Evidence map›Paper›PMID 24894651›Full record

Trial reportInvestigational new drugs2014

Phase 2, open-label, 1:1 randomized controlled trial exploring the efficacy of EMD 1201081 in combination with cetuximab in second-line cetuximab-naïve patients with recurrent or metastatic squamous cell carcinoma of the head and neck (R/M SCCHN).

A Ruzsa, M Sen, M Evans, L W Lee, K Hideghety, S Rottey, P Klimak, P Holeckova, J Fayette, T Csoszi and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01040832 (A Phase II, Open-label, 1), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

NCT01040832 phase2completednot on this map

A Phase II, Open-label, 1:1 Randomized, Controlled Trial Exploring the Efficacy of EMD 1201081 in Combination With Cetuximab in Second-Line Cetuximab-Naïve Subjects With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck (R/M SCCHN)

TypeinterventionalSponsorEMD SeronoRan2009Enrolled107ConditionsSquamous Cell Carcinoma of the Head and Neck CancerArmsCetuximab, EMD 1201081
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. TLR9: A Double-Dealing Toll-Like Receptor.ImmunoTargets and therapy · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. B cells imprint adoptively transferred CD8Journal for immunotherapy of cancer · 2022
    Article
  11. Review
  12. Article
  13. Review
  14. Recent Advances in Oligonucleotide Therapeutics in Oncology.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Frontiers in immunology · 2021
    Review
  17. Article
  18. Review
  19. Immune-checkpoint inhibitor plus chemotherapyTherapeutic advances in medical oncology · 2020
    Article
  20. Review
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

16 authors at 15 institutions in 9 countries.

A RuzsaZala Megyei Kórház Külsokórház Onkológia Osztály, Zalaegerszeg, Pozva, Hungary.
M Sen
M Evans
L W Lee
K Hideghety
S Rottey
P Klimak
P Holeckova
J Fayette
T Csoszi
J Erfan
U Forssmann
T Goddemeier
A Bexon
C Nutting
NA EMD 1201081 Study Group
Bács-Kiskun Megyei Kórház · HUBaranya Megyei Kórház · HUBayer (Germany) · DECentre Léon Bérard · FRFakultní nemocnice Bulovka · CZGhent University Hospital · BEIdera Pharmaceuticals (United States) · USJósa András Múzeum · HUMerck Serono (Switzerland) · CHOblastní nemocnice Kladno · CZRoyal Marsden Hospital · GBSt James's University Hospital · GBThe Christie Hospital · GBUniversity of Szeged · HUVelindre Cancer Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine whether EMD 1201081, a TLR9 agonist, added to cetuximab had antitumor activity in second-line recurrent/metastatic squamous cell carcinoma of the head and neck (R/M SCCHN).

methodsThis was a phase 2, open-label, randomized trial of EMD 1201081 0.32 mg/kg subcutaneously weekly plus cetuximab (combination) vs cetuximab monotherapy (control) in cetuximab-naïve patients with R/M SCCHN who progressed on 1 cytotoxic regimen. Crossover to combination was permitted after progression.

resultsObjective response rate in both arms was 5.7% (95% CI 1.2-15.7%) by independent assessment. Disease control was 37.7% for patients on combination (24.8-52.1%) and 43.4% on control (29.8-57.7%). Neither independent nor investigator assessments showed significant differences between study arms. Median progression-free survival was 1.5 months (1.3-2.6) for patients on combination, and 1.9 months (1.5-2.9) on control. The most frequent adverse events in the combination arm were rash (29.6%), acneiform dermatitis (22.2%), and injection site reactions (20.4%). Grade 3/4 dyspnea and hypokalemia were more frequent with cetuximab monotherapy (7.5% and 5.7% vs 1.9% each, respectively), and grade 3/4 respiratory failure and disease progression were more frequent with combination (5.6% each vs 1.9% each).

conclusionEMD 1201081 was well tolerated combined with cetuximab, but there was no incremental clinical efficacy.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellCetuximabDisease-Free SurvivalFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedNeoplasm Recurrence, LocalOligonucleotidesResponse Evaluation Criteria in Solid TumorsSquamous Cell Carcinoma of Head and NeckAntibodies, Monoclonal, HumanizedCetuximabIMO-2055Oligonucleotides

Identifiers

PMID24894651
OpenAlexW2089185405

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.