Evidence map›Paper›PMID 20979469›Full record

ArticleThe New England journal of medicine2010

Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer.

Eunice L Kwak, Yung-Jue Bang, D Ross Camidge, Alice T Shaw, Benjamin Solomon, Robert G Maki, Sai-Hong I Ou, Bruce J Dezube, Pasi A Jänne, Daniel B Costa and 21 more

Erratum issued 6 registry-linked trialsAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in The New England journal of medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 1,959 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,959citing papers in PubMed, 5 pooled it
342.5field-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.

NCT00585195 phase1completednot on this map

Phase 1 safety, pharmacokinetic and pharmacodynamic study of pf-02341066, a met/hgfr selective tyrosine kinase inhibitor, administered orally to patients with advanced cancer

TypeinterventionalSponsorPfizerRan2006 to 2022Enrolled596ConditionsNon-Small Cell Lung Cancer ALK-positive, Non-Small Cell Lung Cancer c-Met Dependent, Non-Small Cell Lung Cancer ROS Marker Positive, Systemic Anaplastic Large-Cell LymphomaArmsPF-02341066, Rifampin, Itraconazole
NCT01774409 naunknown statusnot on this mapstarted 2013, after this paper: background citation

Program to Establish the Genetic and Immunologic Profile of Patient's Tumor for All Types of Advanced Cancer

TypeinterventionalSponsorCentre Leon BerardRan2013 to 2026Enrolled10,000ConditionsNeoplasmsArmsBlood and tumor samples
NCT02041468 unknown statusnot on this mapstarted 2014, after this paper: background citation

A Phase IV Multicenter Trial to Evaluate the Resistance Mechanisms and Real-world Pharmacoeconomics of Crizotinib and Its Companion Diagnostic Test in Advanced ALK-positive Non-small Cell Lung Cancer (NSCLC) Patients

TypeobservationalSponsorJewish General HospitalRan2014 to 2018Enrolled29ConditionsNon-small Cell Lung Cancer Metastatic
NCT02185690 phase1completednot on this mapstarted 2017, after this paper: background citation

A Phase I/Ib Study of MEK162, a MEK Inhibitor, in Combination With Carboplatin and Pemetrexed in Patients With Non-squamous Carcinoma of the Lung

TypeinterventionalSponsorUniversity Health Network, TorontoRan2017 to 2019Enrolled13ConditionsLungcancerArmsBinimetinib, Pemetrexed, Carboplatin
NCT02577341 phase2completednot on this mapstarted 2015, after this paper: background citation

A Prospective Randomized Phase Ⅱ Study of Nimotuzumab Combined With Chemoradiotherapy for Unresectable, Locally Advanced Squamous Cell Lung Cancer

TypeinterventionalSponsorSun Yat-sen UniversityRan2015 to 2020Enrolled122ConditionsNon-small-cell Lung CancerArmsNimotuzumab, docetaxel and cisplatin, daily RT to the chest
NCT02758080 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Pragmatic Clinical Trial of Matching Malignant Hematologic Cancer Patients With Adequate Early Phase Clinical Trials by Next-generation Sequencing

TypeinterventionalSponsorSeoul National University HospitalRan2016 to 2019Enrolled90ConditionsHematologic MalignanciesArmsMatching on the basis of molecular analysis, Matching on the basis of physician's choice
3 · Its place in the literature

Who cites it

1,959 citing papers in PubMed, 5 syntheses or guidelines pooled it, 4,491 citations in OpenAlex.

  1. Pooled it
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  9. Article
  10. Living WithJTO clinical and research reports · 2026
    Article
  11. Adjuvant alectinib versus crizotinib in completely resectedTranslational lung cancer research · 2026
    Article
  12. Article
  13. Article
  14. Efficacy and safety of second-line treatments in ALK mutation-positive advanced non-small cell lung cancer after second- or third-generation ALK inhibitors: Turkish Oncology Group real-life study (TOG study).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  15. Observational
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1,899 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 11 institutions in 4 countries.

