Evidence map›Paper›PMID 30420614›Full record

Trial reportBritish journal of cancer2019

Derazantinib (ARQ 087) in advanced or inoperable FGFR2 gene fusion-positive intrahepatic cholangiocarcinoma.

Vincenzo Mazzaferro, Bassel F El-Rayes, Michele Droz Dit Busset, Christian Cotsoglou, William P Harris, Nevena Damjanov, Gianluca Masi, Lorenza Rimassa, Nicola Personeni, Fadi Braiteh and 9 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 187 papers.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed
35.7field-weighted citation impact, top 1% 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)
NCT03230318 phase2completednot on this map

A Pivotal Study of Derazantinib in Patients With Inoperable or Advanced Intrahepatic Cholangiocarcinoma and FGFR2 Gene Fusions or FGFR2 Gene Mutations or Amplifications

TypeinterventionalSponsorBasilea PharmaceuticaRan2017 to 2022Enrolled148ConditionsIntrahepatic Cholangiocarcinoma, Combined Hepatocellular and CholangiocarcinomaArmsderazantinib
3 · Its place in the literature

Who cites it

187 citing papers in PubMed, 376 citations in OpenAlex.

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127 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 2 countries.

Vincenzo MazzaferroDepartment of Surgery and Oncology, Istituto Nazionale Tumori IRCCS, Milan, Italy. vincenzo.mazzaferro@istitutotumori.mi.it.
Bassel F El-RayesWinship Cancer Institute, Emory University, Atlanta, GA, USA. belraye@emory.edu.
Michele Droz Dit BussetDepartment of Surgery and Oncology, Istituto Nazionale Tumori IRCCS, Milan, Italy.
Christian CotsoglouDepartment of Surgery and Oncology, Istituto Nazionale Tumori IRCCS, Milan, Italy.
William P HarrisSeattle Cancer Care Alliance, Seattle, WA, USA.
Nevena DamjanovAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Gianluca MasiDepartment of Oncology, Pisa University Hospital, Pisa, Italy.
Lorenza RimassaHumanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Nicola PersoneniHumanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Fadi BraitehMedical Oncology, Comprehensive Cancer Centers of Nevada, Las Vegas, NV, USA.
Vittorina ZagonelVeneto Institute of Oncology IOV - IRCCS, Padua, Italy.
Kyriakos P PapadopoulosSouth Texas Accelerated Research Therapeutics, San Antonio, TX, USA.
Terence HallArQule, Inc, Burlington, MA, USA.
Yunxia WangArQule, Inc, Burlington, MA, USA.
Brian SchwartzArQule, Inc, Burlington, MA, USA.
Julia KazakinArQule, Inc, Burlington, MA, USA.
Sherrie BhooriDepartment of Surgery and Oncology, Istituto Nazionale Tumori IRCCS, Milan, Italy.
Filippo de BraudDepartment of Surgery and Oncology, Istituto Nazionale Tumori IRCCS, Milan, Italy.
Walid L ShaibWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITArqule (United States) · USEmory University · USHumanitas University · ITAzienda Ospedaliera Universitaria Pisana · ITComprehensive Cancer Centers of Nevada · USIstituto Oncologico Veneto · ITSeattle Cancer Care Alliance · USSouth Texas Accelerated Research Therapeutics · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNext-generation sequencing has identified actionable genetic aberrations in intrahepatic cholangiocarcinomas (iCCA), including the fibroblast growth factor receptor 2 (FGFR2) fusions. Derazantinib (ARQ 087), an orally bioavailable, multi-kinase inhibitor with potent pan-FGFR activity, has shown preliminary therapeutic activity against FGFR2 fusion-positive iCCA.

methodsThis multicentre, phase 1/2, open-label study enrolled adult patients with unresectable iCCA with FGFR2 fusion, who progressed, were intolerant or not eligible to first-line chemotherapy (NCT01752920). Subjects received derazantinib in continuous daily doses. Tumour response was assessed according to RECIST 1.1 every 8 weeks.

resultsTwenty-nine patients (18 women/11 men; median age, 58.7 years), 2 treatment-naive and 27 who progressed after at least one prior systemic therapy, were enrolled. Overall response rate was 20.7%, disease control rate was 82.8%. Estimated median progression-free survival was 5.7 months (95% CI: 4.04-9.2 months). Treatment-related adverse events (AE) were observed in 27 patients (93.1%, all grades), including asthenia/fatigue (69.0%), eye toxicity (41.4%), and hyperphosphatemia (75.9%). Grade ≥ 3 AEs occurred in 8 patients (27.6%).

conclusionDerazantinib demonstrated encouraging anti-tumour activity and a manageable safety profile in patients with advanced, unresectable iCCA with FGFR2 fusion who progressed after chemotherapy. A pivotal trial of derazantinib in iCCA is ongoing (NCT03230318).

Indexed as

AdultAgedAged, 80 and overAlkaloidsCholangiocarcinomaClinical Trials as TopicFemaleHumansMaleMiddle AgedMutationOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, Fibroblast Growth Factor, Type 2AlkaloidsdercitinFGFR2 protein, humanOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, Fibroblast Growth Factor, Type 2

Identifiers

PMID30420614
PMCPMC6342954
OpenAlexW2899924640

What OpenQuestion holds

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LicenceCC BY
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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.