Evidence map›Paper›PMID 34052929›Full record

Trial reportInvestigational new drugs2021

Gemcitabine, carboplatin and veliparib in multiple relapsed/refractory germ cell tumours: The GCT-SK-004 phase II trial.

M Mego, D Svetlovska, M Reckova, De Angelis, K Kalavska, J Obertova, P Palacka, K Rejlekova, Z Sycova-Mila, M Chovanec and 1 more

Registry-linked trialAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02860819 (Phase II Study of Gemcitabine, Carboplatin and VELIPARIB), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT02860819 phase2completednot on this map

Phase II Study of Gemcitabine, Carboplatin and VELIPARIB (ABT-888) in Refractory Testicular Germ Cell Cancer

TypeinterventionalSponsorNational Cancer Institute, SlovakiaRan2016 to 2021Enrolled15ConditionsTesticular CancerArmsVeliparib, Gemcitabine, Carboplatin
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. PARP Inhibitors in Genitourinary Cancer: A New Paradigm Beyond Prostate Cancer.International journal of urology : official journal of the Japanese Urological Association · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
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

11 authors at 2 institutions in 1 country.

M MegoTranslational Research Unit, Faculty of Medicine, Comenius University, National Cancer Institute, Bratislava, Slovakia. misomego@gmail.com.
D SvetlovskaTranslational Research Unit, Faculty of Medicine, Comenius University, National Cancer Institute, Bratislava, Slovakia.
M ReckovaNational Cancer Institute, Bratislava, Slovakia.
De Angelis2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
K KalavskaTranslational Research Unit, Faculty of Medicine, Comenius University, National Cancer Institute, Bratislava, Slovakia.
J Obertova2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
P Palacka2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
K Rejlekova2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
Z Sycova-MilaNational Cancer Institute, Bratislava, Slovakia.
M Chovanec2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
J Mardiak2nd Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10, Bratislava, Slovakia.
Comenius University Bratislava · SKNational Institute of Cardiovascular Diseases · SK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Patients with multiple relapsed/refractory germ cell tumours (GCTs) have an extremely poor prognosis. PARP (poly-ADP-ribose polymerase) is overexpressed in GCTs compared to normal testes, and PARP overexpression is an early event in GCT development. This study aimed to determine the efficacy and toxicity of gemcitabine, carboplatin and the PARP inhibitor veliparib in patients with multiple relapsed/refractory GCTs. Methods Fifteen patients with multiple relapsed/refractory GCTs were enrolled in this phase II study from October 2016 to October 2020. Gemcitabine was administered at a dose of 800 mg/m2 on days 1 and 8 every 3 weeks; carboplatin at a target AUC of 4 on day 1 every 3 weeks; and veliparib at a dose of 250 mg b.i.d. throughout. The primary end point was 12-month progression-free survival (PFS). Results The median number of treatment cycles was 4 (range 2-8). Twelve-month PFS was achieved in 1 (6.7 %) patient. The median PFS was 3.1 months (95 % CI 2.2-3.9), and the median overall survival was 10.5 months (95 % CI 8.9-11.1). Partial remission was achieved in 4 (26.7 %) patients, and disease stabilization was observed in 5 (33.3 %) patients. A favourable response was achieved in 3 (20.0 %) patients. Treatment was well tolerated; however, 11 (73.3 %) patients experienced grade 3/4 neutropenia, 10 (66.7 %) experienced thrombocytopenia, 5 (33.3 %) anaemia and 2 (13.3 %) febrile neutropenia. Conclusions This study failed to achieve its primary endpoint, and our data suggest limited efficacy of gemcitabine, carboplatin and veliparib for multiple relapsed/refractory GCTs. ClinicalTrials.gov Identifier: NCT02860819, registered August 9, 2016.

Indexed as

AdultAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesCarboplatinDeoxycytidineFemaleGemcitabineHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasms, Germ Cell and EmbryonalPoly(ADP-ribose) Polymerase InhibitorsProgression-Free SurvivalYoung AdultAntineoplastic AgentsBenzimidazolesCarboplatinDeoxycytidineGemcitabinePoly(ADP-ribose) Polymerase InhibitorsveliparibCarboplatinGemcitabineGerm cell tumoursPARPRefractoryVeliparib

Identifiers

PMID34052929
OpenAlexW3164004887

What OpenQuestion holds

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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.