Evidence map›Paper›PMID 37368100›Full record

ArticleCancer chemotherapy and pharmacology2023

Adavosertib (AZD1775) does not prolong the QTc interval in patients with advanced solid tumors: a phase I open-label study.

Mats Någård, Mei-Lin Ah-See, James Strauss, Trisha Wise-Draper, Howard P Safran, Laura Nadeau, William J Edenfield, Lionel D Lewis, Dinko Rekić, Corina Dota and 3 more

Registry-linked trialOpen access · hybridAbstract read
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 NCT03333824 (A Phase I Open-label Study to Evaluate the Effect of Multiple Doses of AZD1775 on the Pharmacokinetics of Substrates for CYP3A, CYP2C19, CYP1A2 and to Provide Data on the Effect of AZD1775 on QT Interval in Patients With Advanced Solid Tumours), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 74% 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.

NCT03333824 phase1completednot on this map

A Phase I Open-label Study to Evaluate the Effect of Multiple Doses of AZD1775 on the Pharmacokinetics of Substrates for CYP3A, CYP2C19, CYP1A2 and to Provide Data on the Effect of AZD1775 on QT Interval in Patients With Advanced Solid Tumours

TypeinterventionalSponsorAstraZenecaRan2017 to 2019Enrolled33ConditionsSolid TumoursArmsCYP1A2 (caffeine), CYP2C19 (omeprazole), CYP3A (midazolam), Kytril (granisetron), Wee-1 kinase inhibitor AZD1775
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

13 authors at 10 institutions in 6 countries.

Mats NågårdClinical Pharmacology and Quantitative Pharmacology, Clinical Pharmacology and Safety Sciences, AstraZeneca, One MedImmune Way, Gaithersburg, MD, 20878, USA. Mats.Nagard@astrazeneca.com.ORCID 0000-0001-9643-1638
Mei-Lin Ah-SeeLate Stage Development, Oncology R&D, AstraZeneca, Cambridge, UK.
James StraussMary Crowley Cancer Research Center, Dallas, TX, USA.
Trisha Wise-DraperUniversity of Cincinnati Cancer Center, Cincinnati, OH, USA.
Howard P SafranRhode Island Hospital, Lifespan Cancer Institute, Providence, RI, USA.
Laura NadeauBeaumont Cancer Center, Royal Oak, MI, USA.
William J EdenfieldInstitute for Translational Oncology Research, Greenville, SC, USA.
Lionel D LewisThe Dartmouth Cancer Center and Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Dinko RekićClinical Pharmacology and Quantitative Pharmacology, Clinical Pharmacology and Safety Sciences, AstraZeneca, Gothenburg, Sweden.
Corina DotaCardiovascular Safety Center of Excellence, CMO, Oncology R&D, AstraZeneca, Gothenburg, Sweden.
Lone H OttesenLate Stage Development, Oncology R&D, AstraZeneca, Cambridge, UK.
Yan LiIntegrated Bioanalysis, Clinical Pharmacology and Quantitative Pharmacology, BioPharmaceuticals R&D, AstraZeneca, Boston, MA, USA.
Ganesh M MugunduClinical Pharmacology and Quantitative Pharmacology, R&D Clinical Pharmacology and Safety Sciences Clinical Pharmacology, Waltham, MA, USA.
AstraZeneca (Sweden) · SEAstraZeneca (United Kingdom) · GBAstraZeneca (Australia) · AUAstraZeneca (South Korea) · KRBeaumont Health · USDartmouth–Hitchcock Medical Center · USMary Crowley Cancer Research Center · USProvidence College · USQuantitative BioSciences · USUniversity of Cincinnati · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
NCI NIH HHS P30 CA023108
6 · The paper itself

Abstract

purposeAdavosertib is a small-molecule, ATP-competitive inhibitor of Wee1 kinase. Molecularly targeted oncology agents have the potential to increase the risk of cardiovascular events, including prolongation of QT interval and associated cardiac arrhythmias. This study investigated the effect of adavosertib on the QTc interval in patients with advanced solid tumors.

methodsEligible patients were ≥ 18 years of age with advanced solid tumors for which no standard therapy existed. Patients received adavosertib 225 mg twice daily on days 1-2 at 12-h intervals and once on day 3. Patients underwent digital 12-lead electrocardiogram and pharmacokinetic assessments pre-administration and time-matched assessments during the drug administration period. The relationship between maximum plasma drug concentration (C

resultsTwenty-one patients received adavosertib. Concentration-QT modeling of ΔQTcF and the upper limit of the 90% confidence interval corresponding to the geometric mean of C

conclusionAdavosertib does not have a clinically important effect on QTc prolongation. CLINICALTRIALS: GOV: NCT03333824.

Indexed as

Antineoplastic AgentsNeoplasmsElectrocardiographyHumansPyrazolesPyrimidinonesadavosertibAntineoplastic AgentsPyrazolesPyrimidinonesAdavosertibAZD1775PharmacodynamicsPharmacokineticsQT intervalWee1 inhibitor

Identifiers

PMID37368100
PMCPMC10326086
OpenAlexW4382181944

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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.