Evidence map›Paper›PMID 31739184›Full record

Trial reportLung cancer (Amsterdam, Netherlands)2020

Phase 2 study of the focal adhesion kinase inhibitor defactinib (VS-6063) in previously treated advanced KRAS mutant non-small cell lung cancer.

David E Gerber, D Ross Camidge, Daniel Morgensztern, Jeremey Cetnar, Ronan J Kelly, Suresh S Ramalingam, David R Spigel, Woondong Jeong, Pier P Scaglioni, Song Zhang and 6 more

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

Trial report in Lung cancer (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
12.7field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 177 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Beyond DNA damage: 3D tumor models and the integrin mechanobiology of radioresistance.Journal of experimental & clinical cancer research : CR · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Anoikis: To Die or Not to Die?International journal of molecular sciences · 2026
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

34 more citing papers are in PubMed but not listed here.

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 at 12 institutions in 1 country.

David E GerberHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX 75390-8852, USA. Electronic address: david.gerber@utsouthwestern.edu.
D Ross CamidgeUniversity of Colorado Denver, 1665 Aurora Ct, Aurora, CO 80045, USA. Electronic address: ross.camidge@ucdenver.edu.
Daniel MorgenszternWashington University School of Medicine, 660 S. Euclid Avenue, St. Louis, MO 63110, USA. Electronic address: dmorgens@dom.wustl.edu.
Jeremey CetnarOregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OH 97239, USA. Electronic address: cetnarj@ohsu.edu.
Ronan J KellySidney Kimmel Comprehensive Cancer Center at Johns Hopkins, 201 N Broadway St., Baltimore, MD 21287, USA. Electronic address: ronan.kelly@BSWHealth.org.
Suresh S RamalingamWinship Cancer Institute of Emory University, Atlanta, GA 30322, USA. Electronic address: suresh.ramalingam@emory.edu.
David R SpigelSarah Cannon Research Institute, 250 25th Ave N Ste 200, Nashville, TN 37203, USA. Electronic address: david.spigel@sarahcannon.com.
Woondong JeongUniversity of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.
Pier P ScaglioniHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX 75390-8852, USA. Electronic address: SCAGLIPR@ucmail.uc.edu.
Song ZhangHarold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX 75390-8852, USA. Electronic address: song.zhang@utsouthwestern.edu.
Marilyn LiBaylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA.
David T WeaverVerastem, Inc., 117 Kendrick Street, Suite 500, Needham, MA 02494, USA. Electronic address: dweaver@verastem.com.
Louis VaikusVerastem, Inc., 117 Kendrick Street, Suite 500, Needham, MA 02494, USA. Electronic address: lvaikus@verastem.com.
Mitchell KeeganVerastem, Inc., 117 Kendrick Street, Suite 500, Needham, MA 02494, USA. Electronic address: mitch@bostonpharmaceuticals.com.
Joanna C HorobinVerastem, Inc., 117 Kendrick Street, Suite 500, Needham, MA 02494, USA. Electronic address: jhorobin@iderapharma.com.
Timothy F BurnsUniversity of Pittsburgh Medical Center Hillman Cancer Center, University of Pittsburgh, 5117 Centre Avenue, Pittsburgh, PA 15213, USA. Electronic address: burnstf@upmc.edu.
Verastem (United States) · USSouthwestern Medical Center · USBaylor College of Medicine · USEmory Healthcare · USOregon Health & Science University · USSarah Cannon · USSidney Kimmel Comprehensive Cancer Center · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Denver · USUPMC Hillman Cancer Center · USWashington University in St. Louis · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
Development of New Cancer Treatments and InvestigatorsK24CA201543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2016 to 2020
$737k
NCI NIH HHS K24 CA201543NCI NIH HHS P30 CA142543
6 · The paper itself

Abstract

objectivesKRAS mutations, which occur in approximately 25% of lung adenocarcinoma cases, represent a major unmet clinical need in thoracic oncology. Preclinical studies have demonstrated that KRAS mutant NSCLC cell lines and xenografts with additional alterations in either TP53 or CDKN2A (INK4A/ARF) loci are sensitive to focal adhesion kinase (FAK) inhibition. Defactinib (VS-6063) is a selective oral inhibitor of FAK. MATERIALS AND

methodsPatients with previously treated advanced KRAS mutant NSCLC were prospectively assigned to one of four molecularly defined cohorts based on the presence or absence of TP53 or CDKN2A alterations and received treatment with defactinib 400 mg orally BID until disease progression or intolerable toxicity. The primary endpoint was progression-free survival (PFS) at 12 weeks.

resultsFifty-five patients were enrolled. Mean age was 62 years; 51% were female. The median number of prior lines of therapy was 4 (range 1-8). Fifteen (28%) patients met the 12-week PFS endpoint, with one patient achieving a partial response. Median PFS was 45 days. Clinical efficacy did not correlate with TP53 or CDKN2A status. The most common adverse events were fatigue, gastrointestinal, and increased bilirubin, and were generally grade 1 or 2 in severity.

conclusionIn heavily pretreated patients with KRAS mutant NSCLC, defactinib monotherapy demonstrated modest clinical activity. Efficacy was not associated with TP53 and CDKN2A status. Defactinib was generally well tolerated.

Indexed as

MutationAdenocarcinoma of LungBenzamidesCarcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmFemaleFocal Adhesion Protein-Tyrosine KinasesFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPrognosisProspective StudiesProto-Oncogene Proteins p21(ras)PyrazinesBenzamidesdefactinibFocal Adhesion Protein-Tyrosine KinasesKRAS protein, humanProto-Oncogene Proteins p21(ras)PyrazinesSulfonamidesAdenocarcinomaCDKN2AKRASTargeted therapyTP53Tyrosine kinase inhibitor

Identifiers

PMID31739184
PMCPMC6942685
OpenAlexW2983359513

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.