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ArticleBJC reports2024

Results and lessons learnt from the WISTERIA phase I trial combining AZD1775 with cisplatin pre- or post-operatively in head and neck cancer.

Anthony Kong, Amanda J Kirkham, Joshua S Savage, Rhys Mant, Siân Lax, James Good, Martin D Forster, Joseph J Sacco, Stephano Schipani, Kevin J Harrington and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in BJC reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03028766 (A Phase I Trial of WEE1 Inhibition with Chemotherapy and Radiotherapy As Adjuvant Treatment, and a Window of Opportunity Trial with Cisplatin in Patients with Head and Neck Cancer), 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
–field-weighted citation impact
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.

NCT03028766 phase1completednot on this map

A Phase I Trial of WEE1 Inhibition with Chemotherapy and Radiotherapy As Adjuvant Treatment, and a Window of Opportunity Trial with Cisplatin in Patients with Head and Neck Cancer

TypeinterventionalSponsorUniversity of BirminghamRan2017 to 2021Enrolled9ConditionsHypopharynx Squamous Cell Carcinoma, Oral Cavity Squamous Cell Carcinoma, Larynx CancerArmsAZD1775, Cisplatin, Radiotherapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

12 authors.

Anthony Kong *King's College London, London, UK.
Amanda J Kirkham *Cancer Research UK Clinical Trials Unit, Institute of Cancer and Genomics Sciences, University of Birmingham, Birmingham, UK.
Joshua S SavageCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomics Sciences, University of Birmingham, Birmingham, UK.
Rhys MantCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomics Sciences, University of Birmingham, Birmingham, UK.
Siân LaxCancer Research UK Clinical Trials Unit, Institute of Cancer and Genomics Sciences, University of Birmingham, Birmingham, UK.
James GoodUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Martin D ForsterUCL Cancer Institute / University College London Hospitals NHS Foundation Trust, London, UK.
Joseph J SaccoThe Clatterbridge Cancer Centre, Wirral/University of Liverpool, Liverpool, UK.
Stephano SchipaniBeatson West of Scotland Cancer Centre, Institute of Cancer Sciences, University of Glasgow, Glasgow, UK.
Kevin J HarringtonThe Institute of Cancer Research, London, UK.
Christina YapClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Hisham MehannaInHANSE, Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.

Funding

Cancer Research UK 25354
6 · The paper itself

Abstract

Background: Pre-clinical studies suggest AZD1775, a WEE1 kinase inhibitor, potentiates the activity of various chemotherapeutic agents. Methods: WISTERIA was a prospective, parallel two-group, open-label, dose-finding, phase I clinical trial. Eligible patients had histologically confirmed oral, laryngeal, or hypopharyngeal squamous cell carcinoma, ECOG performance status 0/1, and aged ≥18-to-≤70 years. Primary outcomes were adverse events and defining recommended dose and schedule of AZD1775 in combination with cisplatin in pre-operative (Group A), or with cisplatin/radiotherapy in post-operative (Group B) patients. Dose determination was guided by a modified time-to-event continual reassessment method (mTITE-CRM). Results: Between 30-Oct-2017 and 15-Jul-2019, nine patients were registered: Three into Group A and six into Group B. WISTERIA was closed early due to poor recruitment. Five dose-limiting toxicities (DLTs) were reported in four Group B patients. Seven serious adverse events were reported in four patients: One in Group A, and three in Group B. Three were related to treatment. No treatment-related deaths were reported. Conclusions: WISTERIA did not complete its primary objectives due to poor recruitment and toxicities reported in Group B. However, use of the novel mTITE-CRM improved flexibility in reducing accrual suspension periods and should be considered for future trials in complex patient populations. Clinical Trial Registration: ISRCTN76291951.

Identifiers

PMID39220748
PMCPMC11357979

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