Evidence map›Paper›PMID 39487711›Full record

ArticleCancer medicine2024

A Phase 1 Study of ABI-009 (Nab-sirolimus) in Combination With Temozolomide and Irinotecan in Pediatric Patients With Recurrent or Refractory Solid Tumors, Including CNS Tumors-A Children's Oncology Group Pediatric Early Phase Clinical Trial Network Study ADVL1514.

Stuart L Cramer, Alyssa Terry Reddy, Charles Gene Minard, Stephan Voss, Elizabeth Fox, Xiaowei Liu, Kristina Denic, Joel M Reid, Brenda J Weigel

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02975882 (A Phase 1 Study of ABI-009), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02975882 phase1completednot on this map

A Phase 1 Study of ABI-009 (NAB-RAPAMYCIN) in Pediatric Patients With Recurrent or Refractory Solid Tumors, Including CNS Tumors as a Single Agent and in Combination With Temozolomide and Irinotecan

TypeinterventionalSponsorChildren's Oncology GroupRan2017 to 2024Enrolled33ConditionsChildhood Solid Neoplasm, Recurrent Malignant Solid Neoplasm, Recurrent Primary Central Nervous System Neoplasm, Refractory Malignant Solid NeoplasmArmsIrinotecan Hydrochloride, Laboratory Biomarker Analysis, Pharmacological Study, Sirolimus Albumin-bound Nanoparticles, Temozolomide
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

9 authors.

Stuart L CramerPrisma Health-Midlands Children's Center for Cancer and Blood Disorders, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-0654-3888
Alyssa Terry ReddyNeurology/Child Neurology, UCSF Medical Center-Mission Bay, San Francisco, California, USA.
Charles Gene MinardBaylor College of Medicine/Dan L Duncan Comprehensive Cancer Center, Dan L. Duncan Institute, Houston, Texas, USA.
Stephan VossDana Farber Cancer Institute, Children's Hospital of Boston, Boston, Massachusetts, USA.
Elizabeth FoxCancer Center, Clinical Trials Administration, Saint Jude Children's Research Hospital, Memphis, Tennessee, USA.
Xiaowei LiuChildren's Oncology Group, Monrovia, California, USA.
Kristina DenicMayo Clinic, Rochester, Minnesota, USA.
Joel M ReidMayo Clinic, Rochester, Minnesota, USA.
Brenda J WeigelDepartment of Pediatrics, Hem/Onc/BMT, University of Minnesota Medical Center-Fairview, Minneapolis, Minnesota, USA.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
PEP-CTN EHR to RAVE supplementUM1CA228823 · NCI · PUBLIC HEALTH INSTITUTE · PI Elizabeth Fox · 2018 to 2026
$39.6M
Pediatric Phase 1/Pilot ConsortiumUM1CA097452 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI WEIGEL, BRENDA J. · 2009 to 2018
$17.7M
COG NCTN Solid Malignancy Integrated Translational Science CenterU10CA180884 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI ADAMSON, PETER C., SKAPEK, STEPHEN X · 2014 to 2018
$1.8M
Cookies for Kids' CancerNCI NIH HHS P30 CA015083NCI NIH HHS U10 CA180884NCI NIH HHS UM1 CA097452NCI NIH HHS UM1 CA228823Pediatric Early Phase Clinical Trial Network (PEP-CTN): PEP-CTN UM1CA228823Phase I/Pilot Consortium Grant UM1CA097452Solid Malignancy Integrated Translational Science Center: NCTN ITSC-Solid Malignancy U10CA180884
6 · The paper itself

Abstract

backgroundNab-sirolimus (ABI-009, nab-rapamycin; Aadi Bioscience Inc. [Aadi]) is a human albumin-bound form of sirolimus nanoparticles, a potent mTOR inhibitor. This phase I trial was conducted to define dose-limiting toxicities (DLT), maximum tolerated or recommended phase II dose (MTD/RP2D), and pharmacokinetics of Nab-sirolimus in combination with temozolomide and irinotecan.

methodsUsing a rolling 6 design, Nab-sirolimus was administered intravenously (IV) on days (D) 1 and 8 of cycle (C) 1. In subsequent cycles, Nab-sirolimus was administered D1 and D8 in combination with temozolomide (125 mg/m

resultsThirty-three patients were enrolled, 32 were eligible. Dose determination included 17 evaluable patients, median (range) age 12 (2-20) years and six additional patients were enrolled (four evaluable for toxicity) on a pharmacokinetic cohort. C1 or C2 DLTs were primarily thrombocytopenia including 2/5 patients at DL1, 2/6 patients at DL-1, and 1/6 patients at DL-2. One patient (DL1) with Ewing Sarcoma had a partial response and remained on study for 35 cycles. Rapamycin clearance was dose dependent. Irinotecan clearance and its active metabolite SN-38 exposure were not affected by coadministration with Nab-sirolimus.

conclusionThe MTD for Nab-sirolimus was 15 mg/m

trial registrationClinicalTrials.gov identifier NCT02975882.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCentral Nervous System NeoplasmsIrinotecanMaximum Tolerated DoseSirolimusTemozolomideAdolescentChildChild, PreschoolFemaleHumansMaleNeoplasm Recurrence, LocalNeoplasmsTreatment OutcomeYoung AdultIrinotecanSirolimusTemozolomideABI‐009Clinical trialnab‐rapamycinPediatricsrapamycin

Identifiers

PMID39487711
PMCPMC11533328

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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.