Evidence map›Paper›PMID 34901759›Full record

ArticleHemaSphere2021

A Phase II Study to Assess the Safety and Efficacy of the Dual mTORC1/2 and PI3K Inhibitor Bimiralisib (PQR309) in Relapsed, Refractory Lymphoma.

Graham P Collins, Toby A Eyre, Debora Schmitz-Rohmer, William Townsend, Rakesh Popat, Lisa Giulino-Roth, Paul A Fields, Fatime Krasniqi, Carole Soussain, Anastasios Stathis and 11 more

Open access · goldAbstract read
In one paragraph

Article in HemaSphere, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Review
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  4. Article
  5. Updates of primary central nervous system lymphoma.Therapeutic advances in hematology · 2024
    Review
  6. Regulation of PI3K signaling in cancer metabolism and PI3K-targeting therapy.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    Review
  7. Review
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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

21 authors at 19 institutions in 8 countries.

Graham P CollinsOxford National Institute for Health Research Biomedical Research Centre, Department of Haematology, Oxford University Hospitals National Health Service Foundation Trust, Churchill Hospital, Oxford, United Kingdom.
Toby A EyreOxford National Institute for Health Research Biomedical Research Centre, Department of Haematology, Oxford University Hospitals National Health Service Foundation Trust, Churchill Hospital, Oxford, United Kingdom.
Debora Schmitz-RohmerPIQUR Therapeutics, Basel, Switzerland.
William TownsendUniversity College London Hospitals Clinical Research Facility, London, United Kingdom.
Rakesh PopatUniversity College London Hospitals Clinical Research Facility, London, United Kingdom.
Lisa Giulino-RothDepartments of Pediatrics, Medicine and Pathology and Laboratory Medicine and Department of Pediatrics, Weill Cornell Medical College, New York, USA.
Paul A FieldsDepartment of Haematology, Guy's and St Thomas' National Health Service Foundation Trust, Guy's Hospital, Great Maze Pond, London, United Kingdom.
Fatime KrasniqiDepartment of Hematology/Oncology, University of Basel, Switzerland.
Carole SoussainDepartment of Haematology, Institut Curie, Site Saint-Cloud, and Institut national de la santé et de la recherche médicale, U932 Institut Curie, Paris Sciences et Lettres Research University, Paris, France.
Anastasios StathisOncology Institute of Southern Switzerland (IOSI), Bellinzona, Switzerland.
Nebojsa AndjelkovicFaculty of Medical sciences Kragujevac, Clinic for Hematology, Clinical Center Kragujevac, Serbia.
David CunninghamGastrointestinal and Lymphoma Unit, The Royal Marsden National Health Service Foundation Trust, Surrey, United Kingdom.
Danijela MandicDepartment of Internal Disease-Hematology, University Clinical Center Republic of Srpska, Banja Luka, Bosnia and Herzegovina.
Sinisa RadulovicDepartment for Medical Oncology, Institute for Oncology and Radiology of Serbia, Belgrade, Serbia.
Ivan TijanicClinic of Hematology and Clinical Immunology, Clinical Centre Niš, Faculty of Medicine of the University of Niš, Serbia.
Netanel A HorowitzDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel.
Sabira KurtovicDepartment of Hematology, Clinical Center of the University of Sarajevo, Bosnia and Herzegovina.
Elisabeth SchorbDepartment of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.
Christian SchmidtDepartment of Medicine III, Ludwig-Maximilians-University Hospital, Munich, Germany.
Saša DimitrijevićPIQUR Therapeutics, Basel, Switzerland.
Martin DreylingDepartment of Medicine III, Ludwig-Maximilians-University Hospital, Munich, Germany.
Ludwig-Maximilians-Universität München · DEPIQUR Therapeutics (Switzerland) · CHChurchill Hospital · GBClinical Centre of Kragujevac · RSCornell University · USGuy's Hospital · GBInstitut Curie · FRInstitute of Oncology Research · CHNational Health Service · GBNational Institute for Health Research · GBOncology Institute of Vojvodina · RSRambam Health Care Campus · ILUniversity clinical center of Republika Srpska · BAUniversity College London · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Basel · CHUniversity of Freiburg · DEUniversity of Nis · RSUniversity of Sarajevo · BA

Funding

Rational Translation of EZH2 Targeted Therapy in Germinal Center B-cell LymphomaK08CA219473 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROTH, LISA GIULINO · 2017 to 2020
$684k
NCI NIH HHS K08 CA219473
6 · The paper itself

Abstract

Bimiralisib is an orally bioavailable pan-phosphatidylinositol 3-kinase and mammalian target of rapamycin inhibitor which has shown activity against lymphoma in preclinical models. This phase I/II study evaluated the response rate to bimiralisib at 2 continuous dose levels (60 mg and 80 mg) in patients with relapsed/refractory lymphoma. Fifty patients were enrolled and started treatment. The most common histologies were diffuse large B-cell lymphoma (n = 17), follicular lymphoma (n = 9), T-cell lymphoma (n = 8), and others (mostly indolent). Patients had been treated with a median of 5 prior lines of treatment and 44% were considered refractory to their last treatment. Mean duration of treatment (and standard deviations) with 60 mg once daily (o.d.) was 1.3 ± 1.2 months, and with 80 mg o.d. 3.7 ± 3.9 months. On an intention to treat analysis, the overall response rate was 14% with 10% achieving a partial response and 4% a complete response. Thirty-six percent of patients were reported as having stable disease. No dose-limiting toxicities were observed during the phase I portion of the study. Overall, 70% of patients had a grade 3 treatment emergent adverse events (TEAE) and 34% had a grade 4 TEAE; 28% of patients discontinued treatment due to toxicity. The most frequent TEAEs grade ≥3 was hyperglycemia (24%), neutropenia (20%), thrombocytopenia (22%), and diarrhea (12%). Per protocol, hyperglycemia required treatment with oral antihyperglycemic agents in 28% and with insulin in 14%. At 60 mg or 80 mg continuous dosing, bimiralisib showed modest efficacy with significant toxicity in heavily pretreated patients with various histological subtypes of lymphoma.

Identifiers

PMID34901759
PMCPMC8660000
OpenAlexW3210294221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.