Evidence map›Paper›PMID 39290981›Full record

ArticleTherapeutic advances in hematology2024

Phase I/II study of the clinical activity and safety of GSK3326595 in patients with myeloid neoplasms.

Justin Watts, Mark D Minden, Kimo Bachiashvili, Andrew M Brunner, Sameem Abedin, Timothy Crossman, Magdalena Zajac, Veronica Moroz, Jacqueline L Egger, Aarti Tarkar and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03614728 (A Phase I/II Study to Investigate the Safety and Clinical Activity of GSK3326595 and Other Agents in Participants With Myelodysplastic Syndrome and Acute Myeloid Leukaemia), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

NCT03614728 phase1 / phase2terminatednot on this map

A Phase I/II Study to Investigate the Safety and Clinical Activity of GSK3326595 and Other Agents in Participants With Myelodysplastic Syndrome and Acute Myeloid Leukaemia

TypeinterventionalSponsorGlaxoSmithKlineRan2018 to 2022Enrolled30ConditionsNeoplasmsArmsGSK3326595, 5-Azacitidine
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Article
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  12. RNA Splicing as a Therapeutic Target in Cancer.Annual review of pharmacology and toxicology · 2026
    Review
  13. International journal of molecular sciences · 2025
    Review
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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.

Justin WattsDivision of Hematology, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.
Mark D MindenDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Center, University Health Network, Toronto, ON, Canada.
Kimo BachiashviliDivision of Hematology and Oncology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA.
Andrew M BrunnerLeukemia Program, Massachusetts General Hospital Cancer Center, Boston, MA, USA.
Sameem AbedinDivision of Hematology/Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.
Timothy CrossmanOncology Clinical Development, GSK, Gunnels Wood Road, Stevenage, Herts SG1 2NY, UK.ORCID https://orcid.org/0009-0008-5643-6408
Magdalena ZajacOncology Clinical Development, GSK, London, UK.
Veronica MorozBiostatistics, GSK, Stevenage, UK.
Jacqueline L EggerOncology Clinical Development, GSK, London, UK.
Aarti TarkarOncology Clinical Development, GSK, Collegeville, PA, USA.
Brandon E KremerOncology Clinical Development, GSK, Collegeville, PA, USA.
Olena BarbashOncology Clinical Development, GSK, Collegeville, PA, USA.
Gautam BorthakurDepartment of Leukemia, MD Anderson Cancer Center, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: GSK3326595 is a potent, selective, reversible protein arginine methyltransferase 5 (PRMT5) inhibitor under investigation for treatment of myelodysplastic syndrome (MDS), chronic myelomonocytic leukemia (CMML), and acute myeloid leukemia (AML). In preclinical models of AML, PRMT5 inhibition decreased proliferation and increased cell death, supporting additional clinical research in myeloid neoplasms. Objectives: To determine the clinical activity, safety, tolerability, dosing, additional measures of clinical activity, pharmacokinetics, and pharmacodynamics of GSK3326595. Design: In part 1 of this open-label, multicenter, multipart, phase I/II study, adults with relapsed/refractory myeloid neoplasms (e.g., MDS, CMML, and AML) received monotherapy with 400 or 300 mg oral GSK3326595 once daily. Study termination occurred prior to part 2 enrollment. Methods: Clinical activity was determined by the clinical benefit rate (CBR; proportion of patients achieving complete remission (CR), complete marrow remission (mCR), partial remission, stable disease (SD) >8 weeks, or hematologic improvement). Adverse events (AEs) were assessed by incidence and severity. Exploratory examination of spliceosome mutations was performed to determine the relationship between genomic profiles and clinical response to GSK3326595. Results: Thirty patients with a median age of 73.5 years (range, 47-90) were enrolled; 13 (43%) and 17 (57%) received 400 and 300 mg of GSK3326595, respectively. Five (17%) patients met CBR criteria: 4 (13%) with SD >8 weeks and 1 (3%) achieving mCR. Of five patients with clinical benefit: three had SRSF2 mutation, one U2AF1, and one was splicing factor wild-type. Frequent GSK3326595-related AEs were decreased platelet count (27%), dysgeusia (23%), fatigue (20%), and nausea (20%). GSK3326595 had rapid absorption, with a Conclusion: GSK3326595 monotherapy had limited clinical activity in heavily pretreated patients despite robust target engagement. The safety profile was broadly consistent with other published PRMT5 inhibitor studies. Trial registration: ClinicalTrials.gov: NCT03614728.

Indexed as

acute myeloid leukemiachronic myelomonocytic leukemiaGSK3326595myelodysplastic syndromemyeloid neoplasmPRMT5

Identifiers

PMID39290981
PMCPMC11406655

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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.