Evidence map›Paper›PMID 30220708›Full record

ArticleBritish journal of cancer2018

Everolimus and pazopanib (E/P) benefit genomically selected patients with metastatic urothelial carcinoma.

Joaquim Bellmunt, Aly-Khan A Lalani, Sussana Jacobus, Stephanie A Wankowicz, Laura Polacek, David Y Takeda, Lauren C Harshman, Nikhil Wagle, Irene Moreno, Kevin Lundgren and 4 more

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

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01184326 (An Expanded Phase I Study of Pazopanib and Everolimus in Patients With Advanced Solid Tumors and Previously Treated Advanced Urothelial Cancer), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.8field-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.

NCT01184326 phase1completednot on this map

An Expanded Phase I Study of Pazopanib and Everolimus in Patients With Advanced Solid Tumors and Previously Treated Advanced Urothelial Cancer

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2011 to 2017Enrolled23ConditionsSolid Tumor, Kidney CancerArmspazopanib, everolimus
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Distinct Driver Pathway Enrichments and a High Prevalence ofInternational journal of molecular sciences · 2024
    Article
  5. Review
  6. Landscape of targeted therapies for advanced urothelial carcinoma.Exploration of targeted anti-tumor therapy · 2024
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Latest progress in molecular biology and treatment in genitourinary tumours.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    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

14 authors at 5 institutions in 3 countries.

Joaquim BellmuntDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. joaquim.bellmunt@gmail.com.ORCID http://orcid.org/0000-0003-2328-3421
Aly-Khan A LalaniDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9907-9112
Sussana JacobusDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, MA, USA.
Stephanie A WankowiczThe Eli and Edythe L. Broad Institute of Harvard and MIT, Cambridge, MA, USA.
Laura PolacekDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
David Y TakedaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Lauren C HarshmanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7636-1588
Nikhil WagleDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Irene MorenoFundación Jiménez Díaz University Hospital, Madrid, Spain.
Kevin LundgrenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Dominick BosséDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Eliezer M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Toni K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9201-3217
Jonathan E RosenbergDepartment of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Dana-Farber Cancer Institute · USBroad Institute · USHospital Universitario Fundación Jiménez Díaz · ESJuravinski Cancer Centre · CAMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundMetastatic urothelial carcinoma (mUC) is a genomically diverse disease with known alterations in the mTOR pathway and tyrosine kinases including FGFR. We investigated the efficacy and safety of combination treatment with everolimus and pazopanib (E/P) in genomically profiled patients with mUC.

methodsmUC patients enrolled on a Phase I dose escalation study and an expansion cohort treated with E/P were included. The primary end point was objective response rate (ORR); secondary end points were safety, duration of response (DOR), progression-free survival (PFS) and overall survival (OS). Patients were assessed for mutations and copy number alterations in 300 relevant cancer-associated genes using next-generation sequencing and findings were correlated with outcomes. Time-to-event data were estimated with Kaplan-Meier methods.

resultsOf the 23 patients enrolled overall, 19 had mUC. ORR was 21% (one complete response (CR), three partial responses (PR), eight with stable disease (SD). DOR, PFS and OS were 6.5, 3.6, and 9.1 months, respectively. Four patients with clinical benefit (one CR, two PR, one SD) had mutations in TSC1/TSC2 or mTOR and a 5th patient with PR had a FGFR3-TACC3 fusion.

conclusionsCombination therapy with E/P is safe in mUC and select patients with alterations in mTOR or FGFR pathways derive significant clinical benefit.

Indexed as

Carcinoma, Transitional CellDNA Copy Number VariationsEverolimusFemaleHigh-Throughput Nucleotide SequencingHumansIndazolesKidney NeoplasmsMaleMicrotubule-Associated ProteinsMutationPyrimidinesReceptor, Fibroblast Growth Factor, Type 3Sequence Analysis, DNASulfonamidesSurvival AnalysisEverolimusFGFR3 protein, humanIndazolesMicrotubule-Associated ProteinspazopanibPyrimidinesReceptor, Fibroblast Growth Factor, Type 3SulfonamidesTACC3 protein, humanTSC1 protein, humanTSC2 protein, humanTuberous Sclerosis Complex 1 ProteinTuberous Sclerosis Complex 2 Protein

Identifiers

PMID30220708
PMCPMC6173710
OpenAlexW2889696398

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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.