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Sökning: onr:"swepub:oai:DiVA.org:umu-120005" > A novel oral insuli...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004349naa a2200529 4500
001oai:DiVA.org:umu-120005
003SwePub
008160504s2016 | |||||||||||000 ||eng|
009oai:DiVA.org:uu-268087
009oai:prod.swepub.kib.ki.se:132884147
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1200052 URI
024a https://doi.org/10.3109/0284186X.2015.10492902 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2680872 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1328841472 URI
040 a (SwePub)umud (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Ekman, Simonu Karolinska Institutet,Uppsala universitet,Experimentell och klinisk onkologi4 aut0 (Swepub:uu)simoekma
2451 0a A novel oral insulin-like growth factor-1 receptor pathway modulator and its implications for patients with non-small cell lung carcinoma :b A phase I clinical trial
264 1c 2016
338 a print2 rdacarrier
520 a BACKGROUND: A phase Ia/b dose-escalation study was performed to characterize the safety, efficacy and pharmacokinetic properties of the oral small molecule insulin-like growth factor-1-receptor pathway modulator AXL1717 in patients with advanced solid tumors.MATERIAL AND METHODS: This was a prospective, single-armed, open label, dose-finding phase Ia/b study with the aim of single day dosing (phase Ia) to define the starting dose for multi-day dosing (phase Ib), and phase Ib to define and confirm recommended phase II dose (RP2D) and if possible maximum tolerated dose (MTD) for repeated dosing.RESULTS AND CONCLUSION: Phase Ia enrolled 16 patients and dose escalations up to 2900 mg BID were successfully performed without any dose limiting toxicity (DLT). A total of 39 patients were treated in phase Ib. AXL1717 was well tolerated with neutropenia as the only dose-related, reversible, DLT. RP2D dose was found to be 390 mg BID for four weeks. Some patients, mainly with NSCLC, demonstrated signs of clinical benefit, including four partial tumor responses (one according to RECIST and three according to PET). The 15 patients with NSCLC with treatment duration longer than two weeks with single agent AXL1717 in third or fourth line of therapy showed a median progression-free survival of 31 weeks and overall survival of 60 weeks. Down-regulation of IGF-1R on granulocytes and increases of free serum levels of IGF-1 were seen in patients treated with AXL1717. AXL1717 had an acceptable safety profile and demonstrated promising efficacy in this heavily pretreated patient cohort, especially in patients with NSCLC. RP2D was concluded to be 390 mg BID for four weeks. Trial number is NCT01062620.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a onkologi
653 a Oncology
700a Harmenberg, Johan4 aut
700a Frödin, Jan-Eriku Karolinska Institutet4 aut
700a Bergström, Stefan4 aut
700a Wassberg, Ceciliau Uppsala universitet,Radiologi4 aut0 (Swepub:uu)ceciwass
700a Eksborg, Staffanu Karolinska Institutet4 aut
700a Larsson, Olleu Karolinska Institutet4 aut
700a Axelson, Magnusu Karolinska Institutet4 aut
700a Jerling, Markus4 aut
700a Abrahmsen, Lars4 aut
700a Hedlund, Åsa4 aut
700a Alvfors, Carinau Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)carialvf
700a Ståhl, Birgitta4 aut
700a Bergqvist, Michaelu Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden4 aut0 (Swepub:umu)mibe0079
710a Uppsala universitetb Experimentell och klinisk onkologi4 org
773t Acta Oncologicag 55:2, s. 140-148q 55:2<140-148x 0284-186Xx 1651-226X
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-120005
8564 8u https://doi.org/10.3109/0284186X.2015.1049290
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-268087
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:132884147

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