Evidence map›Paper›PMID 28899363›Full record

ArticleBMC cancer2017

A phase I open-label dose-escalation study of the anti-HER3 monoclonal antibody LJM716 in patients with advanced squamous cell carcinoma of the esophagus or head and neck and HER2-overexpressing breast or gastric cancer.

Kerry Lynn Reynolds, Philippe L Bedard, Se-Hoon Lee, Chia-Chi Lin, Josep Tabernero, Maria Alsina, Ezra Cohen, José Baselga, George Blumenschein, Donna M Graham and 12 more

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

Article in BMC 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 NCT01598077 (A Phase I Study of LJM716 in Patients With Squamous Cell Carcinoma of Head and Neck, or HER2 Overexpressing Metastatic Breast Cancer or Gastric Cancer), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT01598077 phase1completednot on this map

A Phase I Study of LJM716 in Patients With Squamous Cell Carcinoma of Head and Neck, or HER2 Overexpressing Metastatic Breast Cancer or Gastric Cancer

TypeinterventionalSponsorNovartis PharmaceuticalsRan2012 to 2014Enrolled54ConditionsHER2 + Breast Cancer, HER2 + Gastric Cancer, Squamous Cell Carcinoma of Head and Neck, Esophageal Squamous Cell Carcinoma, HER2 + Breast Cancer, HER2 + Gastric Cancer, Squamous Cell Carcinoma of Head and NeckArmsLJM716
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 35 citations in OpenAlex.

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  12. HER3 in cancer: from the bench to the bedside.Journal of experimental & clinical cancer research : CR · 2022
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  15. A Phase I Study of Alpelisib in Combination with Trastuzumab and LJM716 in Patients withClinical cancer research : an official journal of the American Association for Cancer Research · 2021
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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

22 authors at 13 institutions in 6 countries.

Kerry Lynn ReynoldsMassachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. kreynolds7@partners.org.ORCID http://orcid.org/0000-0002-7793-654X
Philippe L BedardPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Se-Hoon LeeSeoul National University College of Medicine, Seoul, Republic of Korea.
Chia-Chi LinNational Taiwan University Hospital, Taipei, Taiwan.
Josep TaberneroVall d'Hebron University Hospital and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, Barcelona, Spain.
Maria AlsinaVall d'Hebron University Hospital and Institute of Oncology (VHIO), Universitat Autònoma de Barcelona, Barcelona, Spain.
Ezra CohenMoores Cancer Center, University of California at San Diego, La Jolla, CA, USA.
José BaselgaMemorial Sloan Kettering Cancer Center, New York, NY, USA.
George BlumenscheinDepartment of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Donna M GrahamPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Ignacio Garrido-LagunaHuntsman Cancer Institute, Salt Lake City, UT, USA.
Dejan JuricMassachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Sunil SharmaHuntsman Cancer Institute, Salt Lake City, UT, USA.
Ravi SalgiaUniversity of Chicago, Chicago, IL, USA.
Abdelkader SeroutouNovartis Pharma AG, Basel, Switzerland.
Xianbin TianNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Rose FernandezNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Alex MorozovNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Qing ShengNovartis Institutes for BioMedical Research, Cambridge, MA, USA.
Thiruvamoor RamkumarNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Angela ZubelNovartis Pharma AG, Basel, Switzerland.
Yung-Jue BangSeoul National University College of Medicine, Seoul, Republic of Korea.
Novartis (United States) · USHuntsman Cancer Institute · USMassachusetts General Hospital · USNovartis (Switzerland) · CHPrincess Margaret Cancer Centre · CASeoul National University · KRUniversitat Autònoma de Barcelona · ESMemorial Sloan Kettering Cancer Center · USNational Taiwan University Hospital · TWPfizer (United States) · USThe University of Texas MD Anderson Cancer Center · USUniversity of California San Diego · USUniversity of Illinois Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundHuman epidermal growth factor receptor 3 (HER3) is important in maintaining epidermal growth factor receptor-driven cancers and mediating resistance to targeted therapy. A phase I study of anti-HER3 monoclonal antibody LJM716 was conducted with the primary objective to identify the maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE), and dosing schedule. Secondary objectives were to characterize safety/tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity.

methodsThis open-label, dose-finding study comprised dose escalation, followed by expansion in patients with squamous cell carcinoma of the head and neck or esophagus, and HER2-overexpressing metastatic breast cancer or gastric cancer. During dose escalation, patients received LJM716 intravenous once weekly (QW) or every two weeks (Q2W), in 28-day cycles. An adaptive Bayesian logistic regression model was used to guide dose escalation and establish the RDE. Exploratory pharmacodynamic tumor studies evaluated modulation of HER3 signaling.

resultsPatients received LJM716 3-40 mg/kg QW and 20 mg/kg Q2W (54 patients; 36 patients at 40 mg/kg QW). No dose-limiting toxicities (DLTs) were reported during dose-escalation. One patient experienced two DLTs (diarrhea, hypokalemia [both grade 3]) in the expansion phase. The RDE was 40 mg/kg QW, providing drug levels above the preclinical minimum effective concentration. One patient with gastric cancer had an unconfirmed partial response; 17/54 patients had stable disease, two lasting >30 weeks. Down-modulation of phospho-HER3 was observed in paired tumor samples.

conclusionsLJM716 was well tolerated; the MTD was not reached, and the RDE was 40 mg/kg QW. Further development of LJM716 is ongoing.

trial registrationClinicaltrials.gov registry number NCT01598077 (registered on 4 May, 2012).

Indexed as

AdultAgedAntineoplastic Agents, ImmunologicalBayes TheoremBreast NeoplasmsCarcinoma, Squamous CellDose-Response Relationship, DrugErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsFemaleHead and Neck NeoplasmsHumansMaleMaximum Tolerated DoseMiddle AgedReceptor, ErbB-3Antineoplastic Agents, ImmunologicalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesERBB3 protein, humanReceptor, ErbB-3HER2HER3LJM716Monoclonal antibodyPhase I

Identifiers

PMID28899363
PMCPMC5596462
OpenAlexW2754815061

What OpenQuestion holds

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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.