Evidence map›Paper›PMID 33753457›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Pacritinib Combined with Sirolimus and Low-Dose Tacrolimus for GVHD Prevention after Allogeneic Hematopoietic Cell Transplantation: Preclinical and Phase I Trial Results.

Joseph Pidala, Kelly Walton, Hany Elmariah, Jongphil Kim, Asmita Mishra, Nelli Bejanyan, Taiga Nishihori, Farhad Khimani, Lia Perez, Rawan G Faramand and 10 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02891603 (A Phase I/II GVHD Prevention Trial Combining Pacritinib With Sirolimus-Based Immune Suppression), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT02891603 phase1 / phase2completednot on this map

A Phase I/II GVHD Prevention Trial Combining Pacritinib With Sirolimus-Based Immune Suppression

TypeinterventionalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2017 to 2022Enrolled40ConditionsGraft Vs Host Disease, GVHDArmsPacritinib, Sirolimus, Tacrolimus, Allogenic hematopoietic cell transplant (alloHCT)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Targeting THaematologica · 2024
    Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. 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

20 authors at 4 institutions in 1 country.

Joseph PidalaDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Kelly WaltonDivision of Hematology, Oncology, and Transplantation, Department of Medicine, Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0001-9780-9401
Hany ElmariahDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0001-7920-4636
Jongphil KimDepartment of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-7430-2226
Asmita MishraDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Nelli BejanyanDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Taiga NishihoriDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Farhad KhimaniDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Lia PerezDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Rawan G FaramandDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Marco L DavilaDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-6270-3065
Michael L NiederDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Elizabeth M SagatysDepartment of Hematopathology and Laboratory Medicine, Moffitt Cancer Center, Tampa, Florida.
Shernan G HoltanDivision of Hematology, Oncology, and Transplantation, Department of Medicine, Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota.
Nicholas J LawrenceDepartment of Drug Discovery, Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0003-1129-2558
Harshani R LawrenceDepartment of Drug Discovery, Moffitt Cancer Center, Tampa, Florida.
Bruce R BlazarDivision of Blood and Marrow Transplantation, Department of Pediatrics, Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0002-9608-9841
Claudio AnasettiDepartment of Blood and Marrow Transplantation - Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Said M SebtiDepartment of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia.
Brian C BettsDivision of Hematology, Oncology, and Transplantation, Department of Medicine, Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota. bett0121@umn.edu.
University of South Florida · USMoffitt Cancer Center · USUniversity of Minnesota Medical Center · USVirginia Commonwealth University · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI J SUNIL RAO · 1995 to 2026
$48.2M
Enhancing Treg Therapeutic Efficacy in GVHDR01HL118979 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, HIPPEN, KELI L · 2014 to 2025
$6.7M
T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
In Vivo Prevention of Murine GVHDR37AI034495 · NIAID · UNIVERSITY OF MINNESOTA · PI Bruce R Blazar · 2017 to 2026
$5.4M
Exploiting the VISTA Pathway to Prevent Acute GVHD and Control Steroid Refractory DiseaseR01HL155114 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, NOELLE, RANDOLPH J. · 2021 to 2024
$2.7M
Targeting T-cell costimulation and cytokine activation to prevent GVHD and preserve GVLR01HL133823 · NHLBI · UNIVERSITY OF MINNESOTA · PI BETTS, BRIAN C · 2016 to 2020
$2.2M
Developing Chemical Probes for Oncogenic Signaling PathwaysR50CA211447 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Harshani R Lawrence · 2017 to 2026
$2.2M
NCI NIH HHS P01 CA065493NCI NIH HHS P30 CA076292NCI NIH HHS R50 CA211447NHLBI NIH HHS R01 HL056067NHLBI NIH HHS R01 HL118979NHLBI NIH HHS R01 HL133823NHLBI NIH HHS R01 HL155114NIAID NIH HHS R37 AI034495
6 · The paper itself

Abstract

purposeIn this first-in-human, phase I, GVHD prevention trial (NCT02891603), we combine pacritinib (PAC), a JAK2 inhibitor, with sirolimus to concurrently reduce T-cell costimulation via mTOR and IL6 activity. We evaluate the safety of pacritinib when administered with sirolimus plus low-dose tacrolimus (PAC/SIR/TAC) after allogeneic hematopoietic cell transplantation. PATIENTS AND

methodsThe preclinical efficacy and immune modulation of PAC/SIR were investigated in xenogeneic GVHD. Our phase I trial followed a 3+3 dose-escalation design, including dose level 1 (pacritinib 100 mg daily), level 2 (pacritinib 100 mg twice daily), and level 3 (pacritinib 200 mg twice daily). The primary endpoint was to identify the lowest biologically active and safe dose of pacritinib with SIR/TAC (

resultsIn mice, we show that dual JAK2/mTOR inhibition significantly reduces xenogeneic GVHD and increases peripheral regulatory T cell (Treg) potency as well as Treg induction from conventional CD4

conclusionsWe demonstrate that PAC/SIR/TAC is safe and preliminarily limits acute GVHD, preserves donor CMV immunity, and permits timely engraftment. The efficacy of PAC/SIR/TAC will be tested in our ongoing phase II GVHD prevention trial.

Indexed as

AnimalsAurora Kinase ABridged-Ring CompoundsClinical Trials as TopicDisease ManagementDrug Evaluation, PreclinicalGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibility TestingHumansImmunophenotypingImmunosuppressive AgentsJanus Kinase 2Janus Kinase InhibitorsKiller Cells, NaturalMice11-(2-pyrrolidin-1-ylethoxy)-14,19-dioxa-5,7,26-triazatetracyclo(19.3.1.1(2,6).1(8,12))heptacosa-1(25),2(26),3,5,8,10,12(27),16,21,23-decaeneAurora Kinase ABridged-Ring CompoundsImmunosuppressive AgentsJanus Kinase 2Janus Kinase InhibitorsPyrimidinesSTAT3 Transcription FactorTacrolimusTOR Serine-Threonine Kinases

Identifiers

PMID33753457
PMCPMC8127396
OpenAlexW3136462522

What OpenQuestion holds

Textmetadata
LicenceTDM
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.