Evidence map›Paper›PMID 27825616›Full record

Trial reportThe Lancet. Respiratory medicine2017

Vandetanib in patients with previously treated RET-rearranged advanced non-small-cell lung cancer (LURET): an open-label, multicentre phase 2 trial.

Kiyotaka Yoh, Takashi Seto, Miyako Satouchi, Makoto Nishio, Noboru Yamamoto, Haruyasu Murakami, Naoyuki Nogami, Shingo Matsumoto, Takashi Kohno, Koji Tsuta and 7 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in The Lancet. Respiratory medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
157citing papers in PubMed, 1 pooled it
30.0field-weighted citation impact, top 1% 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

157 citing papers in PubMed, 1 synthesis or guideline pooled it, 293 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Efficacy of Selpercatinib inThe New England journal of medicine · 2020
    Trial
  4. A Phase II Trial of Vandetanib in Children and Adults with Succinate Dehydrogenase-Deficient Gastrointestinal Stromal Tumor.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Trial
  5. Selective RET kinase inhibition for patients with RET-altered cancers.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
    Trial
  6. Article
  7. Review
  8. AccurateInternational journal of molecular sciences · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. CCDC6-RET fusion protein regulates Ras/MAPK signaling through the fusion- GRB2-SHC1 signal niche.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  18. Review
  19. Article
  20. Article

97 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Kiyotaka YohDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan. Electronic address: kyoh@east.ncc.go.jp.
Takashi SetoDepartment of Thoracic Oncology, National Kyushu Cancer Center, Fukuoka, Japan.
Miyako SatouchiDepartment of Thoracic Oncology, Hyogo Cancer Center, Akashi, Japan.
Makoto NishioThoracic Oncology Center, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Noboru YamamotoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Haruyasu MurakamiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Naoyuki NogamiDepartment of Thoracic oncology, Shikoku Cancer Center, Matsuyama, Japan.
Shingo MatsumotoDivision of Translational Research, Center for Research and Administration and Support, National Cancer Center, Kashiwa, Japan.
Takashi KohnoDivision of Genome Biology, National Cancer Center Research Institute, Tokyo, Japan.
Koji TsutaDepartment of Pathology and Laboratory Medicine, Kansai Medical University, Osaka, Japan.
Katsuya TsuchiharaDivision of Translational Research, Center for Research and Administration and Support, National Cancer Center, Kashiwa, Japan.
Genichiro IshiiDivision of Pathology, Center for Research and Administration and Support, National Cancer Center, Kashiwa, Japan.
Shogo NomuraBiostatistics Division, Center for Research and Administration and Support, National Cancer Center, Kashiwa, Japan.
Akihiro SatoOffice of Clinical Trial Support, National Cancer Center Hospital East, Kashiwa, Japan.
Atsushi OhtsuDirector, Exploratory Oncology Research and Clinical Trial Center, Center for Research and Administration and Support, National Cancer Center, Kashiwa, Japan.
Yuichiro OheDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Koichi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
National Cancer Center Hospital East · JPHyogo Prefectural Cancer Center · JPJapanese Foundation For Cancer Research · JPKansai Medical University · JPNational Hospital Organization Kyushu Cancer Center · JPShikoku Cancer Center · JPShizuoka Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRET rearrangements are rare oncogenic alterations in non-small-cell lung cancer (NSCLC). Vandetanib is a multitargeted tyrosine kinase inhibitor exhibiting RET kinase activity. We aimed to assess the efficacy and safety of vandetanib in patients with advanced RET-rearranged NSCLC.

methodsIn this open-label, multicentre, phase 2 trial (LURET), patients with advanced RET-rearranged NSCLC continuously received 300 mg of oral vandetanib daily. RET-positive patients were screened using a nationwide genomic screening network of about 200 participating institutions. Primary endpoint was the independently assessed objective response in eligible patients. This study is registered with UMIN-CTR, number UMIN000010095.

findingsBetween Feb 7, 2013, and March 19, 2015, 1536 patients with EGFR mutation-negative NSCLC were screened, of whom 34 were RET-positive (2%) and 19 were enrolled. Among 17 eligible patients included in primary analysis, nine (53% [95% CI 28-77]) achieved an objective response, which met the primary endpoint. In the intention-to-treat population of all 19 patients treated with vandetanib, nine (47% [95% CI 24-71]) achieved an objective response. At the data cutoff, median progression-free survival was 4·7 months (95% CI 2·8-8·5). The most common grade 3 or 4 adverse events were hypertension (11 [58%]), diarrhoea (two [11%]), rash (three [16%]), dry skin (one [5%]), and QT prolongation (two [11%]).

interpretationVandetanib showed clinical antitumour activity and a manageable safety profile in patients with advanced RET-rearranged NSCLC. Our results define RET rearrangement as a new molecular subgroup of NSCLC suitable for targeted therapy.

fundingThe Ministry of Health, Labour and Welfare of Japan and the Practical Research for Innovation Cancer Control from the Japan Agency for Medical Research and Development, AMED.

Indexed as

Gene OrderAdultAgedAged, 80 and overAntineoplastic AgentsCarcinoma, Non-Small-Cell LungDisease-Free SurvivalFemaleHumansLung NeoplasmsMaleMiddle AgedPiperidinesProto-Oncogene Proteins c-retQuinazolinesTreatment OutcomeAntineoplastic AgentsPiperidinesProto-Oncogene Proteins c-retQuinazolinesvandetanib

Identifiers

PMID27825616
OpenAlexW2547299751

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.