Evidence map›Paper›PMID 20823888›Full record

ArticleBritish journal of cancer2010

Safety and efficacy of the combination of erlotinib and sirolimus for the treatment of metastatic renal cell carcinoma after failure of sunitinib or sorafenib.

T W Flaig, L J Costa, D L Gustafson, K Breaker, M K Schultz, F Crighton, F J Kim, H Drabkin

Registry-linked trialAbstract read
In one paragraph

Article in British journal of cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01929642 (Rapalogues for Autism Phenotype in TSC), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT01929642 phase2completednot on this mapstarted 2013, after this paper: background citation

Rapalogues for Autism Phenotype in TSC: A Feasibility Study

TypeinterventionalSponsorHugo W. Moser Research Institute at Kennedy Krieger, Inc.Ran2013 to 2016Enrolled3ConditionsTuberous Sclerosis Complex, Self-injury, AutismArmsSirolimus, Everolimus
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Panitumumab-Based EGFR Blockade in SMARCB1-Deficient Renal Medullary Carcinoma: Preclinical Basis and Prospective Clinical Activity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  2. Review
  3. Article
  4. Targeted Therapy for Metastatic Renal Carcinoma: an Update.Journal of kidney cancer and VHL · 2014
    Article
  5. Article
  6. Review
  7. Weekly nab-Rapamycin in patients with advanced nonhematologic malignancies: final results of a phase I trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Article
  8. Review
  9. Review
  10. 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

8 authors.

T W FlaigDivision of Medical Oncology, Department of Medicine, University of Colorado Denver School of Medicine, Mail Stop 8117, 12801 East 17th Avenue Room 8117, Aurora, CO 80045, USA. Thomas.Flaig@UCDenver.edu
L J Costa
D L Gustafson
K Breaker
M K Schultz
F Crighton
F J Kim
H Drabkin

Funding

Paul Calabresis Award in Clinical Oncology ResearchK12CA086913 · NCI · UNIVERSITY OF COLORADO DENVER · PI VIRGINIA F. BORGES, Jill E Slansky · 2000 to 2026
$17.8M
NCI NIH HHS K12 CA086913NCI NIH HHS K12CA086913
6 · The paper itself

Abstract

backgroundThe mammalian target of rapamycin (mTOR) is an important therapeutic target in the treatment of renal cell carcinoma (RCC). Pre-clinical data indicate that the combined inhibition of both the epidermal growth factor receptor and mTOR results in enhanced anticancer activity.

methodsAll patients had metastatic RCC with progression after treatment with sunitinib and/or sorafenib. Treatment consisted of erlotinib 150 mg orally once a day starting on day 1 and sirolimus 6 mg orally on day 8 followed by 2 mg daily, adjusted according to blood levels.

resultsA total of 25 patients were enrolled between July 2006 and March 2008. The median progression-free survival (PFS) was 12 weeks (95% CI 5.9-18.1) and median overall survival (OS) 40 weeks (95% CI 0-85.7). No confirmed complete or partial responses were observed, but stable disease >6 months was noted in 21.8% (95% CI 4.9-38.6) of patients. The most common adverse events were rash and diarrhoea. There was no correlation between erlotinib, OSI-420 (days 8 and 15) or sirolimus (days 15 and 29) blood levels and PFS or OS.

conclusionsThe combination of sirolimus and erlotinib for RCC failed to demonstrate an advantage over available single-agent therapy in the second-line setting.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBenzenesulfonatesCarcinoma, Renal CellChromatography, LiquidDisease-Free SurvivalErlotinib HydrochlorideFemaleHumansIndolesKidney NeoplasmsMaleMiddle AgedNiacinamidePhenylurea CompoundsPyridinesBenzenesulfonatesErlotinib HydrochlorideIndolesNiacinamidePhenylurea CompoundsPyridinesPyrrolesQuinazolinesSirolimusSorafenibSunitinib

Identifiers

PMID20823888
PMCPMC2966634

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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 OpenQuestion graph.