Evidence mapPaperPMID 28072765Full record

Trial reportBritish journal of cancer2017

Phase II study of the PI3K inhibitor BKM120 in patients with advanced or recurrent endometrial carcinoma: a stratified type I-type II study from the GINECO group.

P-E Heudel, M Fabbro, C Roemer-Becuwe, M C Kaminsky, A Arnaud, F Joly, S Roche-Forestier, J Meunier, C Foa, B You and 11 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.9field-weighted citation impact, top 2% 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.

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

36 citing papers in PubMed, 64 citations in OpenAlex.

  1. Phase II study of BKM120 in patients with advanced esophageal squamous cell carcinoma (EPOC1303).Esophagus : official journal of the Japan Esophageal Society · 2022
    Trial
  2. Lenvatinib plus Pembrolizumab for Advanced Endometrial Cancer.The New England journal of medicine · 2022
    Trial
  3. Trial
  4. Trial
  5. Review
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  8. Article
  9. Article
  10. Review
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  13. Evolving treatment paradigms in metastatic or recurrent low-grade endometrial cancer: When is hormonal-based therapy the preferred option?International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. PI3K Inhibitors in Cancer: Clinical Implications and Adverse Effects.International journal of molecular sciences · 2021
    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

21 authors at 17 institutions in 1 country.

P-E HeudelDepartment of Medical Oncology, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, 28 Rue Laennec, 69008 Lyon, France.
M FabbroICM Val d'Aurelle, Parc Euromédecine 208 Rue des Apothicaires, 34298 Montpellier, France.
C Roemer-BecuweORACLE Centre d'oncologie de Gentilly, 2 Rue Marie Marvingt, 54100 Nancy, France.
M C KaminskyICL Institut de Cancérologie de Lorraine, 6 Avenue de Bourgogne Brabois, 54511 Vandoeuvre-les-Nancy, France.
A ArnaudInstitut Sainte Catherine, 250 Chemin de Baigne-pieds, 84918 Avignon, France.
F JolyCentre François Baclesse, Avenue du Général Harris, 14000 Caen, France.
S Roche-ForestierCentre Jean Bernard-Clinique Victor Hugo, 18 Rue Victor Hugo, 72000 Le Mans, France.
J MeunierCentre hospitalier régional d'Orléans, 14 Avenue de l'Hôpital, 45067 Orléans, France.
C FoaHôpital privé Clairval, 317 Boulevard du Redon, 13009 Marseille, France.
B YouCentre hospitalier Lyon Sud, 165 Chemin du Grand Revoyet, 69495 Pierre-Bénite, France.
F PriouCentre hospitalier départemental Les Oudairies, Les Oudairies, 85925 La Roche-sur-Yon, France.
Y TaziInstitut de cancérologie Gustave Roussy, 114 Rue Edouard Vaillant, 94805 Villejuif, France.
A FloquetInstitut Bergonié, 229 Cours de l'Argonne, 33076 Bordeaux, France.
F SelleHôpital Tenon, 4 rue de la Chine 75020 Paris, France.
D Berton-RigaudICO centre René Gauducheau, Boulevard Jacques Monod, 44805 Saint Herblain, France.
A LesoinCentre Oscar Lambret, 3 Rue F. Combemale, 59020 Lille, France.
E KalbacherHôpital Jean Minjoz, 3 Boulevard Alexandre Fleming, 25030 Besançon, France.
A LortholaryCentre Catherine de Sienne, 2 Rue Eric Tabarly, 44202 Nantes, France.
L FavierCentre Georges François Leclerc, 1 Rue Professeur Marion, 21079 Dijon, France.
I TreilleuxDepartment of Medical Oncology, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, 28 Rue Laennec, 69008 Lyon, France.
I Ray-CoquardDepartment of Medical Oncology, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, 28 Rue Laennec, 69008 Lyon, France.
Centre de Recherche en Cancérologie de Lyon · FRCentre François Baclesse · FRCentre Georges François Leclerc · FRCentre Hospitalier Départemental Vendée · FRCentre hospitalier régional d'Orléans · FRCentre Hospitalier René-Dubos · FRCentre Jean Bernard · FRCentre Oscar Lambret · FRHôpital Lyon Sud · FRHôpital privé Clairval · FRHôpital Privé Jean Mermo · FRHôpital Tenon · FRInstitut Bergonié · FRInstitut de Cancérologie de Lorraine · FRInstitut Gustave Roussy · FRInstitut Sainte Catherine · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backround:Patients with metastatic endometrial carcinoma have a poor prognosis and PIK3CA mutations and amplifications are common in these cancers. This study evaluated the efficacy and safety of the pure PI3K inhibitor BKM120 in advanced or recurrent endometrial carcinoma.

methodsThis phase II, multicentre, single-arm, double strata (histological low grade (LG) or high grade (HG)) open-label study enrolled patients with histologically confirmed advanced or recurrent endometrial carcinoma who had received not more than one prior chemotherapy regimen. Patients received initially BKM120 100 mg tablets once daily. Primary end points were proportion of patients free of progression at 2 months (HG strata) or at 3 months (LG strata), objective response rate (ORR), and safety.

resultsA total of 40 patients were enrolled, of whom 16 patients had received BKM120 at 100 mg. Because of high toxicities (cutaneous rash (54%), depressive events (47%), and anxiety (40%), the IDMC has proposed to stop recruitment at 100 mg and to continue the clinical trial with a lower dose of 60 mg per day. In addition, 24 patients (median age 67 years old) were newly enrolled (14 in the LG strata and 10 in the HG strata). Rate of nonprogression at 2 months in the HG strata was 70% and at 3 months was 60% in the LG strata. Median progression-free survival (PFS) for all patients is 4.5 months (CI 95% 2.8-6.1), and the median PFS for LG strata is 8.3 months compared with 3.8 months for the HG strata. No response was reported. At 60 mg per day, the most commonly reported treatment-related adverse events (AEs) were hyperglycaemia (58%), cognitive (31%), digestive (28%), hepatic liver functions (26%), and rash (23%). The most commonly reported treatment-related grade ⩾3 AEs were HTA (17%), hyperglycaemia (17%), and increased alanine aminotransferase (24%). Five patients (21%) stopped BKM120 for toxicity.

conclusionsThe BKM120 was associated with an unfavourable safety profile and minimal antitumour activity in monotherapy in advanced or recurrent endometrial carcinoma. The clinical trial was stopped before end of recruitment for toxicity.

Indexed as

AgedAged, 80 and overAminopyridinesAntineoplastic AgentsCarcinoma, EndometrioidChemotherapy, AdjuvantDisease ProgressionEndometrial NeoplasmsFemaleHumansMiddle AgedMorpholinesNeoplasm Recurrence, LocalPhosphoinositide-3 Kinase InhibitorsRecurrenceTreatment OutcomeAminopyridinesAntineoplastic AgentsMorpholinesNVP-BKM120Phosphoinositide-3 Kinase Inhibitors

Identifiers

PMID28072765
PMCPMC5294485
OpenAlexW2568467328

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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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 Socratic graph.