AND ANALYSIS: The multicentre randomised, controlled 4:1 two-arm, phase II, open label pharmacodynamic study will recruit 47 men with high risk, localised prostate cancer who are planned to undergo radical prostatectomy. Participants who are randomised to receive the study treatment will be treated with LEE011 400 mg daily for 21 days for one cycle. The primary endpoint is the frequency of a 50% reduction in Ki-67 proliferation index from the pretreatment prostate biopsy compared to that present in prostate cancer tissue from radical prostatectomy. Secondary and tertiary endpoints include pharmacodynamic assessment of CDK4/6 cell cycle progression via E2F levels, apoptotic cell death by cleaved caspase-3, changes in serum and tumour levels of Prostate Specific Antigen (PSA), pathological regression, safety via incidence of adverse events and exploratory biomarker analysis. ETHICS AND DISSEMINATION: The protocol was approved by a central ethics review committee (St Vincent's Hospital HREC) for all participating sites (HREC/17/SVH/294). Results will be disseminated in peer-reviewed journals and at scientific conferences. DRUG SUPPLY: Novartis. PROTOCOL VERSION: 2.0, 30 May 2019 TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12618000354280).

Indexed as

Neoadjuvant TherapyProstatectomyProstatic NeoplasmsAdolescentAdultAminopyridinesAntineoplastic AgentsApoptosisCaspase 3Cell CycleCell ProliferationClinical Trials, Phase II as TopicCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Disease-Free SurvivalE2F Transcription FactorsAminopyridinesAntineoplastic AgentsCaspase 3CDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6E2F Transcription FactorsKallikreinsKLK3 protein, humanProstate-Specific AntigenPurinesribociclibneoadjuvant trialprostatic neoplasmsribociclibtranslational researchwindow of opportunity trial

Identifiers

PMID31988233
PMCPMC7045211
OpenAlexW3004054646

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.