Evidence map›Paper›PMID 24797726›Full record

Trial reportCancer2014

A phase 2 trial of R1507, a monoclonal antibody to the insulin-like growth factor-1 receptor (IGF-1R), in patients with recurrent or refractory rhabdomyosarcoma, osteosarcoma, synovial sarcoma, and other soft tissue sarcomas: results of a Sarcoma Alliance for Research Through Collaboration study.

Alberto S Pappo, Gilles Vassal, John J Crowley, Vanessa Bolejack, Pancras C W Hogendoorn, Rashmi Chugh, Marc Ladanyi, Joseph F Grippo, Georgina Dall, Arthur P Staddon and 10 more

Open access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 1 pooled it
15.2field-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

128 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

  1. Biological Sample Collection to Advance Research and Treatment: A Fight Osteosarcoma Through European Research and Euro Ewing Consortium Statement.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Guideline
  2. Trial
  3. Insulin-like growth factor receptor signaling in physiology and disease.Signal transduction and targeted therapy · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. CAR-T cell immunotherapy in rhabdomyosarcoma.Journal of translational medicine · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 15 institutions in 4 countries.

Alberto S PappoSolid Tumor Division, St. Jude Children's Research Hospital, Memphis, Tennessee.
Gilles Vassal
John J Crowley
Vanessa Bolejack
Pancras C W Hogendoorn
Rashmi Chugh
Marc Ladanyi
Joseph F Grippo
Georgina Dall
Arthur P Staddon
Sant P Chawla
Robert G Maki
Dejka M Araujo
Birgit Geoerger
Kristen Ganjoo
Neyssa Marina
Jean-Yves Blay
Scott M Schuetze
Warren A Chow
Lee J Helman
Cancer Research And Biostatistics · USInstitut Gustave Roussy · FRRoche (Switzerland) · CHStanford University · USUniversity of Michigan–Ann Arbor · USAbramson Cancer CenterCentre Léon Bérard · FRCity Of Hope National Medical Center · USLeiden University Medical Center · NLMemorial Sloan Kettering Cancer Center · USMount Sinai Medical Center · USNational Institutes of Health · USSarcoma Oncology Center · USSt. Jude Children's Research Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Molecular Biology of Pediatric TumorsZIASC006892 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI HELMAN, LEE J. · 2009 to 2017
$6.3M
Solid TumorsZIASC006891 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI HELMAN, LEE J. · 2009 to 2017
$5.0M
Solid Tumors30Z01SC006891 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI HELMAN, LEE J. · 1996 to 2008
$1.4M
Intramural NIH HHS Z01 SC006891
6 · The paper itself

Abstract

backgroundInsulin-like growth factor-1 receptor (IGF-1R) is implicated in the pathogenesis of rhabdomyosarcoma (RMS), osteosarcoma (OS), and synovial sarcoma (SS). The authors conducted a multi-institutional phase 2 trial of the monoclonal antibody R1507 in patients with various subtypes of recurrent or refractory sarcomas.

methodsEligibility criteria included age ≥ 2 years and a diagnosis of recurrent or refractory RMS, OS, SS, and other soft tissue sarcomas. Patients received a weekly dose of 9 mg/kg R1507 intravenously. The primary endpoint was the best objective response rate using World Health Organization criteria. Tumor imaging was performed every 6 weeks × 4 and every 12 weeks thereafter.

resultsFrom December 2007 through August 2009, 163 eligible patients from 33 institutions were enrolled. The median patient age was 31 years (range, 7-85 years). Histologic diagnoses included OS (n = 38), RMS (n = 36), SS (n = 23), and other sarcomas (n = 66). The overall objective response rate was 2.5% (95% confidence interval, 0.7%-6.2%). Partial responses were observed in 4 patients, including 2 patients with OS, 1 patient with RMS, and 1 patient with alveolar soft part sarcoma. Four additional patients (3 with RMS and 1 with myxoid liposarcoma) had a ≥ 50% decrease in tumor size that lasted for <4 weeks. The median progression-free survival was 5.7 weeks, and the median overall survival was 11 months. The most common grade 3/4 toxicities were metabolic (12%), hematologic (6%), gastrointestinal (4%), and general constitutional symptoms (8%).

conclusionsR1507 is safe and well tolerated but has limited activity in patients with recurrent or refractory bone and soft tissue sarcomas. Additional studies to help identify the predictive factors associated with clinical benefit in selected histologies such as RMS appear to be warranted.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBone NeoplasmsChildDisease-Free SurvivalHumansMiddle AgedReceptor, IGF Type 1Sarcoma, EwingTreatment OutcomeYoung AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedReceptor, IGF Type 1teprotumumabIGF-1Rinsulin-like growth factorSARCsarcoma

Identifiers

PMID24797726
PMCPMC7009782
OpenAlexW1547298604

What OpenQuestion holds

Textmetadata
LicenceTDM
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.