Evidence map›Paper›PMID 37199745›Full record

ArticleCancer chemotherapy and pharmacology2023

Phase I trial of intravenous fenretinide (4-HPR) plus safingol in advanced malignancies.

Alexis C Boulter, Barry J Maurer, Meredith Pogue, Min H Kang, Hwangeui Cho, Amanda Knight, C Patrick Reynolds, Donald Quick, Sanjay Awasthi, David E Gerber

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

Article in Cancer chemotherapy and pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01553071 (Phase I Trial of Intravenous Fenretinide), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT01553071 phase1terminatednot on this map

Phase I Trial of Intravenous Fenretinide (4-HPR) Plus Intravenous Safingol for Patients With Relapsed Malignancies

TypeinterventionalSponsorSouth Plains Oncology ConsortiumRan2016 to 2020Enrolled16ConditionsSolid TumorArmsFenretinide (4-HPR) plus Intravenous Safingol
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Sphingolipid metabolism and regulated cell death in malignant melanoma.Apoptosis : an international journal on programmed cell death · 2024
    Review
  3. Article
  4. The Role of Ceramide and Sphingolipid Metabolism in Cancer Therapeutics.Journal of oncology research and therapy · 2024
    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

10 authors at 3 institutions in 3 countries.

Alexis C BoulterDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Barry J MaurerCancer Center, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Meredith PogueDivision of Hematology-Oncology, Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, USA.
Min H KangCancer Center, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Hwangeui ChoCancer Center, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Amanda KnightSouth Plains Oncology Consortium, Lubbock, TX, USA.
C Patrick ReynoldsCancer Center, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Donald QuickJoe Arrington Cancer Center, Lubbock, TX, USA.
Sanjay AwasthiDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
David E GerberDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA. david.gerber@utsouthwestern.edu.ORCID 0000-0002-7812-6741
Texas Tech University · USSouthwestern Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

Development of New Cancer Treatments and InvestigatorsK24CA201543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2016 to 2020
$737k
A Phase I trial combining fenretinide and safingol to target overproduction of diR21CA161889 · NCI · TEXAS TECH UNIVERSITY HEALTH SCIS CENTER · PI REYNOLDS, CHARLES PATRICK · 2011 to 2012
$635k
NCI NIH HHS K24 CA201543NCI NIH HHS R21 CA161889
6 · The paper itself

Abstract

purposeFenretinide (4-HPR) is a synthetic retinoid that induces cytotoxicity through dihydroceramide production. Safingol, a stereochemical-variant dihydroceramide precursor, exhibits synergistic effects when administered with fenretinide in preclinical studies. We conducted a phase 1 dose-escalation clinical trial of this combination.

methodsFenretinide was administered as a 600 mg/m

resultsA total of 16 patients were enrolled (mean age 63 years, 50% female, median three prior lines of therapy), including 15 patients with refractory solid tumors and one with non-Hodgkin lymphoma. The median number of treatment cycles received was 2 (range 2-6). The most common adverse event (AE) was hypertriglyceridemia (88%; 38% ≥ Grade 3), attributed to the fenretinide intralipid infusion vehicle. Other treatment-related AEs occurring in ≥ 20% of patients included anemia, hypocalcemia, hypoalbuminemia, and hyponatremia. At safingol dose 420 mg/m

conclusionCombination fenretinide plus safingol commonly causes hypertriglyceridemia and may be associated with cardiac events at higher safingol levels. Minimal activity in refractory solid tumors was observed. TRIAL REGISTRATION NUMBER: NCT01553071 (3.13.2012).

Indexed as

Antineoplastic AgentsFenretinideHypertriglyceridemiaNeoplasmsCeramidesFemaleHumansMaleMiddle AgedSphingosineAntineoplastic AgentsCeramidesdihydroceramideFenretinidesafingolSphingosineCancerCombinationCytotoxicPharmacokineticsPhase 1Retinoid

Identifiers

PMID37199745
OpenAlexW4377011091

What OpenQuestion holds

Textmetadata
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.