Evidence map›Paper›PMID 21623279›Full record

Trial reportJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2011

Phase II trial of dasatinib for patients with acquired resistance to treatment with the epidermal growth factor receptor tyrosine kinase inhibitors erlotinib or gefitinib.

Melissa L Johnson, Greg J Riely, Naiyer A Rizvi, Christopher G Azzoli, Mark G Kris, Camelia S Sima, Michelle S Ginsberg, William Pao, Vincent A Miller

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00570401 (A Phase 2 Trial of Dasatinib in Patients With Lung Adenocarcinoma With Acquired Resistance to Erlotinib or Gefitinib), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
7.7field-weighted citation impact, top 2% 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.

NCT00570401 phase2completednot on this map

A Phase 2 Trial of Dasatinib in Patients With Lung Adenocarcinoma With Acquired Resistance to Erlotinib or Gefitinib

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2006 to 2011Enrolled22ConditionsLung CancerArmsdasatinib
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 91 citations in OpenAlex.

  1. Trial
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  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. Trial
  6. Article
  7. Review
  8. Article
  9. Multiple mutations in theTranslational lung cancer research · 2022
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
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  19. Article
  20. Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
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 2 institutions in 1 country.

Melissa L JohnsonDepartment of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. melissa-johnson@northwestern.edu
Greg J Riely
Naiyer A Rizvi
Christopher G Azzoli
Mark G Kris
Camelia S Sima
Michelle S Ginsberg
William Pao
Vincent A Miller
Memorial Sloan Kettering Cancer Center · USVanderbilt University · US

Funding

Investigational Cancer Therapeutics Training Program (ICTTP)T32CA009207 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Omar Abdel-Wahab, Alexander Drilon · 1985 to 2026
$13.7M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
A Phase 2 Trial of Dasatinib in Patients with NSCLC and Acquired Resistance to ErR21CA130343 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI MILLER, VINCENT A · 2007 to 2008
$451k
NCI NIH HHS CA 130343-01NCI NIH HHS R21 CA130343NCI NIH HHS R25 CA020449NCI NIH HHS T32 CA009207
6 · The paper itself

Abstract

introductionDual inhibition of SRC- and EGFR-dependent pathways may overcome acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) for patients with lung adenocarcinoma with EGFR mutations. The SRC inhibitor dasatinib demonstrates antitumor activity in gefitinib-resistant cells lines and xenografts. Dasatinib is tolerable for patients with advanced non-small cell lung cancer, and in combination with erlotinib.

methodsWe conducted this phase II study of dasatinib 70 mg twice daily in patients with EGFR-mutant lung adenocarcinoma and acquired resistance to EGFR-TKIs. After a protocol amendment based on evolving data about both drugs, patients received dasatinib at a dose of 100 mg daily with continued erlotinib after developing acquired resistance. Enrolled patients either harbored an activating mutation in EGFR or experienced clinical benefit with single-agent erlotinib or gefitinib, followed by RECIST documented progression while being treated with an EGFR-TKI.

resultsTwenty-one patients were enrolled, 9 under the original trial design and 12 after the protocol amendments. We observed no complete or partial responses (0% observed rate, 95% confidence interval: 0-18%). The median time to progression was 0.5 months (range, 0.2-1.8 months) in patients treated with dasatinib and 0.9 months (range, 0.4-5 months) for patients treated with dasatinib and erlotinib in combination. Pleural effusions and dyspnea were frequent toxicities.

conclusionsDasatinib has no activity in patients with EGFR-mutant lung adenocarcinoma with acquired resistance to erlotinib and gefitinib.

Indexed as

Drug Resistance, NeoplasmAdenocarcinomaAdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDasatinibErbB ReceptorsErlotinib HydrochlorideFemaleGefitinibHumansLung NeoplasmsMaleMiddle AgedAntineoplastic AgentsDasatinibErbB ReceptorsErlotinib HydrochlorideGefitinibProtein Kinase InhibitorsPyrimidinesQuinazolinesThiazoles

Identifiers

PMID21623279
PMCPMC3230574
OpenAlexW2074871758

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.