Evidence map›Paper›PMID 31548342›Full record

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

Impact of FDG PET Imaging for Expanding Patient Eligibility and Measuring Treatment Response in a Genome-Driven Basket Trial of the Pan-HER Kinase Inhibitor, Neratinib.

Gary A Ulaner, Cristina Saura, Sarina A Piha-Paul, Ingrid Mayer, David Quinn, Komal Jhaveri, Ben Stone, Seta Shahin, Grace Mann, Melanie Dujka and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
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. It is linked to trial NCT01953926 (An Open-Label, Phase 2 Basket Study of Neratinib in Patients With Solid Tumors With Somatic Activating HER Mutations), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT01953926 phase2terminatednot on this map

An Open-Label, Phase 2 Basket Study of Neratinib in Patients With Solid Tumors With Somatic Activating HER Mutations

TypeinterventionalSponsorPuma Biotechnology, Inc.Ran2013 to 2023Enrolled582ConditionsSolid Tumors Harboring Somatic HER2 or EGFR Exon 18 MutationsArmsNeratinib, Fulvestrant, Trastuzumab, Paclitaxel
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Phase II Trial of Imatinib Plus Binimetinib in Patients With Treatment-Naive Advanced Gastrointestinal Stromal Tumor.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Trial
  5. Trial
  6. Article
  7. Article
  8. European journal of nuclear medicine and molecular imaging · 2021
    Article
  9. Head-to-Head Evaluation ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. 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

14 authors.

Gary A UlanerMemorial Sloan Kettering Cancer Center, New York, New York. ulanerg@mskcc.org.
Cristina SauraHospital Universitario Vall d'Hebron, Vall d'Hebrón Institute of Oncology (VHIO), Barcelona, Spain.
Sarina A Piha-PaulThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Ingrid MayerVanderbilt University Medical Center, Nashville, Tennessee.
David QuinnUSC Norris Comprehensive Cancer Center, Los Angeles, California.
Komal JhaveriMemorial Sloan Kettering Cancer Center, New York, New York.
Ben StoneMemorial Sloan Kettering Cancer Center, New York, New York.
Seta ShahinPuma Biotechnology, Los Angeles, California.
Grace MannPuma Biotechnology, Los Angeles, California.
Melanie DujkaPuma Biotechnology, Los Angeles, California.
Richard BrycePuma Biotechnology, Los Angeles, California.
Funda Meric-BernstamThe University of Texas MD Anderson Cancer Center, Houston, Texas.
David B SolitMemorial Sloan Kettering Cancer Center, New York, New York.
David M HymanMemorial Sloan Kettering Cancer Center, New York, New York.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA098131
6 · The paper itself

Abstract

purposeTo determine whether FDG PET can expand eligibility in biomarker-selected clinical trials by providing a means to quantitate response in patients with non-assessable disease by RECIST. EXPERIMENTAL

designSUMMIT (NCT01953926) is a multicenter phase II "basket" trial of the Pan-HER kinase inhibitor, neratinib. Patients had advanced ERBB2 (HER2)-mutant solid tumors, ≥1 measurable lesion, preferably defined unidimensionally by RECIST v1.1, or alternatively metabolically by PET Response Criteria (PRC). The primary aim was to determine the proportion of additional breast cancer patients accrued using PRC who would have otherwise been ineligible based on RECIST criteria alone. The secondary aim was to determine the concordance of response versus non-response between RECIST and PRC.

resultsEighty-one patients with HER2-mutant metastatic breast cancer were accrued; 77 were evaluable for response by RECIST and/or PRC. 63 (82%) were RECIST-evaluable and 14 (18%) were accrued using PRC alone. Bone-only disease (

conclusionsPRC allowed patients with non-RECIST measurable disease access to therapy and facilitated more rapid accrual of patients to this trial of a rare biomarker. PRC and RECIST both provided methods of response assessment and were generally concordant. Thus, PRC was useful as a supplement to RECIST criteria. This provides a rationale for including FDG PET measurements in future clinical trials involving rare tumors or rare genomically defined subpopulations of more common cancers.

Indexed as

Patient SelectionAdultAgedAged, 80 and overBreast NeoplasmsBreast Neoplasms, MaleErb-b2 Receptor Tyrosine KinasesFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedOutcome Assessment, Health CarePositron-Emission TomographyProtein Kinase InhibitorsQuinolinesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFluorodeoxyglucose F18neratinibProtein Kinase InhibitorsQuinolinesRadiopharmaceuticals

Identifiers

PMID31548342
PMCPMC7418635

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.