Evidence map›Paper›PMID 37980367›Full record

ArticleBritish journal of cancer2024

Phase 1b study of enzalutamide plus CC-115, a dual mTORC1/2 and DNA-PK inhibitor, in men with metastatic castration-resistant prostate cancer (mCRPC).

Jimmy L Zhao, Emmanuel S Antonarakis, Heather H Cheng, Daniel J George, Rahul Aggarwal, Elyn Riedel, Takayuki Sumiyoshi, Joseph D Schonhoft, Amanda Anderson, Ninghui Mao and 10 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyClinical Trial, Phase I
In one paragraph

Article in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02833883 (A Phase 1b Study of Enzalutamide Plus CC-115 in Men With Castration-Resistant Prostate Cancer), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT02833883 phase1completednot on this map

A Phase 1b Study of Enzalutamide Plus CC-115 in Men With Castration-Resistant Prostate Cancer (CRPC)

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2016 to 2023Enrolled40ConditionsProstate Cancer, Castration Resistant Prostate CancerArmsEnzalutamide, CC-115
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 18 citations in OpenAlex.

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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

20 authors at 8 institutions in 5 countries.

Jimmy L ZhaoMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Emmanuel S AntonarakisThe Sidney Kimmel Cancer Comprehensive Cancer Center at Johns Hopkins, 401 N. Broadway, Baltimore, MD, 21231, USA.
Heather H ChengUniversity of Washington and Fred Hutch Cancer Research Center, 1144 Eastlake Avenue, Seattle, WA, 98109, USA.
Daniel J GeorgeDuke Cancer Institute, 20 Duke Medicine Circle, Durham, NC, 27710, USA.ORCID 0000-0002-0836-8542
Rahul AggarwalUniversity of California, San Francisco Helen Diller Family Comprehensive Cancer Center, 1825 4th Street, San Francisco, CA, 94158, USA.ORCID 0000-0001-7003-7982
Elyn RiedelMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Takayuki SumiyoshiVancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Joseph D SchonhoftEpic Sciences, 9381 Judicial Drive Suite 200, San Diego, CA, 92121, USA.
Amanda AndersonEpic Sciences, 9381 Judicial Drive Suite 200, San Diego, CA, 92121, USA.
Ninghui MaoMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Samuel HaywoodMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Brooke DeckerMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Tracy CurleyMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Wassim AbidaMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Felix Y FengUniversity of California, San Francisco Helen Diller Family Comprehensive Cancer Center, 1825 4th Street, San Francisco, CA, 94158, USA.
Karen KnudsenSidney Kimmel Cancer Center, Thomas Jefferson University, 914 Chestnut Street, Philadelphia, PA, 19107, USA.
Brett CarverMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Mario E LacoutureMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Alexander W WyattVancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-2399-0329
Dana RathkopfMemorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. rathkopd@mskcc.org.ORCID 0000-0002-4503-7582
Memorial Sloan Kettering Cancer Center · USEpic Sciences (United States) · USUniversity of British Columbia · CAUniversity of California, San Francisco · USAstraZeneca (Netherlands) · NLDuke Medical Center · USThomas Jefferson University · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundCC-115, a dual mTORC1/2 and DNA-PK inhibitor, has promising antitumour activity when combined with androgen receptor (AR) inhibition in pre-clinical models.

methodsPhase 1b multicentre trial evaluating enzalutamide with escalating doses of CC-115 in AR inhibitor-naive mCRPC patients (n = 41). Primary endpoints were safety and RP2D. Secondary endpoints included PSA response, time-to-PSA progression, and radiographic progression.

resultsCommon adverse effects included rash (31.7% Grades 1-2 (Gr); 31.7% Gr 3), pruritis (43.9% Gr 1-2), diarrhoea (37% Gr 1-2), and hypertension (17% Gr 1-2; 9.8% Gr 3). CC-115 RP2D was 5 mg twice a day. In 40 evaluable patients, 80% achieved ≥50% reduction in PSA (PSA50), and 58% achieved ≥90% reduction in PSA (PSA90) by 12 weeks. Median time-to-PSA progression was 14.7 months and median rPFS was 22.1 months. Stratification by PI3K alterations demonstrated a non-statistically significant trend towards improved PSA50 response (PSA50 of 94% vs. 67%, p = 0.08). Exploratory pre-clinical analysis suggested CC-115 inhibited mTOR pathway strongly, but may be insufficient to inhibit DNA-PK at RP2D.

conclusionsThe combination of enzalutamide and CC-115 was well tolerated. A non-statistically significant trend towards improved PSA response was observed in patients harbouring PI3K pathway alterations, suggesting potential predictive biomarkers of response to a PI3K/AKT/mTOR pathway inhibitor. CLINICAL

trial registrationClinicalTrials.gov identifier: NCT02833883.

Indexed as

BenzamidesPhenylthiohydantoinProstatic Neoplasms, Castration-ResistantPyrazinesTriazolesDNAHumansMaleMechanistic Target of Rapamycin Complex 1NitrilesPhosphatidylinositol 3-KinasesProstate-Specific Antigen1-ethyl-7-(2-methyl-6-(1H-1,2,4-triazol-3-yl)pyridin-3-yl)-3,4-dihydropyrazino(2,3-b)pyrazin-2(1H)-oneBenzamidesDNAenzalutamideMechanistic Target of Rapamycin Complex 1NitrilesPhenylthiohydantoinPhosphatidylinositol 3-KinasesProstate-Specific AntigenPyrazinesTriazoles

Identifiers

PMID37980367
PMCPMC10781677
OpenAlexW4388794355

What OpenQuestion holds

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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.