Evidence map›Paper›PMID 30016392›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2018

Vistusertib (dual m-TORC1/2 inhibitor) in combination with paclitaxel in patients with high-grade serous ovarian and squamous non-small-cell lung cancer.

B Basu, M G Krebs, R Sundar, R H Wilson, J Spicer, R Jones, M Brada, D C Talbot, N Steele, A H Ingles Garces and 18 more

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

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02193633 (TAX-TORC), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT02193633 phase1completednot on this map

TAX-TORC: A Phase I Multi-centre Trial of the Combination of AZD2014 (Dual mTORC1 and mTORC2 Inhibitor) and Weekly Paclitaxel in Patients With Solid Tumours.

TypeinterventionalSponsorRoyal Marsden NHS Foundation TrustRan2013 to 2017Enrolled90ConditionsAdvanced CancerArmsAZD2014 3 on/4 off & weekly paclitaxel, AZD2014 2 on/5 off & weekly paclitaxel
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Targeting mTOR with vistusertib attenuates metabolic steatohepatitis and prevents HCC development.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  18. HighOncotarget · 2021
    Article
  19. [Progress in Treatment of Advanced Squamous Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2020
    Review
  20. Review
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

28 authors at 11 institutions in 3 countries.

B BasuDepartment of Oncology, University of Cambridge and Cambridge University Hospitals NHS Foundation Trust, Cambridge.
M G KrebsManchester Academic Health Science Centre, The University of Manchester and The Christie NHS Foundation Trust, Manchester.
R SundarDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK; Department of Haematology-Oncology, National University Health System, Singapore.
R H WilsonCentre for Cancer Research and Cell Biology, Queen's University Belfast and Belfast City Hospital, Belfast.
J SpicerSchool of Cancer and Pharmaceutical Sciences, King's College London and Guy's and St Thomas' NHS Foundation Trust, London.
R JonesCardiff University and Velindre Cancer Centre, Cardiff.
M BradaUniversity of Liverpool and Clatterbridge Cancer Centre NHS Foundation Trust, Wirral.
D C TalbotDepartment of Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford.
N SteeleUniversity of Glasgow and Beatson West of Scotland Cancer Centre, Glasgow.
A H Ingles GarcesDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
W BruggerOncology, IMED Biotech Unit AstraZeneca, Cambridge.
E A HarringtonOncology, IMED Biotech Unit AstraZeneca, Cambridge.
J EvansUniversity of Glasgow and Beatson West of Scotland Cancer Centre, Glasgow.
E HallClinical Trials and Statistics Unit, The Institute of Cancer Research, London.
H ToveyClinical Trials and Statistics Unit, The Institute of Cancer Research, London.
F M de OliveiraDivision of Clinical Studies, The Institute of Cancer Research, London.
S CarreiraDivision of Clinical Studies, The Institute of Cancer Research, London.
K SwalesDivision of Cancer Therapeutics, The Institute of Cancer Research, London.
R RuddleDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK; Division of Cancer Therapeutics, The Institute of Cancer Research, London.
F I RaynaudDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK; Division of Cancer Therapeutics, The Institute of Cancer Research, London.
B PurchaseDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
J C DawesDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
M ParmarDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
A J TurnerDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
N TunariuDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK.
S BanerjeeDepartment of Gynae-Oncology, The Royal Marsden, London, UK.
J S de BonoDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK; Division of Clinical Studies, The Institute of Cancer Research, London.
U BanerjiDrug Development Unit, The Institute of Cancer Research and The Royal Marsden, London, UK; Division of Clinical Studies, The Institute of Cancer Research, London; Division of Cancer Therapeutics, The Institute of Cancer Research, London. Electronic address: udai.banerji@icr.ac.uk.
Institute of Cancer Research · GBAstraZeneca (United Kingdom) · GBBeatson West of Scotland Cancer Centre · GBKing's College London · GBManchester Academic Health Science Centre · GBOxford University Hospitals NHS Trust · GBQueen's University Belfast · GBRoyal Marsden Hospital · GBUniversity of Cambridge · GBUniversity of Liverpool · GBVelindre Cancer Centre · GB

Funding

Cancer Research UK 11566Cancer Research UK 14517Cancer Research UK 20409Cancer Research UK 22897Cancer Research UK C347/A18077Department of Health RP-2016-07-028
6 · The paper itself

Abstract

Background: We have previously shown that raised p-S6K levels correlate with resistance to chemotherapy in ovarian cancer. We hypothesised that inhibiting p-S6K signalling with the dual m-TORC1/2 inhibitor in patients receiving weekly paclitaxel could improve outcomes in such patients. Patients and methods: In dose escalation, weekly paclitaxel (80 mg/m2) was given 6/7 weeks in combination with two intermittent schedules of vistusertib (dosing starting on the day of paclitaxel): schedule A, vistusertib dosed bd for 3 consecutive days per week (3/7 days) and schedule B, vistusertib dosed bd for 2 consecutive days per week (2/7 days). After establishing a recommended phase II dose (RP2D), expansion cohorts in high-grade serous ovarian cancer (HGSOC) and squamous non-small-cell lung cancer (sqNSCLC) were explored in 25 and 40 patients, respectively. Results: The dose-escalation arms comprised 22 patients with advanced solid tumours. The dose-limiting toxicities were fatigue and mucositis in schedule A and rash in schedule B. On the basis of toxicity and pharmacokinetic (PK) and pharmacodynamic (PD) evaluations, the RP2D was established as 80 mg/m2 paclitaxel with 50 mg vistusertib bd 3/7 days for 6/7 weeks. In the HGSOC expansion, RECIST and GCIG CA125 response rates were 13/25 (52%) and 16/25 (64%), respectively, with median progression-free survival (mPFS) of 5.8 months (95% CI: 3.28-18.54). The RP2D was not well tolerated in the SqNSCLC expansion, but toxicities were manageable after the daily vistusertib dose was reduced to 25 mg bd for the following 23 patients. The RECIST response rate in this group was 8/23 (35%), and the mPFS was 5.8 months (95% CI: 2.76-21.25). Discussion: In this phase I trial, we report a highly active and well-tolerated combination of vistusertib, administered as an intermittent schedule with weekly paclitaxel, in patients with HGSOC and SqNSCLC. Clinical trial registration: ClinicialTrials.gov identifier: CNCT02193633.

Indexed as

AdultAntineoplastic Combined Chemotherapy ProtocolsBenzamidesCarcinoma, Non-Small-Cell LungDrug Administration ScheduleFemaleHumansLung NeoplasmsMaleMaximum Tolerated DoseMechanistic Target of Rapamycin Complex 1Mechanistic Target of Rapamycin Complex 2Middle AgedMorpholinesOvarian NeoplasmsPaclitaxelBenzamidesMechanistic Target of Rapamycin Complex 1Mechanistic Target of Rapamycin Complex 2MorpholinesPaclitaxelProtein Kinase InhibitorsPyrimidinesRibosomal Protein S6 Kinasesvistusertib

Identifiers

PMID30016392
PMCPMC6158767
OpenAlexW2888480300

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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.