Evidence map›Paper›PMID 23934135›Full record

Trial reportAmerican journal of clinical oncology2015

Multiple Endocrine Disruption by the MET/ALK Inhibitor Crizotinib in Patients With Non-small Cell Lung Cancer.

Robert M Sargis, Ravi Salgia

Abstract readClinical Trial
In one paragraph

Trial report in American journal of clinical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Targeting precision medicine toxicity: recent developments.Therapeutic advances in drug safety · 2015
    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

2 authors.

Robert M Sargis*Section of Endocrinology, Diabetes, and Metabolism †Section of Hematology and Oncology, Department of Medicine, University of Chicago, Chicago, IL.
Ravi Salgia

Funding

Environmental Endocrine Disruption of Adipocyte MetabolismK08ES019176 · NIEHS · UNIVERSITY OF CHICAGO · PI SARGIS, ROBERT M · 2010 to 2014
$797k
Metabolic Impact of Fetal or Adult Exposure to Environmental Endocrine DisruptorsR21ES021354 · NIEHS · UNIVERSITY OF CHICAGO · PI SARGIS, ROBERT M · 2013 to 2014
$432k
NIEHS NIH HHS K08 ES019176NIEHS NIH HHS K08-ES019176NIEHS NIH HHS R21 ES021354
6 · The paper itself

Abstract

objectivesNon-small cell lung cancer (NSCLC) is a heterogenous group of disorders that can be subclassified based upon molecular characterization. Anaplastic lymphoma kinase translocation and MET aberrations occur in a subset of NSCLC. Anaplastic lymphoma kinase/MET have been shown to be inhibited by the small molecule tyrosine kinase inhibitor crizotinib. Recently, crizotinib was shown to decrease testosterone in males. Herein, we describe the effects of crizotinib on multiple hormonal axes. MATERIALS AND

methodsSeven consecutive patients with NSCLC who were receiving crizotinib as part of their standard care were evaluated for hormonal disruptions.

resultsPrimary hypogonadism was detected in 4/5 of males, whereas mildly elevated prolactin was observed in 4/7 patients. Hypocalcemia was observed in 3/7 patients. Interestingly, 5/7 patients had elevated levels of insulin-like growth factor-1 (IGF-1) levels, and the remaining 2 individuals had levels that were near the upper limits of the normal range.

conclusionsBecause of cellular cross-talk between MET and IGF-1 signaling, elevated IGF-1 levels induced by crizotinib treatment may have implications for long-term drug efficacy. Furthermore, this finding suggests a potential avenue of therapeutic synergy, namely coordinate inhibition of the MET and IGF-1 signaling pathways. Finally, as crizotinib has been recently approved, it is prudent to check hormone and calcium biomarkers and correct noted deficiencies for improved outcomes and quality of life.

Indexed as

Anaplastic Lymphoma KinaseCalciumCarcinoma, Non-Small-Cell LungCrizotinibEndocrine DisruptorsFemaleHumansHypogonadismInsulin-Like Growth Factor ILung NeoplasmsLuteinizing HormoneMaleProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyrazolesPyridinesALK protein, humanAnaplastic Lymphoma KinaseCalciumCrizotinibEndocrine DisruptorsInsulin-Like Growth Factor ILuteinizing HormoneMET protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyrazolesPyridinesReceptor Protein-Tyrosine KinasesTestosterone

Identifiers

PMID23934135
PMCPMC4055562

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Registered trials

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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.