Evidence map›Paper›PMID 28472537›Full record

Trial reportCancer2017

Phase 1/2 study of rilotumumab (AMG 102), a hepatocyte growth factor inhibitor, and erlotinib in patients with advanced non-small cell lung cancer.

Ahmad A Tarhini, Imran Rafique, Theofanis Floros, Phu Tran, William E Gooding, Liza C Villaruz, Timothy F Burns, David M Friedland, Daniel P Petro, Mariya Farooqui and 7 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Review
  3. Tumor biomarkers for diagnosis, prognosis and targeted therapy.Signal transduction and targeted therapy · 2024
    Review
  4. Review
  5. Review
  6. Journal of personalized medicine · 2021
    Review
  7. Article
  8. Article
  9. A Review of Monoclonal Antibody-Based Treatments in Non-small Cell Lung Cancer.Advances in experimental medicine and biology · 2021
    Review
  10. Current and future treatment options forTherapeutic advances in medical oncology · 2021
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Cancer-Associated Fibroblasts Build and Secure the Tumor Microenvironment.Frontiers in cell and developmental biology · 2019
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 2 countries.

Ahmad A TarhiniDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Imran RafiqueUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Theofanis FlorosDepartment of Medicine, Athens Naval & Veterans Hospital, Athens, Greece.
Phu TranUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
William E GoodingUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Liza C VillaruzDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Timothy F BurnsDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
David M FriedlandUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Daniel P PetroUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Mariya FarooquiDepartment of Pharmacology, University of Minnesota, Minneapolis, Minnesota.
Jose Gomez-GarciaDepartment of Pharmacology, University of Minnesota, Minneapolis, Minnesota.
Autumn Gaither-DavisUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Sanja DacicDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Athanassios ArgirisUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.ORCID http://orcid.org/0000-0003-4075-8812
Mark A SocinskiUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Laura P StabileUniversity of Pittsburgh Medical Center and Cancer Institute, Pittsburgh, Pennsylvania.
Jill M SiegfriedDepartment of Pharmacology, University of Minnesota, Minneapolis, Minnesota.
UPMC Hillman Cancer Center · USUniversity of Pittsburgh · USUniversity of Minnesota · USAthens Naval & Veterans Hospital · GR

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Vitamin D3 Modulation of Inflammation and Lung Cancer RiskP50CA090440 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SIEGFRIED, JILL M · 2001 to 2015
$34.6M
NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA090440
6 · The paper itself

Abstract

backgroundActivation of the mesenchymal-epidermal transition factor (MET) tyrosine kinase and its ligand, hepatocyte growth factor (HGF), is implicated in resistance to epidermal growth factor receptor (EGFR) inhibitors. In this phase 1/2 trial, rilotumumab (an anti-HGF antibody) combined with erlotinib was evaluated in patients with metastatic, previously treated non-small cell lung cancer.

methodsIn phase 1, a dose de-escalation design was adopted with rilotumumab starting at 15 mg/kg intravenously every 3 weeks and oral erlotinib 150 mg daily. In phase 2, the disease control rate (DCR) (according to Response Evaluation Criteria in Solid Tumors) of the combination was evaluated using a Simon 2-stage design. The biomarkers examined included 10 plasma-circulating molecules associated with the EGFR and MET pathways.

resultsWithout indications for de-escalation, the recommended phase 2 dose was dose level 0. Overall, 45 response-evaluable patients were enrolled (13 with squamous carcinoma, 32 with adenocarcinoma; 2 had confirmed EGFR mutations, 33 had confirmed wild-type [WT] EGFR, and 7 had KRAS mutations). The DCR for all patients was 60% (90% confidence interval [CI], 47.1%-71.3%). Median progression-free survival was 2.6 months (90% CI, 1.4-2.7 months), and median overall survival was 6.6 months (90% CI, 5.6-8.9 months). Among patients with WT EGFR, the DCR was 60.6% (90% CI, 46.3%-73.3%), median progression-free survival was 2.6 months (90% CI, 1.4-2.7 months), and median overall survival was 7.0 months (90% CI, 5.6-13.4 months). Elevated baseline levels of neuregulin 1 were associated with longer progression-free survival (hazard ratio, 0.41; 95% CI, 0.19-0.87), whereas elevated amphiregulin levels were associated with more rapid progression (hazard ratio, 2.14; 95% CI, 1.48-3.08).

conclusionsCombined rilotumumab and erlotinib had an acceptable safety profile, and the DCR met the prespecified criteria for success. In the EGFR WT group, the DCR exceeded published reports for erlotinib alone. High circulating levels of neuregulin 1 may indicate sensitivity to this combination. Cancer 2017;123:2936-44. © 2017 American Cancer Society.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellDisease-Free SurvivalErbB ReceptorsErlotinib HydrochlorideFemaleHumansLung NeoplasmsMaleAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedEGFR protein, humanErbB ReceptorsErlotinib Hydrochloriderilotumumabamphiregulinepidermal growth factor receptor (EGFR)erlotinibhepatocyte growth factor (HGF)mesenchymal-epidermal transition factor (c-MET)neuregulin 1non-small cell lung cancer (NSCLC)rilotumumab (AMG 102)

Identifiers

PMID28472537
PMCPMC5517339
OpenAlexW2610255173

What OpenQuestion holds

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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.