Evidence map›Paper›PMID 25722381›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2015

A randomized phase II study of the MEK1/MEK2 inhibitor trametinib (GSK1120212) compared with docetaxel in KRAS-mutant advanced non-small-cell lung cancer (NSCLC)†.

G R Blumenschein, E F Smit, D Planchard, D-W Kim, J Cadranel, T De Pas, F Dunphy, K Udud, M-J Ahn, N H Hanna and 9 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01362296 (A Phase II, Open-label, Multicenter, Randomized Study to Assess the Efficacy and Safety of GSK1120212 Compared With Docetaxel in 2nd Line Subjects With Targeted Mutations), which is not on this map. Cited by 217 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed, 1 pooled it
21.0field-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.

NCT01362296 phase2completednot on this map

A Phase II, Open-label, Multicenter, Randomized Study to Assess the Efficacy and Safety of GSK1120212 Compared With Docetaxel in 2nd Line Subjects With Targeted Mutations (KRAS, NRAS, BRAF, MEK1) in Locally Advanced or Metastatic Non-small Cell Lung Cancer (NSCLC Stage IV)

TypeinterventionalSponsorGlaxoSmithKlineRan2011 to 2013Enrolled134ConditionsLung Cancer, Non-Small CellArmsGSK1120212, docetaxel
3 · Its place in the literature

Who cites it

217 citing papers in PubMed, 1 synthesis or guideline pooled it, 356 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Systematic and precise interventions for KRAS-mutant cancers.Experimental hematology & oncology · 2026
    Review
  9. Therapeutic advances with KRASCancer gene therapy · 2026
    Review
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  11. Article
  12. Article
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  14. Review
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157 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

19 authors at 16 institutions in 6 countries.

G R BlumenscheinMD Anderson Cancer Center, The University of Texas, Houston, USA. Electronic address: gblumens@mdanderson.org.
E F SmitDepartment of Pulmonary Diseases, Vrije Universiteit VU Medical Centre, Amsterdam, The Netherlands.
D PlanchardMedical Oncology Department, Gustave Roussy (GR), Villejuif, France.
D-W KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
J CadranelDepartment of Respiratory Medicine, Hôpital Tenon, Assistance Publique - Hôpitaux de Paris, Paris, France.
T De PasEuropean Institute of Oncology, Milan, Italy.
F DunphyDuke University Medical Center, Durham, USA.
K UdudKorányi National Institute of Tuberculosis and Pulmonology, Budapest, Hungary.
M-J AhnDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
N H HannaIU Melvin and Bren Simon Cancer Center, Indianapolis, USA.
J-H KimYonsei Cancer Center, Division of Medical Oncology, Yonsei University College of Medicine, Seoul, Republic of Korea.
J MazieresHopital Larrey CHU Toulouse, Toulouse, France.
S-W KimDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
P BaasNetherlands Cancer Institute, Amsterdam, The Netherlands.
E RappoldGlaxoSmithKline, Collegeville, USA.
S RedhuGlaxoSmithKline, Collegeville, USA.
A PuskiGlaxoSmithKline Kft., Budapest, Hungary.
F S WuGlaxoSmithKline, Collegeville, USA.
P A JänneLowe Center for Thoracic Oncology, Belfer Institute for Applied Cancer Science Dana-Farber Cancer Institute, Boston, USA.
GlaxoSmithKline (United States) · USDana-Farber Cancer Institute · USDuke Medical Center · USEuropean Institute of Oncology · ITHôpital Larrey · FRIndiana University Health · USInstitut Gustave Roussy · FROrszágos Korányi Tbc és Pulmonológiai Intézet · HUSamsung Medical Center · KRSeoul National University Hospital · KRSorbonne Université · FRThe Netherlands Cancer Institute · NLThe University of Texas MD Anderson Cancer Center · USUlsan College · KRVrije Universiteit Amsterdam · NLYonsei University · KR

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

backgroundKRAS mutations are detected in 25% of non-small-cell lung cancer (NSCLC) and no targeted therapies are approved for this subset population. Trametinib, a selective allosteric inhibitor of MEK1/MEK2, demonstrated preclinical and clinical activity in KRAS-mutant NSCLC. We report a phase II trial comparing trametinib with docetaxel in patients with advanced KRAS-mutant NSCLC. PATIENTS AND

methodsEligible patients with histologically confirmed KRAS-mutant NSCLC previously treated with one prior platinum-based chemotherapy were randomly assigned in a ratio of 2 : 1 to trametinib (2 mg orally once daily) or docetaxel (75 mg/m(2) i.v. every 3 weeks). Crossover to the other arm after disease progression was allowed. Primary end point was progression-free survival (PFS). The study was prematurely terminated after the interim analysis of 92 PFS events, which showed the comparison of trametinib versus docetaxel for PFS crossed the futility boundary.

resultsOne hundred and twenty-nine patients with KRAS-mutant NSCLC were randomized; of which, 86 patients received trametinib and 43 received docetaxel. Median PFS was 12 weeks in the trametinib arm and 11 weeks in the docetaxel arm (hazard ratio [HR] 1.14; 95% CI 0.75-1.75; P = 0.5197). Median overall survival, while the data are immature, was 8 months in the trametinib arm and was not reached in the docetaxel arm (HR 0.97; 95% CI 0.52-1.83; P = 0.934). There were 10 (12%) partial responses (PRs) in the trametinib arm and 5 (12%) PRs in the docetaxel arm (P = 1.0000). The most frequent adverse events (AEs) in ≥20% of trametinib patients were rash, diarrhea, nausea, vomiting, and fatigue. The most frequent grade 3 treatment-related AEs in the trametinib arm were hypertension, rash, diarrhea, and asthenia.

conclusionTrametinib showed similar PFS and a response rate as docetaxel in patients with previously treated KRAS-mutant-positive NSCLC. CLINICALTRIALSGOV REGISTRATION NUMBER: NCT01362296.

Indexed as

MutationAdultAgedAntineoplastic Agents, PhytogenicBiomarkers, TumorCarcinoma, Non-Small-Cell LungDisease-Free SurvivalDisease ProgressionDocetaxelFemaleHumansKaplan-Meier EstimateLung NeoplasmsMaleMAP Kinase Kinase 1MAP Kinase Kinase 2Antineoplastic Agents, PhytogenicBiomarkers, TumorDocetaxelKRAS protein, humanMAP2K1 protein, humanMAP2K2 protein, humanMAP Kinase Kinase 1MAP Kinase Kinase 2Protein Kinase InhibitorsProto-Oncogene Proteins p21(ras)PyridonesPyrimidinonesTaxoidstrametinibdocetaxelKRASMEK inhibitorNSCLCprogression-free survivaltrametinib

Identifiers

PMID25722381
PMCPMC4855243
OpenAlexW2160586729

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.