Evidence map›Paper›PMID 37932443›Full record

Trial reportCancer chemotherapy and pharmacology2024

A phase-II study based on dose adjustment according to UGT1A1 polymorphism: is irinotecan underdosed in first-line FOLFIRI regimen for mCRC?

Angeline Ginzac, Emilie Thivat, Caroline Petorin, Damien Richard, Pauline Herviou, Ioana Molnar, Hervé Devaud, Isabelle Creveaux, Florent Ferrer, Nicolas Authier and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01963182 (Phase II Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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.

NCT01963182 phase2completednot on this map

Phase II Study: Individualization of Dosage of Irinotecan in the FOLFIRI According to the Genetic Polymorphism of UGT1A1 in the First Line Treatment of Metastatic Colorectal Cancer

TypeinterventionalSponsorCentre Jean PerrinRan2013 to 2019Enrolled47ConditionsFirst Line Metastatic Colorectal CancerArmsIrinotecan
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

13 authors at 3 institutions in 1 country.

Angeline GinzacINSERM U1240 Imagerie Moléculaire et Stratégies Théranostiques (IMoST), Université Clermont Auvergne, 63000, Clermont-Ferrand, France.
Emilie ThivatINSERM U1240 Imagerie Moléculaire et Stratégies Théranostiques (IMoST), Université Clermont Auvergne, 63000, Clermont-Ferrand, France. Emilie.thivat@clermont.unicancer.fr.ORCID 0000-0001-6833-1971
Caroline PetorinDépartement de Chirurgie Digestive et Hépatobiliaire, Hôpital Estaing, 63000, Clermont-Ferrand, France.
Damien RichardService de Pharmacologie Médicale, Unité de Pharmacologie et de Toxicologie Biologique, CHU Gabriel MONTPIED, 63000, Clermont-Ferrand, France.
Pauline HerviouDépartement de Recherche Clinique, Délégation Recherche Clinique et Innovation, Centre Jean PERRIN, 63000, Clermont-Ferrand, France.
Ioana MolnarINSERM U1240 Imagerie Moléculaire et Stratégies Théranostiques (IMoST), Université Clermont Auvergne, 63000, Clermont-Ferrand, France.
Hervé DevaudService d'oncologie Médicale, Centre Jean PERRIN, 63000, Clermont-Ferrand, France.
Isabelle CreveauxDépartement de Biochimie et Génétique Moléculaire, CHU Clermont-Ferrand, 63000, Clermont-Ferrand, France.
Florent FerrerService de Pharmacologie Médicale, Unité de Pharmacologie et de Toxicologie Biologique, CHU Gabriel MONTPIED, 63000, Clermont-Ferrand, France.
Nicolas AuthierUniversité Clermont Auvergne, CHU de Clermont-Ferrand, Inserm, Pharmacologie Médicale/Centre Evaluation et Traitement de La Douleur, Observatoire Français des Médicaments Antalgiques, Institut Analgesia, 63001, Clermont-Ferrand, France.
Marine JaryService de Chirurgie Digestive, U1071, M2iSH, USC-INRA 2018, CHU Clermont-Ferrand, Université Clermont Auvergne, INSERM, INRA, F-63000, Clermont-Ferrand, France.
Denis PezetService de Chirurgie Digestive, U1071, M2iSH, USC-INRA 2018, CHU Clermont-Ferrand, Université Clermont Auvergne, INSERM, INRA, F-63000, Clermont-Ferrand, France.
Xavier DurandoINSERM U1240 Imagerie Moléculaire et Stratégies Théranostiques (IMoST), Université Clermont Auvergne, 63000, Clermont-Ferrand, France.
Inserm · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Jean Perrin · FR

Funding

Ligue Contre le Cancer 2015Ligue Contre le Cancer comité du Puy de Dôme
6 · The paper itself

Abstract

purposeIrinotecan has considerable importance in the treatment of metastatic colorectal cancer (mCRC). UDP-glucoronyltransferase (UGT) 1A1 is responsible for the inactivation of SN-38, a metabolite of irinotecan. Depending on UGT1A1 polymorphism, the activity of the UGT enzyme can be reduced leading to more frequent occurrence of adverse events related to irinotecan. The present study aimed to assess the safety and efficacy of different doses of irinotecan adjusted according to UGT1A1 polymorphism.

methodsThirty-four patients treated with FOLFIRI as first-line treatment for mCRC were included in this study. The irinotecan dosage was adapted on the basis of UGT1A1 polymorphisms: *1/*1 (370 mg/m

resultsOn the basis of UGT1A1 genotyping, 20 patients were *1/*1 (58.8%), 12 were *1/*28 (35.3%) and 2 were *28/*28 (5.9%). Seven patients experienced at least one severe toxicity, i.e., 21% of the population, amounting to eleven adverse events. Concerning the response rate, 15 patients (44%) had partial or complete response.

conclusionThis study demonstrates that mCRC patients treated with FOLFIRI can tolerate a higher dose of irinotecan than the standard dose, i.e., > 180 mg/m

trial registrationNCT01963182 (registered on 16/10/2013, Clermont-Ferrand, France).

Indexed as

Colonic NeoplasmsColorectal NeoplasmsRectal NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCamptothecinFluorouracilGenotypeGlucuronosyltransferaseHumansIrinotecanLeucovorinCamptothecinFluorouracilGlucuronosyltransferaseIrinotecanLeucovorinFirst-line treatmentIrinotecanMetastatic colorectal cancerUGT1A1 polymorphism

Identifiers

PMID37932443
PMCPMC10901933
OpenAlexW4388441195

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.