Evidence map›Paper›PMID 25989270›Full record

Trial reportBritish journal of cancer2015

Phase I study of FOLFIRI plus pimasertib as second-line treatment for KRAS-mutated metastatic colorectal cancer.

T Macarulla, A Cervantes, J Tabernero, S Roselló, E Van Cutsem, S Tejpar, H Prenen, E Martinelli, T Troiani, B Laffranchi and 3 more

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

Trial report in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Assessment of KRASFrontiers in oncology · 2024
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pharmacology of Pimasertib, A Selective MEK1/2 Inhibitor.European journal of drug metabolism and pharmacokinetics · 2018
    Review
  11. Review
  12. Article
  13. Signaling pathways as therapeutic targets in biliary tract cancer.Expert opinion on therapeutic targets · 2017
    Review
  14. Article
  15. Review
  16. MEK and the inhibitors: from bench to bedside.Journal of hematology & oncology · 2013
    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

13 authors at 6 institutions in 6 countries.

T MacarullaVall d'Hebron University Hospital and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, P Vall d'Hebron 119-129, Barcelona 08035, Spain.
A CervantesDepartment of Haematology and Medical Oncology, Biomedical Research Institute INCLIVA, University of Valencia, Avda Blasco Ibáñez 17, Valencia 46010, Spain.
J TaberneroVall d'Hebron University Hospital and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, P Vall d'Hebron 119-129, Barcelona 08035, Spain.
S RosellóDepartment of Haematology and Medical Oncology, Biomedical Research Institute INCLIVA, University of Valencia, Avda Blasco Ibáñez 17, Valencia 46010, Spain.
E Van CutsemDepartment of Gastroenterology, University Hospitals Gasthuisberg and KU Leuven, Herestraat 49, Leuven 3000, Belgium.
S TejparDepartment of Gastroenterology, University Hospitals Gasthuisberg and KU Leuven, Herestraat 49, Leuven 3000, Belgium.
H PrenenDepartment of Gastroenterology, University Hospitals Gasthuisberg and KU Leuven, Herestraat 49, Leuven 3000, Belgium.
E MartinelliDepartment of Experimental and Clinical Medicine, Second University of Naples, Via S Pansini 5, Naples 80131, Italy.
T TroianiDepartment of Experimental and Clinical Medicine, Second University of Naples, Via S Pansini 5, Naples 80131, Italy.
B LaffranchiMerck Serono SA, 9 Chemin des Mines, Geneva 1202, Switzerland.
V JegoMerck Serono SA, 9 Chemin des Mines, Geneva 1202, Switzerland.
O von RichterMerck KGaA, Frankfurter Strasse 250, F131/102, Darmstadt 64293, Germany.
F CiardielloDepartment of Experimental and Clinical Medicine, Second University of Naples, Via S Pansini 5, Naples 80131, Italy.
Institute for Experimental Endocrinology and Oncology · ITUniversitair Ziekenhuis Leuven · BEHebron University · PSINCLIVA Health Research Institute · ESMerck Serono (Switzerland) · CHMerck (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe mitogen-activated protein kinase (MAPK) pathway has been implicated in the molecular pathogenesis of human cancers, including metastatic colorectal cancer (mCRC). This provides a rationale for the development of MAPK-targeted agents such as pimasertib.

methodsPatients with KRAS mutant mCRC were treated in the second-line setting with FOLFIRI (5-fluorouracil/folinic acid/irinotecan) plus pimasertib. The primary objective of the safety run-in phase was to determine the maximum-tolerated dose (MTD) and the recommended phase II dose of pimasertib combined with FOLFIRI.

resultsSixteen patients were enrolled in the trial. Ten and six patients were treated daily with 45 and 60 mg of pimasertib plus FOLFIRI, respectively. The MTD was considered to be 45 mg per day. The most common treatment-emergent adverse events were diarrhoea, nausea, vomiting, asthenia and skin/rash event. Of the 15 patients in the efficacy analysis group, two patients had partial response, nine patients had stable disease, three patients had progressive disease as their best overall response and one patient could not be evaluated.

conclusionsDose escalation of pimasertib in combination with FOLFIRI was limited by toxicity. At the MTD of 45 mg per day, pimasertib was adequately tolerated in patients with mCRC and no unexpected or new safety signals or concerns were identified.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCamptothecinColorectal NeoplasmsFemaleFluorouracilGenes, rasHumansLeucovorinMaleMiddle AgedMutationNeoplasm MetastasisNiacinamideProto-Oncogene ProteinsCamptothecinFluorouracilKRAS protein, humanLeucovorinN-(2,3-dihydroxypropyl)-1-((2-fluoro-4-iodophenyl)amino)isonicotinamideNiacinamideProto-Oncogene ProteinsProto-Oncogene Proteins p21(ras)ras Proteins

Identifiers

PMID25989270
PMCPMC4580393
OpenAlexW295765284

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.