Evidence map›Paper›PMID 40941020›Full record

ArticleCancers2025

A Phase I Study of Carfilzomib with Cyclophosphamide and Etoposide in Relapsed and Refractory Leukemia and Solid Tumors.

Jessica Boklan, Anne-Marie Langevin, Kevin Bielamowicz, Kathleen Neville, Tanya Trippett, Valerie Brown, Steven G DuBois, Francis Eshun, Jonathan Gelfond, Ativ Zomet and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02512926 (Phase I Study of Carfilzomib in Combination With Cyclophosphamide and Etoposide for Children With Relapsed and Refractory Solid Tumors and Leukemias), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02512926 phase1completednot on this map

Phase I Study of Carfilzomib in Combination With Cyclophosphamide and Etoposide for Children With Relapsed and Refractory Solid Tumors and Leukemias

TypeinterventionalSponsorStanford UniversityRan2016 to 2023Enrolled4ConditionsRelapsed Solid Tumors, Refractory Solid Tumors, Relapsed Leukemia, Refractory LeukemiaArmsCarfilzomib, Cyclophosphamide, Etoposide
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Jessica BoklanCollege of Medicine, University of Arizona, Phoenix, AZ 85004, USA.ORCID 0000-0003-4251-8484
Anne-Marie LangevinHealth Science Center at San Antonio, University of Texas, San Antonio, TX 78229, USA.ORCID 0000-0003-4218-8120
Kevin BielamowiczArkansas Children's Hospital, Little Rock, AR 72202, USA.
Kathleen NevilleArkansas Children's Hospital, Little Rock, AR 72202, USA.
Tanya TrippettMemorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Valerie BrownPenn State Hershey Children's Hospital, Hershey, PA 17033, USA.
Steven G DuBoisDana-Farber/Boston Children's Cancer and Blood Disorder Center, Boston, MA 02115, USA.ORCID 0000-0003-0882-738X
Francis EshunPhoenix Children's Hospital, Phoenix, AZ 85016, USA.
Jonathan GelfondHealth Science Center at San Antonio, University of Texas, San Antonio, TX 78229, USA.
Ativ ZometStanford Cancer Institute, Lucile Packard Children's Hospital at Stanford, Stanford University, 750 Welch Rd., Ste. 224, Palo Alto, CA 94304, USA.
Aru NarendranAlberta Children's Hospital, Calgary, AB T3B 6A8, Canada.ORCID 0000-0002-4898-477X
Norman J LacayoStanford Cancer Institute, Lucile Packard Children's Hospital at Stanford, Stanford University, 750 Welch Rd., Ste. 224, Palo Alto, CA 94304, USA.ORCID 0000-0003-4573-5118

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Amgen (United States) Industry Clinical Trial /PI Initiated Protocol: Agreement 486277NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundNovel therapies are needed for children, adolescents, and young adults with relapse/refractory leukemia or solid tumors. The proteasome inhibitor carfilzomib has demonstrated pre-clinical activity against several pediatric malignancies when used alone or in combination. Therefore, a multicenter dose-escalation phase 1 study of carfilzomib administered in combination with cyclophosphamide and etoposide was conducted.

methodsStudy eligibility included an age of 6 months to <30 years with relapsed/refractory leukemia (stratum A) or a relapsed/refractory non-CNS solid tumor (stratum B), Karnofsky/Lansky score ≥ 50, and adequate organ function. A 5-day regimen of cyclophosphamide 440 mg/m

resultsThirty-eight patients were treated (14 in stratum A; 24 in stratum B). For stratum A, the maximum tolerated dose (MTD) for carfilzomib was 11 mg/m

conclusionsA 5-day schedule of carfilzomib/cyclophosphamide/etoposide was well-tolerated in patients with solid tumors. Patients with sarcomas benefited most, warranting further evaluation.

Indexed as

carfilzomib with cyclophosphamide/etoposidepediatric phase 1

Identifiers

PMID40941020
PMCPMC12428389

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.