Evidence map›Paper›PMID 22614970›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2012

Efficacy and safety of regorafenib in patients with metastatic and/or unresectable GI stromal tumor after failure of imatinib and sunitinib: a multicenter phase II trial.

Suzanne George, Qian Wang, Michael C Heinrich, Christopher L Corless, Meijun Zhu, James E Butrynski, Jeffrey A Morgan, Andrew J Wagner, Edwin Choy, William D Tap and 7 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02175095 (3'-Deoxy-3'-18F-fluorothymidine Positron Emission Tomography), which is not on this map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
17.4field-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.

NCT02175095 nacompletednot on this mapstarted 2014, after this paper: background citation

3'-Deoxy-3'-18F-fluorothymidine Positron Emission Tomography ([18F] FLT-PET) for the Prediction of Response to Regorafenib in the Metastatic Colorectal Cancer Patients Who Progressed After All Standard Therapies

TypeinterventionalSponsorAsan Medical CenterRan2014 to 2019Enrolled68ConditionsColorectal CancerArmsRegorafenib, [18F]FLT-PET, [18F]FDG-PET
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it, 246 citations in OpenAlex.

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  19. Small-molecule-based targeted therapy in liver cancer.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
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63 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

17 authors at 2 institutions in 1 country.

Suzanne GeorgeCenter for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute D1212, 450 Brookline Ave, Boston, MA, USA. suzanne_george@dfci.harvard.edu
Qian Wang
Michael C Heinrich
Christopher L Corless
Meijun Zhu
James E Butrynski
Jeffrey A Morgan
Andrew J Wagner
Edwin Choy
William D Tap
Jeffrey T Yap
Annick D Van den Abbeele
Judith B Manola
Sarah M Solomon
Jonathan A Fletcher
Margaret von Mehren
George D Demetri
Oregon Health & Science University · USUniversity of California, Los Angeles · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI EL-BARDEESY, NABEEL, SELLERS, WILLIAM R · 2007 to 2023
$33.2M
NCI NIH HHS 1P50CA127003NCI NIH HHS CA06927NCI NIH HHS P30 CA006927NCI NIH HHS P50 CA127003
6 · The paper itself

Abstract

purposeMetastatic GI stromal tumor (GIST) is a life-threatening disease with no therapy of proven efficacy after failure of imatinib and sunitinib. Regorafenib is a structurally unique inhibitor of multiple cancer-associated kinases, including KIT and platelet-derived growth factor receptor (PDGFR), with broad-spectrum anticancer activity in preclinical and early-phase trials. Because KIT and PDGFR-α remain drivers of GIST after resistance to imatinib and sunitinib, we performed a multicenter single-stage phase II trial of regorafenib in patients with advanced GIST after failure of at least imatinib and sunitinib. PATIENTS AND

methodsPatients received regorafenib orally, 160 mg daily, on days 1 to 21 of a 28-day cycle. Disease assessment was performed every two cycles per RECIST 1.1. Primary end point was clinical benefit rate (CBR), defined as objective responses (ie, complete or partial response [PR] as well as stable disease [SD] ≥ 16 weeks). Serial tumor biopsies were obtained from consenting patients whenever possible.

resultsFrom February to December 2010, 34 patients were enrolled at four US centers. As of July 28, 2011, 33 patients had received at least two cycles of regorafenib (range, two to 17 cycles). CBR was 79% (95% CI, 61% to 91%). Four patients achieved PR, and 22 exhibited SD ≥ 16 weeks. Median progression-free survival was 10.0 months. The most common grade 3 toxicities were hypertension and hand-foot-skin reaction.

conclusionRegorafenib has significant activity in patients with advanced GIST after failure of both imatinib and sunitinib. A phase III trial of regorafenib versus placebo is ongoing to define more fully the safety and efficacy of regorafenib in this setting.

Indexed as

AdultAgedAntineoplastic AgentsBenzamidesDisease-Free SurvivalDrug Administration ScheduleDrug Resistance, NeoplasmFemaleGastrointestinal Stromal TumorsHumansImatinib MesylateIndolesMaleMiddle AgedNeoplasm MetastasisPhenylurea CompoundsAntineoplastic AgentsBenzamidesImatinib MesylateIndolesPhenylurea CompoundsPiperazinesPyridinesPyrimidinesPyrrolesregorafenibSunitinib

Identifiers

PMID22614970
PMCPMC3675695
OpenAlexW2132190370

What OpenQuestion holds

Textmetadata
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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.