Evidence map›Paper›PMID 36455228›Full record

ArticleNeuro-oncology2023

Trotabresib, an oral potent bromodomain and extraterminal inhibitor, in patients with high-grade gliomas: A phase I, "window-of-opportunity" study.

Victor Moreno, Juan Manuel Sepúlveda, David A Reardon, Ángel Pérez-Núñez, Pedro González León, Bishoy Hanna, Ellen Filvaroff, Ida Aronchik, Henry Chang, Barbara Amoroso and 6 more

2 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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.

NCT04047303 phase1terminatednot on this map

A Phase 1, Open-label Study to Assess the Pharmacokinetics, Pharmacodynamics and Central Nervous System (CNS) Penetration of CC-90010 in Preoperative Subjects With Progressive or Recurrent Who Grade II Diffuse Astrocytoma, Grade III Anaplastic Astrocytoma and Recurrent Glioblastoma Scheduled for Resection

TypeinterventionalSponsorCelgeneRan2020 to 2024Enrolled20ConditionsAstrocytoma, GlioblastomaArmsCC-90010
NCT04324840 phase1terminatednot on this map

A Phase 1b, Open-label, Dose-Finding Study of CC-90010 in Combination With Temozolomide With or Without Radiation Therapy in Subjects With Newly Diagnosed Glioblastoma

TypeinterventionalSponsorCelgeneRan2020 to 2024Enrolled184ConditionsGlioblastomaArmsCC-90010, Temozolomide, Radiotherapy
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Targeting BRD4-A Promising Therapeutic Option for Glioblastoma?International journal of molecular sciences · 2026
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  12. Targeting lysine acetylation readers and writers.Nature reviews. Drug discovery · 2025
    Review
  13. Review
  14. Article
  15. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
  16. Review
  17. Sequential Inhibition of PARP and BET as a Rational Therapeutic Strategy for Glioblastoma.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  18. Review
  19. Article
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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

16 authors.

Victor MorenoSTART Madrid-FJD, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0001-6099-4236
Juan Manuel SepúlvedaDepartment of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0003-3548-9961
David A ReardonDepartment of Neuro-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Ángel Pérez-NúñezDepartment of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-2391-6586
Pedro González LeónDepartment of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Bishoy HannaBristol Myers Squibb, Princeton, New Jersey, USA.
Ellen FilvaroffBristol Myers Squibb, San Francisco, California, USA.
Ida AronchikBristol Myers Squibb, San Francisco, California, USA.
Henry ChangBristol Myers Squibb, San Francisco, California, USA.
Barbara AmorosoCentre for Innovation and Translational Research Europe, A Bristol Myers Squibb Company, Seville, Spain.
Marlene ZuraekBristol Myers Squibb, San Francisco, California, USA.
Tania Sanchez-PerezCentre for Innovation and Translational Research Europe, A Bristol Myers Squibb Company, Seville, Spain.
Cristina MendezCentre for Innovation and Translational Research Europe, A Bristol Myers Squibb Company, Seville, Spain.
Daniel StephensBristol Myers Squibb, Princeton, New Jersey, USA.
Zariana NikolovaCentre for Innovation and Translational Research Europe, A Bristol Myers Squibb Company, Seville, Spain.
Michael A VogelbaumDepartment of Neuro-Oncology, Moffitt Cancer Center, Tampa, Florida, USA.ORCID 0000-0002-9833-2374

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe bromodomain and extraterminal protein (BET) inhibitor trotabresib has demonstrated antitumor activity in patients with advanced solid tumors, including high-grade gliomas. CC-90010-GBM-001 (NCT04047303) is a phase I study investigating the pharmacokinetics, pharmacodynamics, and CNS penetration of trotabresib in patients with recurrent high-grade gliomas scheduled for salvage resection.

methodsPatients received trotabresib 30 mg/day on days 1-4 before surgery, followed by maintenance trotabresib 45 mg/day 4 days on/24 days off after surgery. Primary endpoints were plasma pharmacokinetics and trotabresib concentrations in resected tissue. Secondary and exploratory endpoints included safety, pharmacodynamics, and antitumor activity.

resultsTwenty patients received preoperative trotabresib and underwent resection with no delays or cancelations of surgery; 16 patients received maintenance trotabresib after recovery from surgery. Trotabresib plasma pharmacokinetics were consistent with previous data. Mean trotabresib brain tumor tissue:plasma ratio was 0.84 (estimated unbound partition coefficient [KPUU] 0.37), and modulation of pharmacodynamic markers was observed in blood and brain tumor tissue. Trotabresib was well tolerated; the most frequent grade 3/4 treatment-related adverse event during maintenance treatment was thrombocytopenia (5/16 patients). Six-month progression-free survival was 12%. Two patients remain on treatment with stable disease at cycles 25 and 30.

conclusionsTrotabresib penetrates the blood-brain-tumor barrier in patients with recurrent high-grade glioma and demonstrates target engagement in resected tumor tissue. Plasma pharmacokinetics, blood pharmacodynamics, and safety were comparable with previous results for trotabresib in patients with advanced solid tumors. Investigation of adjuvant trotabresib + temozolomide and concomitant trotabresib + temozolomide + radiotherapy in patients with newly diagnosed glioblastoma is ongoing (NCT04324840).

Indexed as

Brain NeoplasmsGlioblastomaGliomaAntineoplastic Agents, AlkylatingDacarbazineHumansTemozolomideAntineoplastic Agents, AlkylatingDacarbazineTemozolomideblood–brain-tumor barrierglioblastomapharmacodynamicspharmacokineticstrotabresib

Identifiers

PMID36455228
PMCPMC10237409

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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.