Evidence map›Paper›PMID 41350594›Full record

ArticleScientific reports2025

Phase I study of pevonedistat combined with capecitabine and oxaliplatin in patients with platinum-refractory advanced gastric cancer.

Hirokazu Shoji, Daisuke Takahari, Akira Ooki, Hidekazu Hirano, Natsuko Okita, Kengo Nagashima, Jun Adachi, Kensei Yamaguchi, Ken Kato, Narikazu Boku

Abstract readClinical Trial, Phase I
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

10 authors.

Hirokazu ShojiDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan. hshouji@ncc.go.jp.
Daisuke TakahariDepartment of Gastroenterology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Akira OokiDepartment of Gastroenterology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Hidekazu HiranoDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.
Natsuko OkitaDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.
Kengo NagashimaBiostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, 160-0016, Japan.
Jun AdachiLaboratory of Clinical and Analytical Chemistry, National Institute of Biomedical Innovation, Health and Nutrition, Ibaraki, Osaka, 567-0085, Japan.
Kensei YamaguchiDepartment of Gastroenterology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Ken KatoDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.
Narikazu BokuDepartment of Gastrointestinal Medical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pevonedistat, a potent NEDD8-activating enzyme inhibitor, has shown preclinical promise in overcoming platinum resistance and enhancing antitumor activity. This phase I study investigated the recommended dose (RD) and tolerability of pevonedistat in combination with capecitabine plus oxaliplatin (CapeOX) as third-line or later treatment in patients with unresectable advanced or recurrent gastric cancer (AGC). The study included a dose-finding cohort for determining the RD and an expansion cohort for assessing the efficacy and safety at the RD. Twelve patients were enrolled between April 2019 and September 2021. Dose-limiting toxicities (DLTs), including grade 2/3 aspartate transaminase/alanine transaminase (AST/ALT) elevation and treatment delays, occurred in the initial 2 patients at level 1 (20 mg/m

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCapecitabineOxaliplatinPyrimidinesStomach NeoplasmsAdultAgedDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedPlatinumTreatment OutcomeCapecitabineOxaliplatinPlatinumPyrimidinesAdvanced gastric cancerCapeOXDose-limiting toxicitiesPevonedistatSalvage chemotherapy

Identifiers

PMID41350594
PMCPMC12780242

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Registered trials

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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.