Evidence map›Paper›PMID 31776899›Full record

Trial reportJournal of neuro-oncology2020

A Phase Ib/II, open-label, multicenter study of INC280 (capmatinib) alone and in combination with buparlisib (BKM120) in adult patients with recurrent glioblastoma.

Martin van den Bent, Analia Azaro, Filip De Vos, Juan Sepulveda, W K Alfred Yung, Patrick Y Wen, Andrew B Lassman, Markus Joerger, Ghazaleh Tabatabai, Jordi Rodon and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01870726 (A Phase Ib/II, Multi-center, Open-label Study of INC280 in Combination With Buparlisib in Patients With Recurrent Glioblastoma), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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.

NCT01870726 phase1 / phase2terminatednot on this map

A Phase Ib/II, Multi-center, Open-label Study of INC280 in Combination With Buparlisib in Patients With Recurrent Glioblastoma

TypeinterventionalSponsorNovartis PharmaceuticalsRan2014 to 2016Enrolled43Conditionsc-MET Inhibitor, PI3K Inhibitor, PTEN Mutations, Homozygous Del. of PTEN or PTEN Neg. by IHC, c-Met Ampli. by FISH, INC280, BKM120, Buparlisib, Recurrent GBMArmsINC280, Buparlisib
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Vebreltinib for Previously Treated Astrocytoma,Cancer communications (London, England) · 2026
    Trial
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  14. A Novel GermlineHuman mutation · 2025
    Article
  15. Review
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  17. Review
  18. Review
  19. Glioblastoma Therapy: Past, Present and Future.International journal of molecular sciences · 2024
    Review
  20. AberrantCells · 2024
    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

18 authors at 13 institutions in 6 countries.

Martin van den BentErasmus University Medical Center (MC) Cancer Institute, Rotterdam, The Netherlands. m.vandenbent@erasmusmc.nl.ORCID http://orcid.org/0000-0001-5710-5127
Analia AzaroMolecular Therapeutics Research Unit (UITM), Department of Medical Oncology, Vall d'Hebron University Hospital, Barcelona, Spain.
Filip De VosUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Juan SepulvedaHospital Universitario, 12 de Octubre, Madrid, Spain.
W K Alfred YungMD Anderson Cancer Center, Houston, TX, USA.
Patrick Y WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Andrew B LassmanDepartment of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY, USA.
Markus JoergerCantonal Hospital, St. Gallen, Switzerland.
Ghazaleh TabatabaiInterdisciplinary Division of Neuro-Oncology, Center for CNS Tumors, Comprehensive Cancer Center, University Hospital Tübingen, Hertie Institute for Clinical Brain Research & Eberhard Karls University Tübingen, German Cancer Consortium (DKTK), DKFZ Partner Site Tübingen, Tübingen, Germany.
Jordi RodonMD Anderson Cancer Center, Houston, TX, USA.
Ralph TiedtNovartis Pharma AG, Basel, Switzerland.
Sylvia ZhaoNovartis Institutes for Biomedical Research (China), Shanghai, China.
Tiina KirsilaeNovartis Pharma AG, Basel, Switzerland.
Yi ChengNovartis Institutes for Biomedical Research (China), Shanghai, China.
Sergio VicenteNovartis Pharma AG, Basel, Switzerland.
O Alejandro BalbinNovartis Institutes for Biomedical Research (United States), Boston, MA, USA.
Hefei ZhangNovartis Institutes for Biomedical Research (China), Shanghai, China.
Wolfgang WickClinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), and Neurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Novartis (China) · CNNovartis (Switzerland) · CHThe University of Texas MD Anderson Cancer Center · USColumbia University Irving Medical Center · USErasmus MC · NLGerman Cancer Research Center · DEHarvard University · USHertie Institute for Clinical Brain Research · DEHospital Universitario 12 De Octubre · ESNovartis (United States) · USUniversity Medical Center Utrecht · NLUniversity of St.Gallen · CHVall d'Hebron Hospital Universitari · ES

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Columbia University NCI Community Oncology Research ProgramUG1CA189960 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jennifer E. Amengual, Lisa A. Kachnic · 2014 to 2026
$12.7M
NCI NIH HHS P30 CA013696NCI NIH HHS UG1 CA189960
6 · The paper itself

Abstract

purposeTo estimate the maximum tolerated dose (MTD) and/or identify the recommended Phase II dose (RP2D) for combined INC280 and buparlisib in patients with recurrent glioblastoma with homozygous phosphatase and tensin homolog (PTEN) deletion, mutation or protein loss.

methodsThis multicenter, open-label, Phase Ib/II study included adult patients with glioblastoma with mesenchymal-epithelial transcription factor (c-Met) amplification. In Phase Ib, patients received INC280 as capsules or tablets in combination with buparlisib. In Phase II, patients received INC280 only. Response was assessed centrally using Response Assessment in Neuro-Oncology response criteria for high-grade gliomas. All adverse events (AEs) were recorded and graded.

results33 patients entered Phase Ib, 32 with altered PTEN. RP2D was not declared due to potential drug-drug interactions, which may have resulted in lack of efficacy; thus, Phase II, including 10 patients, was continued with INC280 monotherapy only. Best response was stable disease in 30% of patients. In the selected patient population, enrollment was halted due to limited activity with INC280 monotherapy. In Phase Ib, the most common treatment-related AEs were fatigue (36.4%), nausea (30.3%) and increased alanine aminotransferase (30.3%). MTD was identified at INC280 Tab 300 mg twice daily + buparlisib 80 mg once daily. In Phase II, the most common AEs were headache (40.0%), constipation (30.0%), fatigue (30.0%) and increased lipase (30.0%).

conclusionThe combination of INC280/buparlisib resulted in no clear activity in patients with recurrent PTEN-deficient glioblastoma. More stringent molecular selection strategies might produce better outcomes.

trial registrationNCT01870726.

Indexed as

AdultAgedAminopyridinesAntineoplastic Combined Chemotherapy ProtocolsBenzamidesBrain NeoplasmsFemaleFollow-Up StudiesGlioblastomaHumansImidazolesMaleMaximum Tolerated DoseMiddle AgedMorpholinesNeoplasm Recurrence, LocalAminopyridinesBenzamidescapmatinibImidazolesMET protein, humanMorpholinesNVP-BKM120Proto-Oncogene Proteins c-metPTEN PhosphohydrolasePTEN protein, humanTriazinesBuparlisibCapmatinibc-MetGlioblastomaINC280PTEN

Identifiers

PMID31776899
PMCPMC6938467
OpenAlexW2990276604

What OpenQuestion holds

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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.