Evidence map›Paper›PMID 21400081›Full record

Trial reportInvestigational new drugs2012

A phase II trial of the Src kinase inhibitor saracatinib (AZD0530) in patients with metastatic or locally advanced gastric or gastro esophageal junction (GEJ) adenocarcinoma: a trial of the PMH phase II consortium.

Helen J Mackay, Heather J Au, Elaine McWhirter, Thierry Alcindor, Andrea Jarvi, Katrina MacAlpine, Lisa Wang, John J Wright, Amit M Oza

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
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  4. Dual Drug Repurposing: The Example of Saracatinib.International journal of molecular sciences · 2024
    Review
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  9. Review
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  13. Targeting metastasis.Nature reviews. Cancer · 2016
    Review
  14. Targeted therapies in gastric cancer and future perspectives.World journal of gastroenterology · 2016
    Review
  15. Article
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  19. Review
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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

9 authors at 6 institutions in 3 countries.

Helen J MackayDepartment of Medical Oncology, Princess Margaret Hospital, University of Toronto, Ontario, Canada. helen.mackay@uhn.on.ca
Heather J Au
Elaine McWhirter
Thierry Alcindor
Andrea Jarvi
Katrina MacAlpine
Lisa Wang
John J Wright
Amit M Oza
University of Toronto · CAPrincess Margaret Cancer Centre · CAJuravinski Cancer Centre · CAMcGill University Health Centre · CANational Cancer Institute · USUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Src family of kinases may play a role in the development and progression of gastric cancer. We evaluated the activity and safety of saracatinib an oral, anilinoquinazolone, non-receptor tyrosine kinase inhibitor targeting Src kinases, in patients with metastatic or locally advanced gastric carcinoma.

methodsEligible patients who had received ≤1 prior line of chemotherapy for metastatic disease received saracatinib 175 mg/day of a 28 day cycle until progression. The primary endpoint was the objective response and/or prolonged stable disease rate (pSD ≥ 16 weeks).

resultsTen patients with gastric carcinoma and 11 with adenocarcinoma of the gastroesophageal junction received a median of 2 cycles (range 1-10 cycles) of treatment per patient. 17 patients were evaluable for response. No objective response was seen. One patient experienced prolonged Stable disease (pSD). Three patients had SD and 13 progressive disease. Median overall survival was 7.8 months (95% CI, 3.9-12.2 months) and median time to progression was 1.8 months (95% CI: 1.5-1.9 months). Grade 3 events possibly related to saracatinib included: fatigue (2 patients), hypoxia (2) anemia (3) and lymphopenia (2).

conclusionSaracatinib has insufficient activity as a single agent in patients with advanced gastric adenocarcinoma to warrant further investigation. Further development in gastric cancer would require rational drug combinations or identification of a tumor phenotype sensitive to Src inhibition.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overBenzodioxolesEsophageal NeoplasmsEsophagogastric JunctionFemaleHumansMaleMiddle AgedNeoplasm MetastasisProtein Kinase InhibitorsQuinazolinessrc-Family KinasesStomach NeoplasmsBenzodioxolesProtein Kinase InhibitorsQuinazolinessaracatinibsrc-Family Kinases

Identifiers

PMID21400081
OpenAlexW2033997665

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.