Evidence map›Paper›PMID 26535124›Full record

ArticleUnited European gastroenterology journal2015

A phase II study of TRC105 in patients with hepatocellular carcinoma who have progressed on sorafenib.

A G Duffy, S V Ulahannan, L Cao, O E Rahma, O V Makarova-Rusher, D E Kleiner, S Fioravanti, M Walker, S Carey, Y Yu and 8 more

Open access · hybridAbstract read
In one paragraph

Article in United European gastroenterology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Phase I and Preliminary Phase II Study of TRC105 in Combination with Sorafenib in Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  3. Article
  4. Review
  5. Antagonizing CD105 and androgen receptor to target stromal-epithelial interactions for clinical benefit.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  6. Review
  7. TGF-β superfamily co-receptors in cancer.Developmental dynamics : an official publication of the American Association of Anatomists · 2022
    Review
  8. Review
  9. Review
  10. The Role of Endoglin in Hepatocellular Carcinoma.International journal of molecular sciences · 2021
    Review
  11. Endoglin in the Spotlight to Treat Cancer.International journal of molecular sciences · 2021
    Review
  12. Article
  13. Review
  14. Endoglin Targeting: Lessons Learned and Questions That Remain.International journal of molecular sciences · 2020
    Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Molecular pharmaceutics · 2018
    Article
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

18 authors at 3 institutions in 1 country.

A G DuffyGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
S V UlahannanGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
L CaoGenetics Branch, Center for Cancer Research, National Institutes of Health, USA.
O E RahmaGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
O V Makarova-RusherGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
D E KleinerLaboratory of Pathology, Center for Cancer Research, National Institutes of Health, USA.
S FioravantiGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
M WalkerGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
S CareyGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
Y YuGenetics Branch, Center for Cancer Research, National Institutes of Health, USA.
A M VenkatesanRadiology and Imaging Sciences, Center for Cancer Research, National Institutes of Health, USA.
B TurkbeyMolecular Imaging Department, Center for Cancer Research, National Institutes of Health, USA.
P ChoykeMolecular Imaging Department, Center for Cancer Research, National Institutes of Health, USA.
J TrepelDevelopmental Therapeutics Branch, Center for Cancer Research, National Institutes of Health, USA.
K C BollenClinical Pharmacology Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, USA.
S M SteinbergBiostatistics and Data Management, Center for Cancer Research, National Institutes of Health, USA.
W D FiggClinical Pharmacology Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, USA.
T F GretenGastrointestinal Malignancies Section, Thoracic-GI Oncology Branch, Center for Cancer Research, National Cancer Institute, USA.
Center for Cancer Research · USNational Institutes of Health · USNational Cancer Institute · US

Funding

Clinical protocols for the treatment of GI cancerZIABC011343 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GRETEN, TIM · 2010 to 2025
$4.8M
6 · The paper itself

Abstract

backgroundEndoglin is an endothelial cell membrane receptor essential for angiogenesis and highly expressed on the vasculature of many tumor types, including hepatocellular carcinoma (HCC). TRC105 is a chimeric IgG1 anti-CD105 monoclonal antibody that inhibits angiogenesis and tumor growth by endothelial cell growth inhibition, ADCC and apoptosis, and complements VEGF inhibitors.

objectiveThe aim of this phase II study was to evaluate the efficacy of anti-endoglin therapy with TRC105 in patients with advanced HCC, post-sorafenib.

methodsPatients with HCC and compensated liver function (Childs-Pugh A/B7), ECOG 0/1, were enrolled to a single-arm, phase II study of TRC105 15 mg/kg IV every two weeks. Patients must have progressed on or been intolerant of prior sorafenib. A Simon optimal two-stage design was employed with a 50% four-month PFS target for progression to the second stage. Correlative biomarkers evaluated included DCE-MRI as well as plasma levels of angiogenic biomarkers and soluble CD105.

resultsA total accrual of 27 patients was planned. However, because of lack of efficacy and in accordance with the Simon two-stage design, 11 patients were enrolled. There were no grade 3/4 treatment-related toxicities. Most frequent toxicities were headache (G2; N = 3) and epistaxis (G1; N = 4). One patient had a confirmed partial response by standard RECIST criteria and biologic response on DCE-MRI but the four-month PFS was insufficient to proceed to the second stage of the study.

conclusionsTRC105 was well tolerated in this HCC population following sorafenib. Although there was evidence of clinical activity, this did not meet prespecified criteria to proceed to the second stage. TRC105 development in HCC continues as combination therapy with sorafenib.

Indexed as

angiogenesisCD105clinical trialendoglinHepatocellular carcinoma

Identifiers

PMID26535124
PMCPMC4625750
OpenAlexW2114565983

What OpenQuestion holds

Textmetadata
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Registered trials

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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.