Eunice L KwakMassachusetts General Hospital Cancer Center, Boston, MA 02114, USA. ekwak@partners.org
Yung-Jue Bang
D Ross Camidge
Alice T Shaw
Benjamin Solomon
Robert G Maki
Sai-Hong I Ou
Bruce J Dezube
Pasi A Jänne
Daniel B Costa
Marileila Varella-Garcia
Woo-Ho Kim
Thomas J Lynch
Panos Fidias
Hannah Stubbs
Jeffrey A Engelman
Lecia V Sequist
WeiWei Tan
Leena Gandhi
Mari Mino-Kenudson
Greg C Wei
S Martin Shreeve
Mark J Ratain
Jeffrey Settleman
James G Christensen
Daniel A Haber
Keith Wilner
Ravi Salgia
Geoffrey I Shapiro
Jeffrey W Clark
A John Iafrate
Massachusetts General Hospital · USPfizer (United States) · USDana-Farber Cancer Institute · USHadassah Medical Center · ILSeoul National University · KRUniversity of Chicago · USUniversity of Colorado Denver · USMass General Brigham · USMemorial Sloan Kettering Cancer Center · USPeter MacCallum Cancer Centre · AUUniversity of California, Irvine · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Univ.of Calif., Irvine Cancer Center Support GrantP30CA062203 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Christine Hui · 1994 to 2026
$57.9M
Tissue Bank and Biomarkers CoreP50CA058187 · NCI · UNIVERSITY OF COLORADO DENVER · PI MILLER, YORK E · 1992 to 2018
$43.8M
SOFT TISSUE SARCOMA PROGRAM PROJECTP01CA047179 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI LADANYI, MARC · 1989 to 2010
$17.3M
Translational studies of Hsp90 inhibitors in NSCLCP50CA090578 · NCI · DANA-FARBER CANCER INST · PI JOHNSON, BRUCE D · 2008 to 2012
$11.4M
SPORE in Lung CancerP20CA090578 · NCI · DANA-FARBER CANCER INSTITUTE · PI JOHNSON, BRUCE E. · 2003 to 2007
$5.1M
Targeting ALK through Degradation and Allosteric InhibitorsR01CA136851 · NCI · STANFORD UNIVERSITY · PI GRAY, NATHANAEL SCHIANDER, JANNE, PASI A · 2009 to 2023
$4.6M
NCI NIH HHS CA06516NCI NIH HHS CA090578NCI NIH HHS CA46934NCI NIH HHS CA47179NCI NIH HHS CA58187NCI NIH HHS P01 CA047179NCI NIH HHS P20 CA090578NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA046934NCI NIH HHS P30 CA062203NCI NIH HHS P50 CA058187NCI NIH HHS P50 CA090578NCI NIH HHS R01 CA136851NCI NIH HHS R01CA136851
6 · The paper itself

Abstract

backgroundOncogenic fusion genes consisting of EML4 and anaplastic lymphoma kinase (ALK) are present in a subgroup of non-small-cell lung cancers, representing 2 to 7% of such tumors. We explored the therapeutic efficacy of inhibiting ALK in such tumors in an early-phase clinical trial of crizotinib (PF-02341066), an orally available small-molecule inhibitor of the ALK tyrosine kinase.

methodsAfter screening tumor samples from approximately 1500 patients with non-small-cell lung cancer for the presence of ALK rearrangements, we identified 82 patients with advanced ALK-positive disease who were eligible for the clinical trial. Most of the patients had received previous treatment. These patients were enrolled in an expanded cohort study instituted after phase 1 dose escalation had established a recommended crizotinib dose of 250 mg twice daily in 28-day cycles. Patients were assessed for adverse events and response to therapy.

resultsPatients with ALK rearrangements tended to be younger than those without the rearrangements, and most of the patients had little or no exposure to tobacco and had adenocarcinomas. At a mean treatment duration of 6.4 months, the overall response rate was 57% (47 of 82 patients, with 46 confirmed partial responses and 1 confirmed complete response); 27 patients (33%) had stable disease. A total of 63 of 82 patients (77%) were continuing to receive crizotinib at the time of data cutoff, and the estimated probability of 6-month progression-free survival was 72%, with no median for the study reached. The drug resulted in grade 1 or 2 (mild) gastrointestinal side effects.

conclusionsThe inhibition of ALK in lung tumors with the ALK rearrangement resulted in tumor shrinkage or stable disease in most patients. (Funded by Pfizer and others; ClinicalTrials.gov number, NCT00585195.).

Indexed as

Administration, OralAdultAgedAnaplastic Lymphoma KinaseCarcinoma, Non-Small-Cell LungCell Cycle ProteinsCrizotinibDisease ProgressionFemaleHumansIn Situ Hybridization, FluorescenceKaplan-Meier EstimateLung NeoplasmsMaleMicrotubule-Associated ProteinsMiddle AgedALK protein, humanAnaplastic Lymphoma KinaseCell Cycle ProteinsCrizotinibEML4 protein, humanMET protein, humanMicrotubule-Associated ProteinsOncogene Proteins, FusionProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene Proteins c-metPyrazolesPyridinesReceptor Protein-Tyrosine KinasesReceptors, Growth FactorSerine Endopeptidases

Identifiers

PMID20979469
PMCPMC3014291
OpenAlexW2104830962

What OpenQuestion holds

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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.