Evidence map›Paper›PMID 25264305›Full record

ArticleThe New England journal of medicine2014

Crizotinib in ROS1-rearranged non-small-cell lung cancer.

Alice T Shaw, Sai-Hong I Ou, Yung-Jue Bang, D Ross Camidge, Benjamin J Solomon, Ravi Salgia, Gregory J Riely, Marileila Varella-Garcia, Geoffrey I Shapiro, Daniel B Costa and 11 more

5 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in The New England journal of medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 957 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
957citing papers in PubMed, 5 pooled it
135.2field-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.

NCT00585195 phase1completednot on this map

Phase 1 safety, pharmacokinetic and pharmacodynamic study of pf-02341066, a met/hgfr selective tyrosine kinase inhibitor, administered orally to patients with advanced cancer

TypeinterventionalSponsorPfizerRan2006 to 2022Enrolled596ConditionsNon-Small Cell Lung Cancer ALK-positive, Non-Small Cell Lung Cancer c-Met Dependent, Non-Small Cell Lung Cancer ROS Marker Positive, Systemic Anaplastic Large-Cell LymphomaArmsPF-02341066, Rifampin, Itraconazole
NCT02900248 terminatednot on this mapstarted 2017, after this paper: background citation

Patients Diagnosed With Advanced Malignancy or Myelodysplasia, Tested by Standardized Sequencing, and Treated by Physician-Determined Care Plan: A CureOne Observational Registry (N1)

Typeobservational_patient_registrySponsorCureOneRan2017 to 2019Enrolled23ConditionsNeoplasms, Lung Neoplasms, Colon Neoplasms, Breast NeoplasmsArmsProvider determined
NCT03375437 naactive not recruitingnot on this mapstarted 2018, after this paper: background citation

RNASARC - Molecular Screening Program of Soft Tissue Sarcomas With Complex Genomic Profile to Detect NTRK1/2/3, ROS1 or ALK Gene Fusions.

TypeinterventionalSponsorCentre Leon BerardRan2018 to 2025Enrolled376ConditionsSoft Tissue Sarcoma, Advanced Cancer, Metastatic CancerArmsBlood and tumor samples
NCT03620643 phase2completednot on this mapstarted 2019, after this paper: background citation

Phase II Study of ROS1 Targeting With Crizotinib in Advanced E-cadherin Negative, ER Positive Lobular Breast Cancer, Diffuse Gastric Cancer, Triple Negative Lobular Breast Cancer or CDH1-mutated Solid Tumours

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2019 to 2024Enrolled33ConditionsLobular Breast Carcinoma, Gastric Cancer, Triple Negative Breast Cancer, CDH1 Gene MutationArmsCrizotinib Oral Capsule [Xalkori], Fulvestrant 50 MG/ML Prefilled Syringe [Faslodex or generic]
NCT06062823 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

An Open-label Phase II Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations Categorized According to Structural Based Classification

TypeinterventionalSponsorNational University Hospital, SingaporeRan2024 to 2026Enrolled35ConditionsNSCLCArmsAfatinib 40 MG
3 · Its place in the literature

Who cites it

957 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,982 citations in OpenAlex.

  1. Pooled it
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  6. Taletrectinib inJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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897 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 5 countries.

