Evidence map›Paper›PMID 32603316›Full record

ArticleThe Journal of clinical investigation2020

Everolimus improves the efficacy of dasatinib in PDGFRα-driven glioma.

Zachary Miklja, Viveka Nand Yadav, Rodrigo T Cartaxo, Ruby Siada, Chase C Thomas, Jessica R Cummings, Brendan Mullan, Stefanie Stallard, Alyssa Paul, Amy K Bruzek and 23 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03352427 (A Phase 2 Study of Dasatinib in Combination With Everolimus for Children With Gliomas Harboring PDGFR Alterations), which is not on this map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
5.7field-weighted citation impact, top 3% 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.

NCT03352427 phase2terminatednot on this map

A Phase 2 Study of Dasatinib in Combination With Everolimus for Children With Gliomas Harboring PDGFR Alterations

TypeinterventionalSponsorUniversity of Michigan Rogel Cancer CenterRan2017 to 2019Enrolled3ConditionsGlioma, High Grade Glioma, Pontine TumorsArmsDasatinib, Everolimus
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 70 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

33 authors at 8 institutions in 1 country.

Zachary MikljaDepartment of Pediatrics.
Viveka Nand YadavDepartment of Pediatrics.
Rodrigo T CartaxoDepartment of Pediatrics.
Ruby SiadaDepartment of Pediatrics.
Chase C ThomasDepartment of Pediatrics.
Jessica R CummingsDepartment of Pediatrics.
Brendan MullanDepartment of Pediatrics.
Stefanie StallardDepartment of Pediatrics.
Alyssa PaulDepartment of Pediatrics.
Amy K BruzekDepartment of Neurosurgery.
Kyle WierzbickiDepartment of Pediatrics.
Tao YangDepartment of Neurology.
Taylor GarciaDepartment of Pediatrics.
Ian WolfeDepartment of Pediatrics.
Marcia LeonardDepartment of Pediatrics.
Patricia L RobertsonDepartment of Neurology.
Hugh Jl GartonDepartment of Neurosurgery.
Daniel R WahlDepartment of Radiation Oncology, and.
Hemant ParmarDepartment of Radiology, Michigan Medicine, Ann Arbor, Michigan, USA.
Jann N SarkariaDepartment of Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Cassie KlineDepartment of Pediatrics and.
Sabine MuellerDepartment of Pediatrics and.
Theodore NicolaidesDivision of Pediatric Hematology/Oncology, NYU Langone Medical Center, New York, New York, USA.
Chana GlasserDivision of Pediatric Hematology/Oncology, NYU Winthrop Hospital, Mineola, New York, USA.
Sarah Es LearySeattle Children's Hospital/University of Washington (UW), Seattle, Washington, USA.
Sriram VennetiDepartment of Pathology.
Chandan Kumar-SinhaDepartment of Pathology.
Arul M ChinnaiyanDepartment of Pathology.
Rajen ModyDepartment of Pediatrics.
Manjunath P PaiCollege of Pharmacy, Michigan Medicine, Ann Arbor, Michigan, USA.
Timothy N PhoenixUniversity of Cincinnati College of Pharmacy, Cincinnati, Ohio, USA.
Bernard L MariniCollege of Pharmacy, Michigan Medicine, Ann Arbor, Michigan, USA.
Carl KoschmannDepartment of Pediatrics.
University of Michigan · USUniversity of California, San Francisco · USHoward Hughes Medical Institute · USMayo Clinic · USNYU Langone Health · USSeattle Children's Hospital · USUniversity of Cincinnati Medical Center · USWinthrop-University Hospital · US

Funding

Sequencing, Analysis, and Interpretation of SequencingUM1HG006508 · NHGRI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHINNAIYAN, ARUL M, PIENTA, KENNETH J. · 2013 to 2016
$7.8M
Training Program in Tumor MicroenvironmentT32CA009676 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Maria G Castro, Analisa Virginia DiFeo · 1992 to 2026
$7.3M
Research Training in Childhood CancerT32CA128583 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Eric Alejandro Sweet-Cordero · 2007 to 2026
$6.0M
De Novo Nucleotide Synthesis as a Mediator of Radiation Resistance and a Therapeutic Target in GlioblastomaK08CA234416 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WAHL, DANIEL R · 2019 to 2023
$1.1M
Targeting ATRX-Deficient Pediatric GBMK08NS099427 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KOSCHMANN, CARL J · 2017 to 2021
$811k
NCI NIH HHS K08 CA234416NCI NIH HHS T32 CA009676NCI NIH HHS T32 CA128583NHGRI NIH HHS UM1 HG006508NINDS NIH HHS K08 NS099427
6 · The paper itself

Abstract

Pediatric and adult high-grade gliomas (HGGs) frequently harbor PDGFRA alterations. We hypothesized that cotreatment with everolimus may improve the efficacy of dasatinib in PDGFRα-driven glioma through combinatorial synergism and increased tumor accumulation of dasatinib. We performed dose-response, synergism, P-glycoprotein inhibition, and pharmacokinetic studies in in vitro and in vivo human and mouse models of HGG. Six patients with recurrent PDGFRα-driven glioma were treated with dasatinib and everolimus. We found that dasatinib effectively inhibited the proliferation of mouse and human primary HGG cells with a variety of PDGFRA alterations. Dasatinib exhibited synergy with everolimus in the treatment of HGG cells at low nanomolar concentrations of both agents, with a reduction in mTOR signaling that persisted after dasatinib treatment alone. Prolonged exposure to everolimus significantly improved the CNS retention of dasatinib and extended the survival of PPK tumor-bearing mice (mutant TP53, mutant PDGFRA, H3K27M). Six pediatric patients with glioma tolerated this combination without significant adverse events, and 4 patients with recurrent disease (n = 4) had a median overall survival of 8.5 months. Our results show that the efficacy of dasatinib treatment of PDGFRα-driven HGG was enhanced with everolimus and suggest a promising route for improving targeted therapy for this patient population.

Indexed as

AdolescentAnimalsAntineoplastic Combined Chemotherapy ProtocolsATP Binding Cassette Transporter, Subfamily BBrain NeoplasmsCell ProliferationChildChild, PreschoolDasatinibDrug Screening Assays, AntitumorDrug SynergismEverolimusFemaleGene ExpressionGliomaHumansABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BDasatinibEverolimusReceptor, Platelet-Derived Growth Factor betaBrain cancerMolecular biologyOncologyPharmacology

Identifiers

PMID32603316
PMCPMC7524471
OpenAlexW3040044015

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.