Evidence map›Paper›PMID 30992546›Full record

ArticleBritish journal of cancer2019

A phase Ib dose-finding, pharmacokinetic study of the focal adhesion kinase inhibitor GSK2256098 and trametinib in patients with advanced solid tumours.

Gabriel Mak, Jean-Charles Soria, Sarah P Blagden, Ruth Plummer, Ronald A Fleming, Noelia Nebot, Jianping Zhang, Jolly Mazumdar, Debra Rogan, Anas Gazzah and 6 more

Registry-linked trialAbstract 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 NCT01938443 (A Phase 1b, Multi-center, Open-label, Dose Escalation Study of GSK2256098), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01938443 phase1completednot on this map

A Phase 1b, Multi-center, Open-label, Dose Escalation Study of GSK2256098 (FAK Inhibitor) in Combination With Trametinib (MEK Inhibitor) in Subjects With Advanced Solid Tumors

TypeinterventionalSponsorGlaxoSmithKlineRan2013 to 2016Enrolled34ConditionsCancer, NeoplasmsArmsGSK2256098, Trametinib
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Biomolecules · 2024
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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

16 authors.

Gabriel MakSarah Cannon Research Institute, London, UK.
Jean-Charles SoriaDrug Development Department at Gustave Roussy Cancer Campus, University Paris-Sud, Paris, France.
Sarah P BlagdenDepartment of Oncology, Imperial College Healthcare NHS Trust, London, UK.
Ruth PlummerNorthern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Ronald A FlemingGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Noelia NebotGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Jianping ZhangPAREXEL International, Durham, NC, USA.
Jolly MazumdarGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Debra RoganGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Anas GazzahDrug Development Department at Gustave Roussy Cancer Campus, University Paris-Sud, Paris, France.
Ivana RizzutoDepartment of Oncology, Imperial College Healthcare NHS Trust, London, UK.
Alastair GreystokeNorthern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Li YanGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Jerry TolsonGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Kurt R AugerGlaxoSmithKline, Research Triangle Park, NC and Upper Providence, Collegeville, PA, USA.
Hendrik-Tobias ArkenauSarah Cannon Research Institute, London, UK. Tobias.Arkenau@HCAHealthcare.co.uk.

Funding

Cancer Research UKDepartment of Health
6 · The paper itself

Abstract

backgroundCombined focal adhesion kinase (FAK) and MEK inhibition may provide greater anticancer effect than FAK monotherapy.

methodsThis dose-finding phase Ib study (adaptive 3 + 3 design) determined the maximum tolerated dose (MTD) of trametinib and the FAK inhibitor GSK2256098 in combination. Eligible patients had mesothelioma or other solid tumours with probable mitogen activated protein kinase pathway activation. Adverse events (AEs), dose-limiting toxicities, disease progression and pharmacokinetics/pharmacodynamics were analysed.

resultsThirty-four subjects were enrolled. The GSK2256098/trametinib MTDs were 500 mg twice daily (BID)/0.375 mg once daily (QD) (high/low) and 250 mg BID/0.5 mg QD (low/high). The most common AEs were nausea, diarrhoea, decreased appetite, pruritus, fatigue and rash; none were grade 4. Systemic exposure to trametinib increased when co-administered with GSK2256098, versus trametinib monotherapy; GSK2256098 pharmacokinetics were unaffected by concomitant trametinib. Median progression-free survival (PFS) was 11.8 weeks (95% CI: 6.1-24.1) in subjects with mesothelioma and was longer with Merlin-negative versus Merlin-positive tumours (15.0 vs 7.3 weeks).

conclusionsTrametinib exposure increased when co-administered with GSK2256098, but not vice versa. Mesothelioma patients with loss of Merlin had longer PFS than subjects with wild-type, although support for efficacy with this combination was limited. Safety profiles were acceptable up to the MTD.

Indexed as

AgedAminopyridinesDose-Response Relationship, DrugDrug-Related Side Effects and Adverse ReactionsFemaleFocal Adhesion Protein-Tyrosine KinasesHumansHydroxamic AcidsMaleMesotheliomaMiddle AgedNeoplasmsProgression-Free SurvivalPyridonesPyrimidinonesAminopyridinesFocal Adhesion Protein-Tyrosine KinasesGSK2256098Hydroxamic AcidsPyridonesPyrimidinonestrametinib

Identifiers

PMID30992546
PMCPMC6735221

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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.