Evidence map›Paper›PMID 35650602›Full record

ArticleBMC musculoskeletal disorders2022

Protocol paper: a multi-center, double-blinded, randomized, 6-month, placebo-controlled study followed by 12-month open label extension to evaluate the safety and efficacy of Saracatinib in Fibrodysplasia Ossificans Progressiva (STOPFOP).

Bernard J Smilde, Clemens Stockklausner, Richard Keen, Andrew Whittaker, Alex N Bullock, Annette von Delft, Natasja M van Schoor, Paul B Yu, E Marelise W Eekhoff

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04307953 (Saracatinib Trial TO Prevent FOP), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT04307953 phase2unknown statusnot on this map

Saracatinib Trial TO Prevent FOP

TypeinterventionalSponsorAmsterdam UMC, location VUmcRan2020 to 2025Enrolled20ConditionsFibrodysplasia Ossificans ProgressivaArmsAZD0530 Difumarate, Matching placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. [Biomolecules · 2024
    Review
  6. Structural and molecular imaging-based characterization of soft tissue and vascular calcification in hyperphosphatemic familial tumoral calcinosis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  7. Article
  8. Dual Drug Repurposing: The Example of Saracatinib.International journal of molecular sciences · 2024
    Review
  9. Context-dependent TGFβ family signalling in cell fate regulation.Nature reviews. Molecular cell biology · 2023
    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

9 authors at 8 institutions in 4 countries.

Bernard J SmildeDepartment of Internal Medicine Section Endocrinology, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, The Netherlands.
Clemens StockklausnerDepartment of Paediatrics, Klinikum Garmisch-Partenkirchen, Garmisch Partenkirchen, Germany.
Richard KeenDepartment of Rheumatology, Royal National Orthopaedic Hospital, London, UK.
Andrew WhittakerEmerging Innovations Unit, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.
Alex N BullockCentre for Medicines Discovery, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Annette von DelftCentre for Medicines Discovery, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Natasja M van SchoorEpidemiology and Data Science, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Paul B YuCardiovascular Research Center, Massachusetts General Hospital, Boston, USA.
E Marelise W EekhoffDepartment of Internal Medicine Section Endocrinology, Amsterdam UMC location Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081HV, Amsterdam, The Netherlands. emw.eekhoff@amsterdamumc.nl.
Amsterdam University Medical Centers · NLAstraZeneca (United Kingdom) · GBGarmisch-Partenkirchen Medical Center · DEMassachusetts General Hospital · USNational Institute for Health Research · GBRoyal National Orthopaedic Hospital · GBUniversity of Oxford · GBVrije Universiteit Amsterdam · NL

Funding

Novel probes of BMP and TGF-beta signaling and functionR01AR057374 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI YU, PAUL B · 2010 to 2023
$4.5M
Repositioning AZD0530 for surgical treatment of fibrodysplasia ossificans progressivaUG3TR002617 · NCATS · BRIGHAM AND WOMEN'S HOSPITAL · PI YU, PAUL B · 2018 to 2019
$702k
Innovative Medicines Initiative 821600NCATS NIH HHS UG3 TR002617NIAMS NIH HHS R01 AR057374
6 · The paper itself

Abstract

backgroundFibrodysplasia Ossificans Progressiva (FOP) is a genetic, progressive and devastating disease characterized by severe heterotopic ossification (HO), loss of mobility and early death. There are no FDA approved medications. The STOPFOP team identified AZD0530 (saracatinib) as a potent inhibitor of the ALK2/ACVR1-kinase which is the causative gene for this rare bone disease. AZD0530 was proven to prevent HO formation in FOP mouse models. The STOPFOP trial investigates the repositioning of AZD0530, originally developed for ovarian cancer treatment, to treat patients with FOP.

methodsThe STOPFOP trial is a phase 2a study. It is designed as a European, multicentre, 6-month double blind randomized controlled trial of AZD0530 versus placebo, followed by a 12-month trial comparing open-label extended AZD0530 treatment with natural history data as a control. Enrollment will include 20 FOP patients, aged 18-65 years, with the classic FOP mutation (ALK2 R206H). The primary endpoint is objective change in heterotopic bone volume measured by low-dose whole-body computer tomography (CT) in the RCT phase. Secondary endpoints include DISCUSSION: Clinical trials in rare diseases with limited study populations pose unique challenges. An ideal solution for limiting risks in early clinical studies is drug repositioning - using existing clinical molecules for new disease indications. Using existing assets may also allow a more fluid transition into clinical practice. With positive study outcome, AZD0530 may provide a therapy for FOP that can be rapidly progressed due to the availability of existing safety data from 28 registered clinical trials with AZD0530 involving over 600 patients.

trial registrationEudraCT, 2019-003324-20. Registered 16 October 2019, https://www.clinicaltrialsregister.eu/ctr-search/trial/2019-003324-20/NL . CLINICALTRIALS: gov , NCT04307953 . Registered 13 March 2020.

Indexed as

BenzodioxolesMyositis OssificansQuinazolinesAdolescentAdultAgedDouble-Blind MethodHumansMiddle AgedMulticenter Studies as TopicMutationOssification, HeterotopicRandomized Controlled Trials as TopicYoung AdultBenzodioxolesQuinazolinessaracatinibAZD0530Clinical trialDrug repositioningDrug repurposingFibrodysplasia Ossificans ProgressivaSaracatinib

Identifiers

PMID35650602
PMCPMC9156821
OpenAlexW4281753854

What OpenQuestion holds

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LicenceCC BY
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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.