Evidence map›Paper›PMID 23533265›Full record

Trial reportCancer discovery2013

Targeted inhibition of the molecular chaperone Hsp90 overcomes ALK inhibitor resistance in non-small cell lung cancer.

Jim Sang, Jaime Acquaviva, Julie C Friedland, Donald L Smith, Manuel Sequeira, Chaohua Zhang, Qin Jiang, Liquan Xue, Christine M Lovly, John-Paul Jimenez and 8 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer discovery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
31.5field-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.

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

112 citing papers in PubMed, 209 citations in OpenAlex.

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  7. Therapeutic advances of targeting receptor tyrosine kinases in cancer.Signal transduction and targeted therapy · 2024
    Review
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52 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

18 authors at 7 institutions in 1 country.

Jim SangSynta Pharmaceuticals Corp, Lexington, MA 02421, USA.
Jaime Acquaviva
Julie C Friedland
Donald L Smith
Manuel Sequeira
Chaohua Zhang
Qin Jiang
Liquan Xue
Christine M Lovly
John-Paul Jimenez
Alice T Shaw
Robert C Doebele
Suqin He
Richard C Bates
D Ross Camidge
Stephan W Morris
Iman El-Hariry
David A Proia
Vanderbilt University · USMassachusetts General Hospital · USUniversity of Colorado Denver · USInsight Genetics (United States) · USSt. Jude Children's Research Hospital · USSynta Pharmaceuticals (United States) · USUniversity of Colorado Cancer Center · US

Funding

Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
NCI NIH HHS K12 CA090625
6 · The paper itself

Abstract

unlabelledEML4-ALK gene rearrangements define a unique subset of patients with non-small cell lung carcinoma (NSCLC), and the clinical success of the anaplastic lymphoma kinase (ALK) inhibitor crizotinib in this population has become a paradigm for molecularly targeted therapy. Here, we show that the Hsp90 inhibitor ganetespib induced loss of EML4-ALK expression and depletion of multiple oncogenic signaling proteins in ALK-driven NSCLC cells, leading to greater in vitro potency, superior antitumor efficacy, and prolonged animal survival compared with results obtained with crizotinib. In addition, combinatorial benefit was seen when ganetespib was used with other targeted ALK agents both in vitro and in vivo. Importantly, ganetespib overcame multiple forms of crizotinib resistance, including secondary ALK mutations, consistent with activity seen in a patient with crizotinib-resistant NSCLC. Cancer cells driven by ALK amplification and oncogenic rearrangements of ROS1 and RET kinase genes were also sensitive to ganetespib exposure. Taken together, these results highlight the therapeutic potential of ganetespib for ALK-driven NSCLC. SIGNIFICANCE: In addition to direct kinase inhibition, pharmacologic blockade of the molecular chaperone Hsp90 is emerging as a promising approach for treating tumors driven by oncogenic rearrangements of ALK. The bioactivity profi le of ganetespib presented here underscores a new therapeutic opportunity to target ALK and overcome multiple mechanisms of resistance in patients with ALK-positive NSCLC.

Indexed as

AdultAnaplastic Lymphoma KinaseAnimalsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCell Line, TumorCrizotinibDrug Resistance, NeoplasmFemaleHSP90 Heat-Shock ProteinsHumansLung NeoplasmsMaleMiceMice, NudeMice, SCIDALK protein, humanAlk protein, mouseAnaplastic Lymphoma KinaseAntineoplastic AgentsCrizotinibHSP90 Heat-Shock ProteinsPyrazolesPyridinesReceptor Protein-Tyrosine KinasesSTA 9090Triazoles

Identifiers

PMID23533265
PMCPMC4086149
OpenAlexW2136245016

What OpenQuestion holds

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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.