This was a phase 1 dose-escalation study of the Aurora B kinase inhibitor BI 811283 in advanced solid tumors. The original report included 121 treated patients, using two intravenous schedules. Maximum tolerated doses were 125 mg on the twice-per-four-week-cycle schedule and 230 mg on the once-per-three-week-cycle schedule. 12

No objective tumor responses were observed. Nineteen patients in each schedule had stable disease, which is not the same as tumor shrinkage or demonstrated survival benefit. Dose-limiting toxicities included febrile neutropenia and grade 4 neutropenia. Other reported treatment-related problems included fatigue, leukopenia, nausea, alopecia, diarrhea, and reduced appetite. 2

The useful result is therefore the drug's early safety/dose characterization and limited observed antitumor activity, not an established treatment advantage. This small, noncomparative phase 1 study could not establish superiority over standard treatment. 2