Evidence map›Paper›PMID 28152546›Full record

ArticleBritish journal of cancer2017

A phase 1 dose-escalation and expansion study of binimetinib (MEK162), a potent and selective oral MEK1/2 inhibitor.

Johanna C Bendell, Milind Javle, Tanios S Bekaii-Saab, Richard S Finn, Zev A Wainberg, Daniel A Laheru, Colin D Weekes, Benjamin R Tan, Gazala N Khan, Mark M Zalupski and 8 more

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05286788 (Phase 2 Study of the MEK Inhibitor MEKTOVI®), which is not on this map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05286788 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Phase 2 Study of the MEK Inhibitor MEKTOVI® (Binimetinib) for the Treatment of Pediatric Adamantinomatous Craniopharyngioma

TypeinterventionalSponsorNationwide Children's HospitalRan2023 to 2027Enrolled38ConditionsAdamantinous Craniopharyngioma, Recurrent Adamantinomatous CraniopharyngiomaArmsBinimetinib Oral Tablet [Mektovi]
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Pembrolizumab in Combination with Binimetinib in Patients with Unresectable Locally Advanced or Metastatic Triple-Negative Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  6. Phase I/II Study of Combined BCL-xL and MEK Inhibition with Navitoclax and Trametinib in KRAS or NRAS Mutant Advanced Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
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  10. Differential Outcomes in Codon 12/13 and Codon 61Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
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  14. Binimetinib plus Gemcitabine and Cisplatin Phase I/II Trial in Patients with Advanced Biliary Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Trial
  15. Article
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  17. Review
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13 more citing papers are in PubMed but not listed here.

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.

Johanna C BendellDrug Development Program, Sarah Cannon Research Institute/Tennessee Oncology, 250 25th Avenue North, Suite 200, Nashville, TN 37203, USA.
Milind JavleDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit Number: 426, Room Number: FC10.3062, Houston, TX 77030, USA.
Tanios S Bekaii-SaabDepartment of Internal Medicine, Mayo Clinic, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.
Richard S FinnDepartment of Medicine, David Geffen School of Medicine, University of California Los Angeles, 2825 Santa Monica Boulevard, Suite 200, Santa Monica, CA 90404, USA.
Zev A WainbergDepartment of Medicine, David Geffen School of Medicine, University of California Los Angeles, 2825 Santa Monica Boulevard, Suite 200, Santa Monica, CA 90404, USA.
Daniel A LaheruDepartment of Oncology, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, 2825 Santa Monica Boulevard, Baltimore, MD 90404, USA.
Colin D WeekesDivision of Medical Oncology, University of Colorado School of Medicine, 12801 East 17th Avenue, RC1 South, Room 8123, Aurora, CO 80045, USA.
Benjamin R TanDepartment of Medicine, Oncology Division, Washington University, School of Medicine, 14th Floor Northwest Tower, Division of Oncology, Campus Box 8056, 660 South Euclid Ave, St Louis, MO 63110, USA.
Gazala N KhanDepartment of Hematology/Oncology, Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202, USA.
Mark M ZalupskiDepartment of Internal Medicine, University of Michigan, 1500 East Medical Center Drive, SPC 5912, Ann Arbor, MI 48109, USA.
Jeffrey R InfanteDrug Development Program, Sarah Cannon Research Institute/Tennessee Oncology, 250 25th Avenue North, Suite 200, Nashville, TN 37203, USA.
Suzanne JonesDrug Development Program, Sarah Cannon Research Institute, 3322 West End Avenue, Suite 900, Nashville, TN 37203, USA.
Kyriakos P PapadopoulosClinical Research, South Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, San Antonio, TX 78229, USA.
Anthony W TolcherClinical Research, South Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, San Antonio, TX 78229, USA.
Renae E ChaviraClinical Development, Array BioPharma Inc., 3200 Walnut Street, Boulder, CO 80301, USA.
Janna L Christy-BittelClinical Development, Array BioPharma Inc., 3200 Walnut Street, Boulder, CO 80301, USA.
Emma BarrettClinical Development, Array BioPharma Inc., 3200 Walnut Street, Boulder, CO 80301, USA.
Amita PatnaikClinical Research, South Texas Accelerated Research Therapeutics (START), 4383 Medical Drive, San Antonio, TX 78229, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBinimetinib (MEK162; ARRY-438162) is a potent and selective oral MEK 1/2 inhibitor. This phase 1 study determined the maximum tolerated dose (MTD), safety, pharmacokinetic and pharmacodynamic profiles, and preliminary anti-tumour activity of binimetinib in patients with advanced solid tumours, with expansion cohorts of patients with biliary cancer or KRAS- or BRAF-mutant colorectal cancer.

methodsBinimetinib was administered twice daily. Expansion cohorts were enroled after MTD determination following a 3+3 dose-escalation design. Pharmacokinetic properties were determined from plasma samples. Tumour samples were assessed for mutations in RAS, RAF, and other relevant genes. Pharmacodynamic properties were evaluated in serum and skin punch biopsy samples.

resultsNinety-three patients received binimetinib (dose-escalation phase, 19; expansion, 74). The MTD was 60 mg twice daily, with dose-limiting adverse events (AEs) of dermatitis acneiform and chorioretinopathy. The dose for expansion patients was subsequently decreased to 45 mg twice daily because of the frequency of treatment-related ocular toxicity at the MTD. Common AEs across all dose levels included rash (81%), nausea (56%), vomiting (52%), diarrhoea (51%), peripheral oedema (46%), and fatigue (43%); most were grade 1/2. Dose-proportional increases in binimetinib exposure were observed and target inhibition was demonstrated in serum and skin punch biopsy samples. Three patients with biliary cancer had objective responses (one complete and two partial).

conclusionsBinimetinib demonstrated a manageable safety profile, target inhibition, and dose-proportional exposure. The 45 mg twice daily dose was identified as the recommended phase 2 dose. The three objective responses in biliary cancer patients are encouraging and support further evaluation in this population.

Indexed as

BenzimidazolesDrug Administration ScheduleFemaleHumansMaleMAP Kinase Kinase 1MAP Kinase Kinase 2Maximum Tolerated DoseNeoplasmsProto-Oncogene Proteins B-rafras ProteinsTreatment OutcomeBenzimidazolesbinimetinibBRAF protein, humanMAP2K1 protein, humanMAP2K2 protein, humanMAP Kinase Kinase 1MAP Kinase Kinase 2Proto-Oncogene Proteins B-rafras Proteins

Identifiers

PMID28152546
PMCPMC5344293

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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.