Evidence map›Paper›PMID 36624219›Full record

ArticleBritish journal of cancer2023

A phase I trial of LXS196, a protein kinase C (PKC) inhibitor, for metastatic uveal melanoma.

S Piperno-Neumann, M S Carlino, V Boni, D Loirat, F M Speetjens, J J Park, E Calvo, R D Carvajal, M Nyakas, J Gonzalez-Maffe and 7 more

Registry-linked trialOpen access · hybridFull text readClinical Trial, Phase I
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02601378 (A Phase I, Multi-center, Open-label, Study of LXS196, an Oral Protein Kinase C Inhibitor, in Patients With Metastatic Uveal Melanoma), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
13.1field-weighted citation impact, top 1% 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.

NCT02601378 phase1terminatednot on this map

A Phase I, Multi-center, Open-label, Study of LXS196, an Oral Protein Kinase C Inhibitor, in Patients With Metastatic Uveal Melanoma

TypeinterventionalSponsorNovartis PharmaceuticalsRan2016 to 2022Enrolled107ConditionsUveal MelanomaArmsLXS196, LXS196 and HDM201
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
  2. Review
  3. Uveal Melanoma: Changing Paradigms of Treatment.Ocular oncology and pathology · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Management of liver metastases from uveal melanoma.The British journal of surgery · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. The Current State of Systemic Therapy of Metastatic Uveal Melanoma.American journal of clinical dermatology · 2024
    Review
  19. Review
  20. Towards precision medicine in vascular anomalies: Could protein kinase C inhibitors be repurposed for GNAQ/11-related phakomatoses?Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    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

17 authors at 8 institutions in 6 countries.

S Piperno-NeumannInstitut Curie, Paris, France. sophie.piperno-neumann@curie.fr.ORCID http://orcid.org/0000-0001-9915-2810
M S CarlinoBlacktown and Westmead Hospitals, Sydney, NSW, Australia.
V BoniSTART Madrid-CIOCC, Centro Integral Oncológico Clara Campal, Madrid, Spain.
D LoiratInstitut Curie, Paris, France.
F M SpeetjensLeiden University Medical Center, Leiden, The Netherlands.
J J ParkBlacktown and Westmead Hospitals, Sydney, NSW, Australia.
E CalvoSTART Madrid-CIOCC, Centro Integral Oncológico Clara Campal, Madrid, Spain.
R D CarvajalColumbia University Irving Medical Center, New York, NY, USA.
M NyakasOslo University Hospital, Oslo, Norway.
J Gonzalez-MaffeNovartis Pharma AG, Basel, Switzerland.
X ZhuNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
M D ShirleyNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
T RamkumarNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
A FessehatsionNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
H E BurksNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
P Yerramilli-RaoNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
E KapiteijnLeiden University Medical Center, Leiden, The Netherlands.
Novartis (United States) · USInstitut Curie · FRLeiden University Medical Center · NLColumbia University Irving Medical Center · USNovartis (Switzerland) · CHOslo University Hospital · NOThe University of Sydney · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 50% of patients with uveal melanoma develop metastases (MUM) with a poor prognosis and median overall survival of approximately 1 year.

methodsThis phase I study evaluated the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of the oral protein kinase C inhibitor LXS196 in 68 patients with MUM (NCT02601378). Patients received LXS196 doses ranging from 100-1000 mg once daily (QD; n = 38) and 200-400 mg twice daily (BID; n = 30).

resultsFirst cycle dose-limiting toxicities (DLTs) were observed in 7/38 (18.4%) QD and 2/17 (11.8%) BID patients. Hypotension was the most common DLT, occurring at doses ≥500 mg/day, and manageable with LXS196 interruption and dose reduction. Median duration of exposure to LXS196 was 3.71 months (range: 1.81-15.28) for QD and 4.6 months (range: 0.33-58.32) for BID dosing. Clinical activity was observed in 6/66 (9.1%) evaluable patients achieving response (CR/PR), with a median duration of response of 10.15 months (range: 2.99-41.95); 45/66 had stable disease (SD) per RECIST v1.1. At 300 mg BID, the recommended dose for expansion, 2/18 (11.1%) evaluable patients achieved PR and 12/18 (66.7%) had SD.

conclusionThese results suggest manageable toxicity and encouraging clinical activity of single-agent LXS196 in patients with MUM.

Indexed as

Protein Kinase CProtein Kinase InhibitorsHumansMelanomaUveal MelanomaUveal NeoplasmsProtein Kinase CProtein Kinase Inhibitors

Identifiers

PMID36624219
PMCPMC10006169
OpenAlexW4313893727

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read191
identifiers read2
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.