Alice T ShawFrom the Massachusetts General Hospital Cancer Center (A.T.S., L.P.L., Z.Z., J.W.C., A.J.I.), Dana-Farber Cancer Institute (G.I.S.), and Beth Israel Deaconess Medical Center (D.B.C.) - all in Boston; University of California at Irvine, Irvine (S.-H.I.O.), and Pfizer Oncology, La Jolla (W.T., S.M.S., L.M.T., J.G.C., K.D.W.) - both in California; Seoul National University Hospital, Seoul, South Korea (Y.-J.B.); University of Colorado, Aurora (D.R.C., M.V.-G., R.C.D.); Peter MacCallum Cancer Centre, Melbourne, VIC, Australia (B.J.S.); University of Chicago, Chicago (R.S.); Memorial Sloan Kettering Cancer Center, New York (G.J.R.); Karolinska Institutet, Stockholm (Z.Z.); and Rho, Chapel Hill, NC (P.S.).
Sai-Hong I Ou
Yung-Jue Bang
D Ross Camidge
Benjamin J Solomon
Ravi Salgia
Gregory J Riely
Marileila Varella-Garcia
Geoffrey I Shapiro
Daniel B Costa
Robert C Doebele
Long Phi Le
Zongli Zheng
Weiwei Tan
Patricia Stephenson
S Martin Shreeve
Lesley M Tye
James G Christensen
Keith D Wilner
Jeffrey W Clark
A John Iafrate
Pfizer (United States) · USMassachusetts General Hospital · USUniversity of Colorado Anschutz Medical Campus · USDana-Farber Cancer Institute · USHadassah Medical Center · ILKarolinska Institutet · SEMemorial Sloan Kettering Cancer Center · USPeter MacCallum Cancer Centre · AURho (United States) · USSeoul National University Hospital · KRUniversity of California, Irvine · USUniversity of Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Tissue Bank and Biomarkers CoreP50CA058187 · NCI · UNIVERSITY OF COLORADO DENVER · PI NEMENOFF, RAPHAEL A. · 1992 to 2018
$43.8M
Paul Calabresis Award in Clinical Oncology ResearchK12CA086913 · NCI · UNIVERSITY OF COLORADO DENVER · PI VIRGINIA F. BORGES, Jill E Slansky · 2000 to 2026
$17.8M
Predictive biomarker development in lung cancer: ROS1 chromosomal rearrangementsR21CA161590 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI IAFRATE, ANTHONY JOHN · 2011 to 2012
$419k
NCI NIH HHS K12 CA086913NCI NIH HHS K12CA086913NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA046934NCI NIH HHS P30CA046934NCI NIH HHS P50 CA058187NCI NIH HHS P50CA058187NCI NIH HHS R21 CA161590NCI NIH HHS R21CA161590
6 · The paper itself

Abstract

backgroundChromosomal rearrangements of the gene encoding ROS1 proto-oncogene receptor tyrosine kinase (ROS1) define a distinct molecular subgroup of non-small-cell lung cancers (NSCLCs) that may be susceptible to therapeutic ROS1 kinase inhibition. Crizotinib is a small-molecule tyrosine kinase inhibitor of anaplastic lymphoma kinase (ALK), ROS1, and another proto-oncogene receptor tyrosine kinase, MET.

methodsWe enrolled 50 patients with advanced NSCLC who tested positive for ROS1 rearrangement in an expansion cohort of the phase 1 study of crizotinib. Patients were treated with crizotinib at the standard oral dose of 250 mg twice daily and assessed for safety, pharmacokinetics, and response to therapy. ROS1 fusion partners were identified with the use of next-generation sequencing or reverse-transcriptase-polymerase-chain-reaction assays.

resultsThe objective response rate was 72% (95% confidence interval [CI], 58 to 84), with 3 complete responses and 33 partial responses. The median duration of response was 17.6 months (95% CI, 14.5 to not reached). Median progression-free survival was 19.2 months (95% CI, 14.4 to not reached), with 25 patients (50%) still in follow-up for progression. Among 30 tumors that were tested, we identified 7 ROS1 fusion partners: 5 known and 2 novel partner genes. No correlation was observed between the type of ROS1 rearrangement and the clinical response to crizotinib. The safety profile of crizotinib was similar to that seen in patients with ALK-rearranged NSCLC.

conclusionsIn this study, crizotinib showed marked antitumor activity in patients with advanced ROS1-rearranged NSCLC. ROS1 rearrangement defines a second molecular subgroup of NSCLC for which crizotinib is highly active. (Funded by Pfizer and others; ClinicalTrials.gov number, NCT00585195.).

Indexed as

Administration, OralAdultAgedCarcinoma, Non-Small-Cell LungCrizotinibDisease-Free SurvivalFemaleGene RearrangementHumansIn Situ Hybridization, FluorescenceKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedProtein Kinase InhibitorsProtein-Tyrosine KinasesCrizotinibMAS1 protein, humanProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene MasProto-Oncogene ProteinsPyrazolesPyridinesROS1 protein, human

Identifiers

PMID25264305
PMCPMC4264527
OpenAlexW1990626198

What OpenQuestion holds

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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.