Evidence map›Paper›PMID 26633560›Full record

ArticleBritish journal of cancer2015

Novel CAD-ALK gene rearrangement is drugable by entrectinib in colorectal cancer.

Alessio Amatu, Alessio Somaschini, Giulio Cerea, Roberta Bosotti, Emanuele Valtorta, Pasquale Buonandi, Giovanna Marrapese, Silvio Veronese, David Luo, Zachary Hornby and 12 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article 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 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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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

22 authors at 3 institutions in 2 countries.

Alessio AmatuNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Alessio SomaschiniBusiness Unit Oncology, Nerviano Medical Sciences Srl, Viale Pasteur 10, 20014 Nerviano, MI, Italy.
Giulio CereaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Roberta BosottiBusiness Unit Oncology, Nerviano Medical Sciences Srl, Viale Pasteur 10, 20014 Nerviano, MI, Italy.
Emanuele ValtortaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Pasquale BuonandiNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Giovanna MarrapeseNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Silvio VeroneseNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
David LuoIgnyta, Inc., 11111 Flintkote Avenue, San Diego, CA 92121, USA.
Zachary HornbyIgnyta, Inc., 11111 Flintkote Avenue, San Diego, CA 92121, USA.
Pratik MultaniIgnyta, Inc., 11111 Flintkote Avenue, San Diego, CA 92121, USA.
Danielle MurphyIgnyta, Inc., 11111 Flintkote Avenue, San Diego, CA 92121, USA.
Robert ShoemakerIgnyta, Inc., 11111 Flintkote Avenue, San Diego, CA 92121, USA.
Calogero LauricellaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Laura GiannettaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Martina MaiolaniNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Angelo VanzulliNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Elena ArdiniBusiness Unit Oncology, Nerviano Medical Sciences Srl, Viale Pasteur 10, 20014 Nerviano, MI, Italy.
Arturo GalvaniBusiness Unit Oncology, Nerviano Medical Sciences Srl, Viale Pasteur 10, 20014 Nerviano, MI, Italy.
Antonella IsacchiBusiness Unit Oncology, Nerviano Medical Sciences Srl, Viale Pasteur 10, 20014 Nerviano, MI, Italy.
Andrea Sartore-BianchiNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Salvatore SienaNiguarda Cancer Center, Ospedale Niguarda Ca' Granda, 20162 Milan, Italy.
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITIgnyta (United States) · USNerviano Medical Sciences · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundActivated anaplastic lymphoma kinase (ALK) gene fusions are recurrent events in a small fraction of colorectal cancers (CRCs), although these events have not yet been exploited as in other malignancies.

methodsWe detected ALK protein expression by immunohistochemistry and gene rearrangements by fluorescence in situ hybridisation in the ALKA-372-001 phase I study of the pan-Trk, ROS1, and ALK inhibitor entrectinib. One out of 487 CRCs showed ALK positivity with a peculiar pattern that prompted further characterisation by targeted sequencing using anchored multiplex PCR.

resultsA novel ALK fusion with the carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase (CAD) gene (CAD-ALK fusion gene) was identified. It resulted from inversion within chromosome 2 and the fusion of exons 1-35 of CAD with exons 20-29 of ALK. After failure of previous standard therapies, treatment of this patient with the ALK inhibitor entrectinib resulted in a durable objective tumour response.

conclusionsWe describe the novel CAD-ALK rearrangement as an oncogene and provide the first evidence of its drugability as a new molecular target in CRC.

Indexed as

Gene RearrangementAnaplastic Lymphoma KinaseAntineoplastic AgentsAspartate CarbamoyltransferaseBenzamidesCarbamoyl-Phosphate Synthase (Glutamine-Hydrolyzing)Colorectal NeoplasmsDihydroorotaseFemaleHumansIndazolesMiddle AgedReceptor Protein-Tyrosine KinasesALK protein, humanAnaplastic Lymphoma KinaseAntineoplastic AgentsAspartate CarbamoyltransferaseBenzamidesCAD trifunctional enzymeCarbamoyl-Phosphate Synthase (Glutamine-Hydrolyzing)DihydroorotaseentrectinibIndazolesReceptor Protein-Tyrosine Kinases

Identifiers

PMID26633560
PMCPMC4701996
OpenAlexW2211426736

What OpenQuestion holds

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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.