Evidence map›Paper›PMID 24596143›Full record

Trial reportHead & neck2015

Efficacy of nelfinavir as monotherapy in refractory adenoid cystic carcinoma: Results of a phase II clinical trial.

Andrew C Hoover, Mohammed M Milhem, Carryn M Anderson, Wenqing Sun, Brian J Smith, Henry T Hoffman, John M Buatti

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

Trial report in Head & neck, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01065844 (A Phase II Trial of the HIV Protease Inhibitor Nelfinavir in Patients With Recurrent Symptomatic Adenoid Cystic Cancers of the Head and Neck), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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.

NCT01065844 phase2completednot on this map

A Phase II Trial of the HIV Protease Inhibitor Nelfinavir in Patients With Recurrent Symptomatic Adenoid Cystic Cancers of the Head and Neck

TypeinterventionalSponsorUniversity of IowaRan2009 to 2017Enrolled15ConditionsCarcinoma, Adenoid Cystic, Head and Neck NeoplasmsArmsNelfinavir
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  9. Review
  10. Review
  11. Review
  12. The Therapeutic Landscape of Salivary Gland Malignancies-Where Are We Now?International journal of molecular sciences · 2022
    Review
  13. Systemic therapies for salivary gland adenoid cystic carcinoma.American journal of cancer research · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Phase I trial of concurrent stereotactic body radiotherapy and nelfinavir for locally advanced borderline or unresectable pancreatic adenocarcinoma.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2019
    Article
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Andrew C HooverDepartment of Radiation Oncology, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Mohammed M Milhem
Carryn M Anderson
Wenqing Sun
Brian J Smith
Henry T Hoffman
John M Buatti
University of Iowa Hospitals and Clinics · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

backgroundAdenoid cystic carcinomas (ACCs) are malignant salivary gland tumors noteworthy for high rates of late failure with limited salvage therapy options. We have previously shown increased Akt signaling is common in ACC and the human immunodeficiency virus (HIV) protease inhibitor nelfinavir (NFV) inhibits in vitro tumor growth by suppressing Akt signaling. This phase II trial was conducted to determine progression-free survival in response to NFV in patients with recurrent/endstage ACC who have failed standard therapies.

methodsEligible patients had recurrent or end-stage ACC and measureable disease per Response Evaluation Criteria in Solid Tumors (RECIST) criteria. NFV was provided at 1250 mg twice daily.

resultsAmong 15 trial participants, median progression-free survival was 5.5 months (lower 95% bound 4.4 months). No patient achieved a RECIST partial or complete response to therapy.

conclusionNFV monotherapy does not result in a meaningful improvement in clinical outcomes among patients with recurrent ACC.

Indexed as

AdultAgedAge FactorsCarcinoma, Adenoid CysticCause of DeathDisease-Free SurvivalDose-Response Relationship, DrugDrug Administration ScheduleFemaleFollow-Up StudiesHospitals, UniversityHumansIowaMaleMaximum Tolerated DoseMiddle AgedNelfinaviradenoid cystic carcinomaAkthead and neck cancernelfinavirsalivary gland cancer

Identifiers

PMID24596143
PMCPMC4285572
OpenAlexW1941580799

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.