Evidence map›Paper›PMID 38295144›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2024

Paclitaxel and Carboplatin in Combination with Low-intensity Pulsed Ultrasound for Glioblastoma.

Karl J Habashy, Crismita Dmello, Li Chen, Victor A Arrieta, Kwang-Soo Kim, Andrew Gould, Mark W Youngblood, Guillaume Bouchoux, Kirsten B Burdett, Hui Zhang and 3 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04528680 (Phase 1 / 2 Trial of Blood-brain Barrier Opening With an Implantable Ultrasound Device SonoCloud-9 and Treatment With Albumin-bound Paclitaxel and Carboplatin in Patients With Recurrent Glioblastoma), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT04528680 phase1 / phase2active not recruitingnot on this map

Phase 1 / 2 Trial of Blood-brain Barrier Opening With an Implantable Ultrasound Device SonoCloud-9 and Treatment With Albumin-bound Paclitaxel and Carboplatin in Patients With Recurrent Glioblastoma

TypeinterventionalSponsorNorthwestern UniversityRan2020 to 2026Enrolled57ConditionsGlioblastoma, Gliosarcoma, GBM, Glioblastoma MultiformeArmsSonication for opening of blood-brain barrier, Chemotherapy, albumin-bound paclitaxel, Chemotherapy, carboplatin
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 16 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

13 authors at 2 institutions in 2 countries.

Karl J Habashy *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0003-1210-378X
Crismita Dmello *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-1688-9663
Li Chen *Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0003-0236-7685
Victor A ArrietaDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0003-2738-9741
Kwang-Soo KimDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0001-7535-7088
Andrew GouldDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0009-0000-9543-8125
Mark W YoungbloodDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-1044-8015
Guillaume BouchouxCarthera, Lyon, France.ORCID 0000-0002-2444-025X
Kirsten B BurdettDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-3720-2795
Hui ZhangNorthwestern Medicine Lou and Jean Malnati Brain Tumor Institute of the Lurie Comprehensive Cancer Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0001-6825-5649
Michael CanneyCarthera, Lyon, France.ORCID 0000-0003-3945-3560
Roger StuppDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-5483-3118
Adam M SonabendDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0002-8347-1945
Northwestern University · USCentre d'Énergétique et de Thermique de Lyon · FR

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEONIDAS C. PLATANIAS · 1993 to 2026
$153.9M
STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Atique U. Ahmed · 2018 to 2026
$21.4M
Blood-brain barrier disruption with implantable ultrasound to enhance paclitaxel delivery: A Phase 1-2 clinical trial in recurrent glioblastomaR01CA245969 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Adam M Sonabend, Roger Stupp · 2020 to 2026
$2.8M
MAPK as target of glioma immunoediting by CD8 T-cells, and predictor of response to immunotherapyR01NS110703 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SONABEND, ADAM M · 2020 to 2024
$1.9M
NCI NIH HHS P30 CA060553NCI NIH HHS P50 CA221747NCI NIH HHS R01 CA245969NINDS NIH HHS R01 NS110703
6 · The paper itself

Abstract

purposeWe recently reported on clinical trials for patients with recurrent glioblastoma where low-intensity pulsed ultrasound and microbubbles (LIPU/MB) improved paclitaxel or carboplatin delivery into the brain. Here, we report variable local tumor control with paclitaxel at the maximal/target dose in our phase I trial (NCT04528680). To address this, we investigated the combination of paclitaxel with carboplatin in preclinical glioma models. EXPERIMENTAL

designWe performed MRI-based analysis to evaluate disease control in patients from our trial. We studied the cytotoxicity of paclitaxel and carboplatin against 11 human glioma lines as monotherapy and in combination at concentrations derived from human intraoperative studies. Synergy was assessed with the Loewe model and the survival benefit evaluated in two xenografts. We examined the effects on cell cycle progression, DNA damage, and apoptosis.

resultsPatients treated with paclitaxel and LIPU/MB exhibited variable local tumor control, which correlated with overall survival. We observed limited cross-resistance to paclitaxel and carboplatin in glioma lines, with almost a third of them being exclusively susceptible to one drug. This combination led to susceptibility of 81% of lines and synergy in 55% of them. The combination proved more efficacious in two intracranial xenografts when administered with LIPU/MB, leading to complementary effects on cell cycle arrest.

conclusionsCombining paclitaxel and carboplatin in gliomas may be more efficacious than monotherapy, as in other cancers, due to synergy and independent susceptibility to each drug. These results form the basis for an ongoing phase II trial (NCT04528680) where we investigate this combination with LIPU/MB.

Indexed as

GlioblastomaGliomaAntineoplastic Combined Chemotherapy ProtocolsCarboplatinHumansNeoplasm Recurrence, LocalPaclitaxelCarboplatinPaclitaxel

Identifiers

PMID38295144
PMCPMC12217717
OpenAlexW4391380780

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.