Evidence map›Paper›PMID 26762579›Full record

Trial reportJournal of translational medicine2016

Changes in plasma biomarkers following treatment with cabozantinib in metastatic castration-resistant prostate cancer: a post hoc analysis of an extension cohort of a phase II trial.

Raya Leibowitz-Amit, Melania Pintilie, Leila Khoja, Arun A Azad, Raanan Berger, A Douglas Laird, Dana T Aftab, Kim N Chi, Anthony M Joshua

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00940225 (A Randomized Discontinuation Study of XL184 in Subjects With Advanced Solid Tumors), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

NCT00940225 phase2completednot on this map

A Randomized Discontinuation Study of XL184 in Subjects With Advanced Solid Tumors

TypeinterventionalSponsorExelixisRan2009 to 2014Enrolled730ConditionsSolid Tumors, CancerArmsCabozantinib, Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

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  10. Significance of the IL-8 pathway for immunotherapy.Human vaccines & immunotherapeutics · 2020
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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

9 authors at 5 institutions in 3 countries.

Raya Leibowitz-AmitDepartment of Oncology, Sheba Medical Center, Tel Hashomer, Israel. Raya.leibowitz-amit@sheba.health.gov.il.
Melania PintilieDivision of Biostatistics, Princess Margaret Cancer Center, University Health Network, Toronto, Canada. melania.pintilie@uhn.ca.
Leila KhojaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Center, University Health Network, 610 University Ave, Toronto, ON, M5G 2M9, Canada. Leila.khoja@uhn.ca.
Arun A AzadDepartment of Medical Oncology, British Columbia Cancer Agency, Vancouver, British Columbia, Canada. arun.azad@bccancer.cn.ca.
Raanan BergerDepartment of Oncology, Sheba Medical Center, Tel Hashomer, Israel. raanan.berger@sheba.heath.gov.il.
A Douglas LairdExelixis, Inc, South San Francisco, CA, USA. dlaird@exelixis.com.
Dana T AftabExelixis, Inc, South San Francisco, CA, USA. daftab@exelixis.com.
Kim N ChiDepartment of Medical Oncology, British Columbia Cancer Agency, Vancouver, British Columbia, Canada. kchi@bccancer.bc.ca.
Anthony M JoshuaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Center, University Health Network, 610 University Ave, Toronto, ON, M5G 2M9, Canada. Anthony.joshua@uhn.ca.
BC Cancer Agency · CAExelixis (United States) · USPrincess Margaret Cancer Centre · CASheba Medical Center · ILUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCabozantinib is an orally available inhibitor of tyrosine kinases including VEGFR2 and c-MET. We performed a post hoc analysis to find associations between select plasma biomarkers and treatment response in patients (pts) with metastatic castration resistant prostate cancer (mCRPC) who received cabozantinib 100 mg daily as part of a phase 2 non-randomized expansion cohort (NCT00940225).

methodsPlasma samples were collected at baseline, 6 weeks and at time of maximal response from 81 mCRPC pts with bone metastases, of which 33 also had measurable soft-tissue disease. Levels of 27 biomarkers were measured in duplicate using enzyme-linked immunosorbent assay. Spearman correlation coefficients were calculated for the association between biomarker levels or their change on treatment and either bone scan response (BSR) or soft tissue response according to RECIST.

resultsA BSR and RECIST response were seen in 66/81 pts (81 %) and 6/33 pts (18 %) respectively. No significant associations were found between any biomarker at any time point and either type of response. Plasma concentrations of VEGFA, FLT3L, c-MET, AXL, Gas6A, bone-specific alkaline phosphatase, interleukin-8 and the hypoxia markers CA9 and clusterin significantly increased during treatment with cabozantinib irrespective of response. The plasma concentrations of VEGFR2, Trap5b, Angiopoietin-2, TIMP-2 and TIE-2 significantly decreased during treatment with caboznatinib.

conclusionsOur data did not reveal plasma biomarkers associated with response to cabozantinib. The observed alterations in several biomarkers during treatment with cabozantinib may provide insights on the effects of cabozantinib on tumor cells and on tumor micro-environment and may help point to potential co-targeting approaches.

Indexed as

AnilidesBiomarkers, TumorHumansMaleMiddle AgedNeoplasm MetastasisProstatic Neoplasms, Castration-ResistantPyridinesReproducibility of ResultsStatistics, NonparametricAnilidesBiomarkers, TumorcabozantinibPyridines

Identifiers

PMID26762579
PMCPMC4712499
OpenAlexW2237658240

What OpenQuestion holds

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LicenceCC BY
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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.