Evidence map›Paper›PMID 25971938›Full record

ArticleCancer discovery2015

Activation of MET via diverse exon 14 splicing alterations occurs in multiple tumor types and confers clinical sensitivity to MET inhibitors.

Garrett M Frampton, Siraj M Ali, Mark Rosenzweig, Juliann Chmielecki, Xinyuan Lu, Todd M Bauer, Mikhail Akimov, Jose A Bufill, Carrie Lee, David Jentz and 28 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Cancer discovery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04270591 (A Phase Ib/II, Open-Label, Multicenter Study to Evaluate the Efficacy and Safety of Glumetinib), which is not on this map. Cited by 437 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
437citing papers in PubMed, 1 pooled it
56.7field-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.

NCT04270591 phase1 / phase2recruitingnot on this mapstarted 2019, after this paper: background citation

A Phase Ib/II, Open-Label, Multicenter Study to Evaluate the Efficacy and Safety of Glumetinib (SCC244), a Selective MET Inhibitor in Patients With Advanced Non-Small Cell Lung Cancer Harboring MET-alterations

TypeinterventionalSponsorHaihe Biopharma Co., Ltd.Ran2019 to 2023Enrolled183ConditionsC-Met Exon 14 MutationArmsGlumetinib
3 · Its place in the literature

Who cites it

437 citing papers in PubMed, 1 synthesis or guideline pooled it, 791 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

38 authors at 1 institution in 1 country.

Garrett M FramptonFoundation Medicine Inc., Cambridge, Massachusetts. gframpton@foundationmedicine.com.
Siraj M AliFoundation Medicine Inc., Cambridge, Massachusetts.
Mark RosenzweigFoundation Medicine Inc., Cambridge, Massachusetts.
Juliann ChmieleckiFoundation Medicine Inc., Cambridge, Massachusetts.
Xinyuan LuDivision of Hematology and Oncology, Department of Medicine, University of California, San Francisco, San Francisco, California.
Todd M BauerSarah Cannon Research Institute/Tennessee Oncology, PLLC, Nashville, Tennessee.
Mikhail AkimovNovartis Pharma AG, Basel, Switzerland.
Jose A BufillMichiana Hematology-Oncology, PC, Mishawaka, Indiana.
Carrie LeeUniversity of North Carolina School of Medicine, Clinical Research, Thoracic Oncology Program, Chapel Hill, North Carolina.
David JentzSouth Bend Medical Foundation, South Bend, Indiana.
Rick HooverSouth Bend Medical Foundation, South Bend, Indiana.
Sai-Hong Ignatius OuDivision of Hematology-Oncology, Department of Medicine, University of California Irvine School of Medicine, Irvine, California.
Ravi SalgiaThe University of Chicago School of Medicine, Chicago, Illinois.
Tim BrennanFoundation Medicine Inc., Cambridge, Massachusetts.
Zachary R ChalmersFoundation Medicine Inc., Cambridge, Massachusetts.
Savina JaegerNovartis Institutes for BioMedical Research, Cambridge, Massachusetts.
Alan HuangNovartis Institutes for BioMedical Research, Cambridge, Massachusetts.
Julia A ElvinFoundation Medicine Inc., Cambridge, Massachusetts.
Rachel ErlichFoundation Medicine Inc., Cambridge, Massachusetts.
Alex FichtenholtzFoundation Medicine Inc., Cambridge, Massachusetts.
Kyle A GowenFoundation Medicine Inc., Cambridge, Massachusetts.
Joel GreenboweFoundation Medicine Inc., Cambridge, Massachusetts.
Adrienne JohnsonFoundation Medicine Inc., Cambridge, Massachusetts.
Depinder KhairaFoundation Medicine Inc., Cambridge, Massachusetts.
Caitlin McMahonFoundation Medicine Inc., Cambridge, Massachusetts.
Eric M SanfordFoundation Medicine Inc., Cambridge, Massachusetts.
Steven RoelsFoundation Medicine Inc., Cambridge, Massachusetts.
Jared WhiteFoundation Medicine Inc., Cambridge, Massachusetts.
Joel GreshockNovartis Institutes for BioMedical Research, Cambridge, Massachusetts.
Robert SchlegelNovartis Institutes for BioMedical Research, Cambridge, Massachusetts.
Doron LipsonFoundation Medicine Inc., Cambridge, Massachusetts.
Roman YelenskyFoundation Medicine Inc., Cambridge, Massachusetts.
Deborah MorosiniFoundation Medicine Inc., Cambridge, Massachusetts.
Jeffrey S RossFoundation Medicine Inc., Cambridge, Massachusetts.
Eric CollissonDivision of Hematology and Oncology, Department of Medicine, University of California, San Francisco, San Francisco, California.
Malte PetersNovartis Pharma AG, Basel, Switzerland.
Philip J StephensFoundation Medicine Inc., Cambridge, Massachusetts.
Vincent A MillerFoundation Medicine Inc., Cambridge, Massachusetts.
Novartis (Switzerland) · CH

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
NCI NIH HHS P30 CA016086
6 · The paper itself

Abstract

unlabelledFocal amplification and activating point mutation of the MET gene are well-characterized oncogenic drivers that confer susceptibility to targeted MET inhibitors. Recurrent somatic splice site alterations at MET exon 14 (METex14) that result in exon skipping and MET activation have been characterized, but their full diversity and prevalence across tumor types are unknown. Here, we report analysis of tumor genomic profiles from 38,028 patients to identify 221 cases with METex14 mutations (0.6%), including 126 distinct sequence variants. METex14 mutations are detected most frequently in lung adenocarcinoma (3%), but also frequently in other lung neoplasms (2.3%), brain glioma (0.4%), and tumors of unknown primary origin (0.4%). Further in vitro studies demonstrate sensitivity to MET inhibitors in cells harboring METex14 alterations. We also report three new patient cases with METex14 alterations in lung or histiocytic sarcoma tumors that showed durable response to two different MET-targeted therapies. The diversity of METex14 mutations indicates that diagnostic testing via comprehensive genomic profiling is necessary for detection in a clinical setting. SIGNIFICANCE: Here we report the identification of diverse exon 14 splice site alterations in MET that result in constitutive activity of this receptor and oncogenic transformation in vitro. Patients whose tumors harbored these alterations derived meaningful clinical benefit from MET inhibitors. Collectively, these data support the role of METex14 alterations as drivers of tumorigenesis, and identify a unique subset of patients likely to derive benefit from MET inhibitors.

Indexed as

Alternative SplicingExonsAgedAged, 80 and overAntineoplastic AgentsCluster AnalysisDrug Resistance, NeoplasmFemaleGene Expression ProfilingGenomicsHumansImmunohistochemistryMaleMutationNeoplasmsNeoplasm StagingAntineoplastic AgentsProtein Kinase InhibitorsProto-Oncogene Proteins c-met

Identifiers

PMID25971938
OpenAlexW2160212814

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.