Evidence map›Paper›PMID 35323358›Full record

ArticleCurrent oncology (Toronto, Ont.)2022

Novel, First-in-Human, Oral PCLX-001 Treatment in a Patient with Relapsed Diffuse Large B-Cell Lymphoma.

Randeep Sangha, Neal M Davies, Afshin Namdar, Michael Chu, Jennifer Spratlin, Erwan Beauchamp, Luc G Berthiaume, John R Mackey

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Current oncology (Toronto, Ont.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06613217 (A Phase 1 Study of Oral PCLX-001 in Relapsed/Refractory), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT06613217 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase 1 Study of Oral PCLX-001 in Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML)

TypeinterventionalSponsorPacylex PharmaceuticalsRan2025 to 2026Enrolled35ConditionsRelapsed Adult AMLArmszelenirstat
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 21 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

8 authors at 1 institution in 1 country.

Randeep SanghaDepartment of Oncology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G1Z2, Canada.
Neal M DaviesFaculty of Pharmacy & Pharmaceutical Sciences, University of Alberta, Edmonton, AB T6G2H1, Canada.ORCID 0000-0002-7050-1471
Afshin NamdarDepartment of Cell Biology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G2H7, Canada.
Michael ChuDepartment of Oncology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G1Z2, Canada.
Jennifer SpratlinDepartment of Oncology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G1Z2, Canada.
Erwan BeauchampPacylex Pharmaceuticals Inc., Edmonton, AB T5J4P6, Canada.
Luc G BerthiaumeDepartment of Cell Biology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G2H7, Canada.
John R MackeyDepartment of Oncology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G1Z2, Canada.
University of Alberta · CA

Funding

Alberta Cancer Foundation 27369Pacylex Pharmaceuticals Inc. n/aThe Cure Cancer Foundation 'World's Longest Hockey Game' and 'World's Longest Baseball Game'
6 · The paper itself

Abstract

Patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) have limited treatment options, particularly if they are transplantation or chimeric antigen receptor (CAR) T-cell ineligible, and novel therapeutics are needed. An 86-year-old woman with relapsed DLBCL received a novel, first-in-class small molecule inhibitor of N-myristoyltransferase (NMT) as the initial patient on a phase I dose escalation trial. Daily oral administration of 20 mg PCLX-001 tablets produced a pharmacokinetic profile suitable for single daily dosing: rapid oral absorption, followed by an apparent elimination half-life of 16 h, without systemic accumulation of drug by day 15. Pharmacodynamic tests showed no clear change in NMT1 and NMT2 levels or selected NMT substrate Lyn and HGAL protein levels in normal circulating blood mononuclear cells, suggesting a higher dose will be required for normal tissue toxicity. The patient did not experience any dose-limiting toxicities but had disease progression after 28 days of study therapy. Dose escalation continues in other patients in this first-in-human study of a new class of anticancer drug. We conclude that PCLX-001 oral monotherapy has suitable pharmacokinetic parameters for dose escalation, and that higher doses are required to achieve pharmacodynamic evidence of on-target activity in normal tissues. The current protocol is appropriately designed to achieve these ends, and the study proceeds without modification.

Indexed as

Lymphoma, Large B-Cell, DiffuseAged, 80 and overFemaleHumansdose escalationfirst-in-humanN-myristoyltransferase inhibitorsnon-Hodgkin lymphomaPCLX-001pharmacodynamic assaypharmacokineticsphase I

Identifiers

PMID35323358
PMCPMC8947478
OpenAlexW4220833409

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.