Evidence map›Paper›PMID 30952642›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2019

Efficacy of Combined VEGFR1-3, PDGFα/β, and FGFR1-3 Blockade Using Nintedanib for Esophagogastric Cancer.

Elizabeth Won, Azfar Basunia, Walid K Chatila, Jaclyn F Hechtman, Joanne F Chou, Geoffrey Y Ku, Sree B Chalasani, Michelle S Boyar, Zoe Goldberg, Avni M Desai and 10 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. The beginning of the era of precision medicine for gastric cancer with fibroblast growth factor receptor 2 aberration.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2021
    Review
  14. Review
  15. 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

20 authors at 2 institutions in 1 country.

Elizabeth Won *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Azfar Basunia *Marie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Walid K ChatilaMarie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Jaclyn F HechtmanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Joanne F ChouDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
Geoffrey Y KuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-0448-1038
Sree B ChalasaniDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Michelle S BoyarDepartment of Medicine, Weill Cornell Medical College, New York, New York.
Zoe GoldbergDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Avni M DesaiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Yaelle TuvyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael F BergerMarie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Laura TangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
David P KelsenDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Mark SchattnerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
David H IlsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Marinela CapanuDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.
David B SolitDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Nikolaus SchultzMarie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Yelena Y JanjigianDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York. janjigiy@mskcc.org.
Memorial Sloan Kettering Cancer Center · USCornell University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS L30 CA162361NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeVEGFR2-directed therapy is commonly used to treat metastatic esophagogastric cancer, but disease progresses in most patients within months. Therapeutic resistance is likely mediated in part by co-occurring amplifications of the genes for multiple oncogenic receptor tyrosine kinases (RTK). We therefore tested the efficacy of combined inhibition of VEGFR1-3, PDGFα/β, and FGFR1-3 using nintedanib. PATIENTS AND

methodsPatients with metastatic esophagogastric adenocarcinoma and disease progression on first-line chemotherapy were treated with nintedanib 200 mg twice daily. The primary endpoint was progression-free survival (PFS) at 6 months; secondary endpoints included tumor response and safety. Tumor biopsies were profiled by targeted capture next-generation sequencing (NGS) to identify molecular predictors of drug response.

resultsThe study achieved its primary endpoint; 6 of 32 patients (19%) were progression-free at 6 months. With a median follow-up of 14.5 months among survivors, median overall survival (OS) was 14.2 months [95% confidence interval (CI), 10.8 months-NR]. Nintedanib was well tolerated; grade ≥ 3 toxicities were uncommon and included grade 3 hypertension (15%) and liver enzyme elevation (4%).

conclusionsNintedanib treatment resulted in modest disease stabilization in patients with metastatic esophagogastric cancer. Alterations in cell-cycle pathway genes and increased global copy-number alteration (CNA) burden warrant further study as prognostic or predictive biomarkers.

Indexed as

Molecular Targeted TherapyAdultAgedAntineoplastic AgentsBiomarkers, TumorComputational BiologyEsophageal NeoplasmsFemaleHumansIndolesMaleMiddle AgedProtein Kinase InhibitorsReceptor Protein-Tyrosine KinasesSignal TransductionStomach NeoplasmsAntineoplastic AgentsBiomarkers, TumorIndolesnintedanibProtein Kinase InhibitorsReceptor Protein-Tyrosine Kinases

Identifiers

PMID30952642
PMCPMC6606369
OpenAlexW2932081524

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.