Evidence map›Paper›PMID 28972963›Full record

Trial reportBritish journal of cancer2017

A Phase 1 study of ARQ 087, an oral pan-FGFR inhibitor in patients with advanced solid tumours.

K P Papadopoulos, B F El-Rayes, A W Tolcher, A Patnaik, D W Rasco, R D Harvey, P M LoRusso, J C Sachdev, G Abbadessa, R E Savage and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report 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 NCT01752920 (A Phase 1/2 Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations, Including Intrahepatic Cholangiocarcinoma With FGFR2 Gene Fusion), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.5field-weighted citation impact, top 4% 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.

NCT01752920 phase1 / phase2completednot on this map

A Phase 1/2 Study of ARQ 087 in Adult Subjects With Advanced Solid Tumors With FGFR Genetic Alterations, Including Intrahepatic Cholangiocarcinoma With FGFR2 Gene Fusion

TypeinterventionalSponsorBasilea PharmaceuticaRan2012 to 2018Enrolled119ConditionsSolid TumorArmsDerazantinib low dose range, Derazantinib middle dose range, Derazantinib high dose range, Derazantinib at recommended phase 2 dose (RP2D)
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
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  8. Article
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  11. Article
  12. Review
  13. Pharmacological and Biological Targeting of FGFR1 in Cancer.Current issues in molecular biology · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Landscape of targeted therapies for advanced urothelial carcinoma.Exploration of targeted anti-tumor therapy · 2024
    Review
  19. Article
  20. Article
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

15 authors at 4 institutions in 1 country.

K P PapadopoulosSouth Texas Accelerated Research Therapeutics, 4383 Medical Drive, San Antonio, TX 78229, USA.
B F El-RayesWinship Cancer Institute of Emory University, 1365-C Clifton Road NE, Atlanta, GA 30322, USA.
A W TolcherSouth Texas Accelerated Research Therapeutics, 4383 Medical Drive, San Antonio, TX 78229, USA.
A PatnaikSouth Texas Accelerated Research Therapeutics, 4383 Medical Drive, San Antonio, TX 78229, USA.
D W RascoSouth Texas Accelerated Research Therapeutics, 4383 Medical Drive, San Antonio, TX 78229, USA.
R D HarveyWinship Cancer Institute of Emory University, 1365-C Clifton Road NE, Atlanta, GA 30322, USA.
P M LoRussoKarmanos Cancer Institute, 4206-4th Floor HWCRC, 4100 John R, Detroit, MI 48201, USA.
J C SachdevVirginia G. Piper Cancer Center, Scottsdale Healthcare, 10460N 92nd Street, Scottsdale, AZ 85258, USA.
G AbbadessaArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
R E SavageArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
T HallArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
B SchwartzArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
Y WangArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
J KazakinArQule, Inc. One Wall Street, Burlington, MA 01803, USA.
W L ShaibWinship Cancer Institute of Emory University, 1365-C Clifton Road NE, Atlanta, GA 30322, USA.
Arqule (United States) · USSouth Texas Accelerated Research Therapeutics · USEmory University · USThe Barbara Ann Karmanos Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundARQ 087 is an orally administered pan-FGFR inhibitor with multi-kinase activity. This Phase 1 study evaluated safety, pharmacokinetics, and pharmacodynamics of ARQ 087 and defined the recommended Phase 2 dose (RP2D).

methodsPatients with advanced solid tumours received ARQ 087 administered initially at 25 mg every other day and dose-escalated from 25 to 425 mg daily (QD) continuous dosing. FGF19, 21, 23, and serum phosphate were assessed as potential biomarkers of target engagement.

results80 patients were enrolled, 61 in dose-escalation/food-effect cohorts and 19 with pre-defined tumour types in the expansion cohort. The most common ARQ 087-related adverse events were fatigue (49%), nausea (46%), aspartate aminotransferase (AST) increase (30%), and diarrhoea (23%). Four patients (5%) experienced grade 1 treatment-related hyperphosphataemia. Dose-limiting toxicity was reversible grade 3 AST increase. The RP2D was 300 mg QD. Pharmacokinetics were linear and dose-proportional from 25 to 325 mg QD, and were unaffected by food. Statistically significant changes (P-value<0.05) suggest phosphate and FGF19 levels as markers of target engagement. In 18 evaluable patients with FGFR genetic alterations, 3 confirmed partial responses (two intrahepatic cholangiocarcinomas (iCCA) with FGFR2 fusions and one urothelial cancer with FGFR2 and FGF19 amplification) and two durable stable disease at ⩾16 weeks with tumour reduction (FGFR2 fusion-positive iCCA and adrenocortical carcinoma with FGFR1 amplification) were observed.

conclusionsARQ 087 had manageable toxicity at the RP2D of 300 mg QD, showed pharmacodynamics effects, and achieved objective responses, notably in patients with FGFR2 genetic alterations.

Indexed as

Administration, OralAdultAgedAniline CompoundsFemaleHumansMaleMiddle AgedNeoplasmsProtein Kinase InhibitorsQuinazolinesReceptors, Fibroblast Growth FactorAniline CompoundsderazantinibProtein Kinase InhibitorsQuinazolinesReceptors, Fibroblast Growth Factor

Identifiers

PMID28972963
PMCPMC5729432
OpenAlexW2762965865

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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.