Evidence map›Paper›PMID 20855820›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2010

Phase II study of dasatinib in patients with advanced non-small-cell lung cancer.

Faye M Johnson, B Nebiyou Bekele, Lei Feng, Ignacio Wistuba, Xi Ming Tang, Hai T Tran, Jeremy J Erasmus, Li-Ling Hwang, Naoko Takebe, George R Blumenschein and 2 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 1 pooled it
15.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

106 citing papers in PubMed, 1 synthesis or guideline pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Treatment-related toxicities in a phase II trial of dasatinib in patients with squamous cell carcinoma of the lung.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2013
    Trial
  5. Phase II trial of dasatinib for patients with acquired resistance to treatment with the epidermal growth factor receptor tyrosine kinase inhibitors erlotinib or gefitinib.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2011
    Trial
  6. Trial
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  8. Review
  9. Article
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  11. Article
  12. Article
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  19. Review
  20. Cancer research · 2021
    Article

46 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Faye M JohnsonDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030-4009, USA. fmjohns@mdanderson.org
B Nebiyou Bekele
Lei Feng
Ignacio Wistuba
Xi Ming Tang
Hai T Tran
Jeremy J Erasmus
Li-Ling Hwang
Naoko Takebe
George R Blumenschein
Scott M Lippman
David J Stewart
The University of Texas MD Anderson Cancer Center · USNational Cancer Institute · US

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GIBBONS, DON LYNN · 1996 to 2024
$57.4M
NCI NIH HHS N01 CM062202NCI NIH HHS P50 CA070907
6 · The paper itself

Abstract

purposeSrc family kinases (SFKs) promote cancer progression and are commonly expressed in non-small-cell lung cancer (NSCLC), but the clinical effects of SFK inhibition in NSCLC are unknown. We conducted a phase II trial of the SFK inhibitor dasatinib for advanced NSCLC. We tested the hypotheses that the activation of epidermal growth factor receptor (EGFR) or SFK or modulation of serum cytokines may predict a response to dasatinib. PATIENTS AND

methodsPatients received dasatinib as first-line therapy. Response was measured by tumor size on computed tomography scans and by metabolic activity on positron emission tomography scans. Tissue samples taken before patients received dasatinib were tested for EGFR and Kras mutation and phosphorylated SFK expression.

resultsThirty-four patients were enrolled. The overall disease control rate (partial responses plus stable disease) for dasatinib was 43%. One patient had a partial response to therapy. Eleven patients (32%) had a metabolic response to dasatinib. SFK activation and EGFR and Kras mutations in tumor tissue did not predict response to dasatinib. Significant toxicities included fatigue and dyspnea. The presence of a pleural effusion before dasatanib therapy predicted the development of a clinically significant effusion during therapy.

conclusionDasatinib as a single agent had modest clinical activity that was lower than that generally observed in patients with NSCLC who receive chemotherapy. Pleural effusion was an expected and problematic toxicity that was successfully treated with steroids, diuretics, and dose interruptions. Marked activity in one patient and prolonged stable disease in four others suggested a potential subpopulation of patients with dasatinib-sensitive NSCLC.

Indexed as

AgedAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCytokinesDasatinibDisease-Free SurvivalEnzyme ActivationErbB ReceptorsFemaleHumansLung NeoplasmsMaleMiddle AgedMutationPhosphorylationPositron-Emission TomographyAntineoplastic AgentsCytokinesDasatinibEGFR protein, humanErbB ReceptorsKRAS protein, humanProtein Kinase InhibitorsProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)Pyrimidinesras Proteinssrc-Family KinasesThiazoles

Identifiers

PMID20855820
PMCPMC2974341
OpenAlexW2159480044

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.