Evidence map›Paper›PMID 30585255›Full record

ArticleBritish journal of cancer2019

A phase I study of the HDM2 antagonist SAR405838 combined with the MEK inhibitor pimasertib in patients with advanced solid tumours.

Vincent A de Weger, Maja de Jonge, Marlies H G Langenberg, Jan H M Schellens, Martijn Lolkema, Andrea Varga, Brigitte Demers, Koruth Thomas, Karl Hsu, Gilles Tuffal and 3 more

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

Article 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 trial NCT01985191 (A Phase 1 Study of Combination Therapy With SAR405838 and Pimasertib in Patients With Advanced Cancer), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.4field-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.

NCT01985191 phase1completednot on this map

A Phase 1 Study of Combination Therapy With SAR405838 and Pimasertib in Patients With Advanced Cancer

TypeinterventionalSponsorSanofiRan2013 to 2016Enrolled26ConditionsNeoplasm MalignantArmsSAR405838, Pimasertib
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Targeting p53 pathways: mechanisms, structures, and advances in therapy.Signal transduction and targeted therapy · 2023
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Role of Ubiquitin-regulated EMT in Cancer Metastasis and Chemoresistance.International journal of biological sciences · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Combination Therapy With MDM2 and MEK Inhibitors Is Effective in Patient-Derived Models of Lung Adenocarcinoma With Concurrent Oncogenic Drivers and MDM2 Amplification.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2023
    Article
  15. Review
  16. Treatment of De-Differentiated Liposarcoma in the Era of Immunotherapy.International journal of molecular sciences · 2023
    Review
  17. Article
  18. Article
  19. Review
  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

13 authors at 9 institutions in 3 countries.

Vincent A de WegerDepartment of Clinical Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. v.deweger@gmail.com.
Maja de JongeDepartment of Medical Oncology, Erasmus MC/Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Marlies H G LangenbergUMC Utrecht Cancer Center, Utrecht, The Netherlands.
Jan H M SchellensDepartment of Clinical Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Martijn LolkemaDepartment of Medical Oncology, Erasmus MC/Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Andrea VargaGustave Roussy, INSERM 1030, F-94805, Villejuif, France.
Brigitte DemersSanofi Oncology, Vitry-sur-Seine, France.
Koruth ThomasSanofi Oncology, Cambridge, USA.
Karl HsuSanofi Oncology, Cambridge, USA.
Gilles TuffalSanofi R&D, Montpellier, France.
Samantha GoodstalEMD Serono Research & Development Institute, Inc., Billerica, USA.
Sandrine MacéSanofi Oncology, Vitry-sur-Seine, France.
Eric DeutschGustave Roussy, INSERM 1030, F-94805, Villejuif, France.
Sanofi (France) · FRErasmus MC Cancer Institute · NLSanofi (United States) · USCancer Genomics Centre · NLInserm · FRInstitut Gustave Roussy · FROncode Institute · NLOno Pharmaceutical (United States) · USThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis phase I, open-label, dose-escalation study evaluated the safety, pharmacokinetics and pharmacodynamics of combination therapy with the HDM2 inhibitor SAR405838 and the MEK1/2 inhibitor pimasertib administered orally once daily (QD) or twice daily (BID) in locally advanced or metastatic solid tumours (NCT01985191).

methodsPatients with locally advanced or metastatic solid tumours with documented wild-type TP53 and RAS or RAF mutations were enroled. A 3 + 3 dose-escalation design was employed. The primary objective was to assess maximum tolerated dose (MTD).

resultsTwenty-six patients were treated with SAR405838 200 or 300 mg QD plus pimasertib 60 mg QD or 45 mg BID. The MTD was SAR405838 200 mg QD plus pimasertib 45 mg BID. The most common dose-limiting toxicity was thrombocytopenia. The most frequently occurring treatment-related adverse events were diarrhoea (81%), increased blood creatine phosphokinase (77%), nausea (62%) and vomiting (62%). No significant drug-drug interactions were observed. The biomarkers MIC-1 and pERK were, respectively, upregulated and downregulated in response to study treatment. In 24 efficacy-evaluable patients, one patient (4%) had a partial response and 63% had stable disease.

conclusionsThe safety profile of SAR405838 and pimasertib combined was consistent with the safety profiles of both drugs. Preliminary antitumour activity was observed.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsDose-Response Relationship, DrugFemaleGene Expression Regulation, NeoplasticHumansIndolesMaleMAP Kinase Kinase KinasesMaximum Tolerated DoseMiddle AgedNeoplasmsNiacinamideProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAF protein, humanIndolesKRAS protein, humanMAP Kinase Kinase KinasesMDM2 protein, humanN-(2,3-dihydroxypropyl)-1-((2-fluoro-4-iodophenyl)amino)isonicotinamideNiacinamideProtein Kinase InhibitorsProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-mdm2Proto-Oncogene Proteins p21(ras)SAR405838Spiro CompoundsTumor Suppressor Protein p53

Identifiers

PMID30585255
PMCPMC6354023
OpenAlexW2905870549

What OpenQuestion holds

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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.