Evidence map›Paper›PMID 31065954›Full record

ArticleInvestigational new drugs2020

A phase Ib study of GSK3052230, an FGF ligand trap in combination with pemetrexed and cisplatin in patients with malignant pleural mesothelioma.

Emilie M J van Brummelen, Evgeny Levchenko, Manuel Dómine, Dean A Fennell, Hedy L Kindler, Santiago Viteri, Shirish Gadgeel, Pilar Garrido López, Vladimir Kostorov, Daniel Morgensztern and 12 more

Open access · greenAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Investigational new drugs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

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  12. Target Therapy in Malignant Pleural Mesothelioma: Hope or Mirage?International journal of molecular sciences · 2023
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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

22 authors at 17 institutions in 6 countries.

Emilie M J van BrummelenNetherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Evgeny LevchenkoPetrov Research Institute of Oncology, St. Petersburg, Russian Federation.
Manuel DómineInstituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain.
Dean A FennellUniversity of Leicester & University Hospitals of Leicester NHS Trust, Leicester, UK.
Hedy L KindlerUniversity of Chicago Medical Center, Chicago, IL, USA.
Santiago ViteriInstituto Oncológico Rosell, Hospital Universitario Dexeus, Grupo Quironsalud, Barcelona, Spain.
Shirish GadgeelKarmanos Cancer Institute, Detroit, MI, USA.
Pilar Garrido LópezHospital Universitario Ramón y Cajal, Madrid, Spain.
Vladimir KostorovLeningrad Regional Oncology Dispensary, St. Petersburg, Russian Federation.
Daniel MorgenszternWashington University School of Medicine, St. Louis, MO, USA.
Sergey OrlovFirst Pavlov State Medical University, St. Petersburg, Russian Federation.
Marjorie G ZaudererMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Johan F VansteenkisteRespiratory Oncology Unit, Department of Pneumology, University Hospitals KU Leuven, Leuven, Belgium.
Katherine Baker-NeblettGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA.
James VasquezGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA.
Xiaowei WangGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA.
David I BellovinFive Prime Therapeutics, Inc., South San Francisco, CA, USA.
Jan H M SchellensUtrecht University, Utrecht, The Netherlands.
Li YanGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA.
Ionel MitricaGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA.
M Phillip DeYoungGlaxoSmithKline, Inc., 1250 South Collegeville Road, Collegeville, PA, USA. maurice.p.deyoung@gsk.com.
José TrigoPhase I Trials Unit, Medical Oncology Department, Hospital Universitario Virgen de la Victoria, IBIMA, Campus Universitario Teatinos, s/n 29010, Málaga, Spain. jmtrigo@seom.org.ORCID 0000-0002-4489-2683
South College · USFirst Pavlov State Medical University of St. Petersburg · RUFive Prime Therapeutics (United States) · USHospital Clínico Universitario Virgen de la Victoria · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Ramón y Cajal · ESInstitute of Oncology NN Petrov · RUInstituto Oncológico Dr. Rosell · ESKU Leuven · BELeningrad Regional Cancer Center · RUMemorial Sloan Kettering Cancer Center · USThe Barbara Ann Karmanos Cancer Institute · USThe Netherlands Cancer Institute · NLUniversity of Chicago Medical Center · USUniversity of Leicester · GBUtrecht University · NLWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

Background Fibroblast growth factors (FGFs) have a fundamental role in cancer. Sequestering FGFs with GSK3052230 (FP-1039) blocks their ability to activate FGFRs while avoiding toxicities associated with small molecule inhibitors of FGFR, including hyperphosphatemia and retinal, nail, and skin toxicities. Methods A multicenter, open-label, phase Ib study evaluated weekly GSK3052230 added to pemetrexed/cisplatin in patients with treatment-naive, unresectable malignant pleural mesothelioma. Doses were escalated according to a 3 + 3 design, followed by cohort expansion at the maximum tolerated dose (MTD). Endpoints included safety, overall response rate, progression-free survival, and pharmacokinetics. Results 36 patients were dosed at 10, 15, and 20 mg/kg doses of GSK3052230. Three dose-limiting toxicities were observed at 20 mg/kg and one at 15 mg/kg. The MTD was defined as 15 mg/kg and used for cohort expansion. The most common treatment-related adverse events (AEs) were nausea (56%), decreased appetite (36%), infusion reactions (36%), decreased neutrophil counts (36%), and fatigue (33%). The confirmed ORR was 39% (95% CI: 23.1-56.5) (14/36 PRs) and 47% had stable disease (17/36), giving a disease control rate of 86%. At 15 mg/kg GSK3052230 (n = 25), the ORR was 44% (95% CI: 24.4-65.1), and the median PFS was 7.4 months (95% CI: 6.7-13.4). Four patients had disease control for over 1 year, and three were still ongoing. Conclusion At 15 mg/kg weekly, GSK3052230 was well tolerated in combination with pemetrexed/cisplatin and durable responses were observed. Importantly, AEs associated with small molecule inhibitors of FGFR were not observed, as predicted by the unique mechanism of action of this drug.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCisplatinFemaleFibroblast Growth Factor 2HumansImmunoglobulin GLigandsMaleMesothelioma, MalignantMiddle AgedOncogene Proteins, FusionPemetrexedAntineoplastic AgentsCisplatinFibroblast Growth Factor 2FP-1039Immunoglobulin GLigandsOncogene Proteins, FusionPemetrexedReceptor, Fibroblast Growth Factor, Type 1Recombinant Fusion ProteinsCombination therapyFGFLigand trapMesotheliomaPhase 1

Identifiers

PMID31065954
PMCPMC6898757
OpenAlexW2944039584

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Registered trials

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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.