Evidence map›Paper›PMID 27524418›Full record

ArticleOncogene2017

Dual MET/EGFR therapy leads to complete response and resistance prevention in a MET-amplified gastroesophageal xenopatient cohort.

M Apicella, C Migliore, T Capelôa, S Menegon, M Cargnelutti, M Degiuli, A Sapino, A Sottile, I Sarotto, L Casorzo and 6 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Oncogene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Article
  6. Review
  7. Personalized therapeutic strategies in HER2-driven gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2021
    Article
  8. Article
  9. Review
  10. The oncologist · 2019
    Article
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  16. Article
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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

16 authors at 4 institutions in 1 country.

M ApicellaDepartment of Oncology, University of Torino, Candiolo, Italy.
C MiglioreDepartment of Oncology, University of Torino, Candiolo, Italy.
T CapelôaCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
S MenegonCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
M CargneluttiCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
M DegiuliDepartment of Surgery, Ospedale Molinette, Torino, Italy.
A SapinoCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
A SottileCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
I SarottoCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
L CasorzoCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
P CassoniDepartment of Medical Science, University of Torino, Torino, Italy.
M De SimoneCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
P M ComoglioCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
S MarsoniCandiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
S CorsoDepartment of Oncology, University of Torino, Candiolo, Italy.
S GiordanoDepartment of Oncology, University of Torino, Candiolo, Italy.
Candiolo Cancer Institute · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITFondazione Ricerca Molinette · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amplification of the MET oncogene occurs in 2-4% of gastroesophageal cancers and defines a small and aggressive subset of tumors. Although in vitro studies have given very promising results, clinical trials with MET inhibitors have been disappointing, showing few and short lasting responses. The aim of the work was to exploit a MET-amplified patient-derived xenograft model to optimize anti-MET therapeutic strategies in gastroesophageal cancer. We found that despite the high MET amplification level (26 gene copies), in the absence of qualitative or quantitative alterations of EGFR, MET inhibitors induced only tumor growth inhibition, whereas dual MET/EGFR inhibition led to complete tumor regression. Importantly, the combo treatment completely prevented the onset of resistance, which quite rapidly appeared in tumors treated with MET monotherapy. We found that this secondary resistance was due to EGFR activation and could be overcome by dual MET/EGFR inhibition. Similar results were also obtained in a MET-addicted, established gastric cancer cell line. In vitro experiments performed on tumor-derived primary cells confirmed that MET inhibitors were not able to abrogate the activation of downstream transducers and that only the combined MET/EGFR treatment completely shut off the signaling. Previously reported cases, as well as those described here, showed only partial and transient sensitivity to anti-MET therapy. The finding that combined anti-MET/EGFR therapy-even in the absence of EGFR genetic alterations-induced complete and durable response, represents a proof of concept and guarantees further investigations, opening a new perspective of treatment for these patients.

Indexed as

Gene AmplificationAged, 80 and overAnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisBiomarkers, TumorCell ProliferationCetuximabDrug Resistance, NeoplasmErbB ReceptorsEsophageal NeoplasmsEsophagogastric JunctionHumansLapatinibMaleMiceBiomarkers, TumorCetuximabEGFR protein, humanErbB ReceptorsLapatinibMET protein, humanProto-Oncogene Proteins c-metQuinazolines

Identifiers

PMID27524418
OpenAlexW2509694060

What OpenQuestion holds

Textmetadata
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.