Evidence map›Paper›PMID 30154228›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2018

EGFR Exon 20 Insertion Mutations Display Sensitivity to Hsp90 Inhibition in Preclinical Models and Lung Adenocarcinomas.

Susan E Jorge, Antonio R Lucena-Araujo, Hiroyuki Yasuda, Zofia Piotrowska, Geoffrey R Oxnard, Deepa Rangachari, Mark S Huberman, Lecia V Sequist, Susumu S Kobayashi, Daniel B Costa

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01854034 (Phase II Study of AUY922 in NSCLC Patients With Exon 20 Insertion Mutations in EGFR), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT01854034 phase2completednot on this map

Phase II Study of AUY922 in NSCLC Patients With Exon 20 Insertion Mutations in EGFR

TypeinterventionalSponsorMassachusetts General HospitalRan2013 to 2017Enrolled29ConditionsNon Small Cell Lung CancerArmsAUY922
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Current paradigm of EGFRMed (New York, N.Y.) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Translational lung cancer research · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Cancers · 2022
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Susan E JorgeDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Antonio R Lucena-AraujoDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1694-8958
Hiroyuki YasudaDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Zofia PiotrowskaDepartment of Medicine, Division of Hematology/Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Geoffrey R OxnardDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Deepa RangachariDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Mark S HubermanDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Lecia V SequistDepartment of Medicine, Division of Hematology/Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-8965-6991
Susumu S KobayashiDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. dbcosta@bidmc.harvard.edu sukobaya@east.ncc.go.jp.ORCID 0000-0003-2262-4001
Daniel B CostaDepartment of Medicine, Division of Hematology/Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. dbcosta@bidmc.harvard.edu sukobaya@east.ncc.go.jp.
Beth Israel Deaconess Medical Center · USMassachusetts General Hospital · USHarvard University · US

Funding

Unmet needs for specific subsets of EGFR mutated lung cancerR37CA218707 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI COSTA, DANIEL BOTELHO · 2018 to 2024
$2.8M
Overcoming resistance to tyrosine kinase inhibitors in lung cancerR01CA169259 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KOBAYASHI, SUSUMU · 2013 to 2018
$1.8M
Emergence of drug resistant mutations in lung cancerR21CA178301 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KOBAYASHI, SUSUMU · 2015 to 2016
$435k
NCI NIH HHS R01 CA169259NCI NIH HHS R21 CA178301NCI NIH HHS R37 CA218707
6 · The paper itself

Abstract

purposeEXPERIMENTAL

designPreclinical models of a representative set of EGFR exon 20 insertion mutations to evaluate the efficacy of different inhibitors and description of the clinical outcome of an advanced lung cancer.

resultsWe show that select first-, second-, and third-generation EGFR inhibitors are unable to deter common EGFR exon 20 insertion mutants in concentrations that spare the wild-type kinase. Nonetheless, EGFR exon 20 insertion mutants associate with the Hsp90 chaperone system. We exploit this vulnerability to show that the nongeldanamycin Hsp90 inhibitor luminespib (formerly AUY922) degrades EGFR exon 20 mutations, downstream targets, and induces apoptosis. In addition, a patient whose EGFR inhibitor-insensitive lung adenocarcinoma harbored an

conclusionsThe report confirms that EGFR exon 20 mutations are dependent on Hsp90 and are readily inhibited by the Hsp90 inhibitor luminespib; a treatment strategy that has been pursued in a confirmatory clinical trial (NCT01854034) for this group of lung adenocarcinomas that currently represent an unmet clinical need in precision oncology.

Indexed as

ExonsMutationAdenocarcinoma of LungAnimalsAntineoplastic AgentsCell Line, TumorDisease Models, AnimalDose-Response Relationship, DrugDrug Evaluation, PreclinicalErbB ReceptorsHSP90 Heat-Shock ProteinsHumansMiceMolecular Targeted TherapyMutagenesis, InsertionalPositron-Emission TomographyAntineoplastic AgentsEGFR protein, humanErbB ReceptorsHSP90 Heat-Shock ProteinsProtein Kinase Inhibitors

Identifiers

PMID30154228
PMCPMC6295229
OpenAlexW2888871178

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.