Evidence map›Paper›PMID 32557577›Full record

Trial reportCancer2020

Tipifarnib in recurrent, metastatic HRAS-mutant salivary gland cancer.

Glenn J Hanna, Jeffrey P Guenette, Nicole G Chau, Cyrus M Sayehli, Christian Wilhelm, Robert Metcalf, Deborah J Wong, Marcia Brose, Mohammad Razaq, Elisabeth Pérez-Ruiz and 5 more

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 54 citations in OpenAlex.

  1. Tipifarnib in Head and Neck Squamous Cell Carcinoma WithJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Trial
  2. Renaissance of farnesyltransferase inhibitors in cancer.Journal of translational medicine · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. International journal of molecular sciences · 2025
    Article
  9. Article
  10. Dual inhibition of HERs and PD-1 counteract resistance in KRASJournal of experimental & clinical cancer research : CR · 2024
    Article
  11. Article
  12. Tumor biomarkers for diagnosis, prognosis and targeted therapy.Signal transduction and targeted therapy · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. New insights into RAS in head and neck cancer.Biochimica et biophysica acta. Reviews on cancer · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. 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

15 authors at 14 institutions in 5 countries.

Glenn J HannaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-3870-8330
Jeffrey P GuenetteDivision of Neuroradiology, Brigham & Women's Hospital, Dana-Farber Cancer Institute, Boston, Massachusetts.
Nicole G ChauDepartment of Medical Oncology, BC Cancer Vancouver Centre, Vancouver, British Columbia, Canada.
Cyrus M SayehliDepartment of Internal Medicine II, Early Clinical Trial Unit, University Hospital Wurzburg, Wurzburg, Germany.
Christian WilhelmDepartment of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Julius Maximilian University of Wuerzburg, Wuerzburg, Germany.
Robert MetcalfMedical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Deborah J WongDivision of Hematology and Oncology, Department of Medicine, Ronald Reagan University of California at Los Angeles Medical Center, Los Angeles, California.
Marcia BroseDepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Mohammad RazaqDepartment of Hematology/Oncology, Stephenson Cancer Center, The University of Oklahoma, Oklahoma City, Oklahoma.
Elisabeth Pérez-RuizDepartment of Medical Oncology, Institute of Biomedical Research of Malaga, Costa del Sol Health Agency, Marbella, Spain.ORCID 0000-0001-7204-0800
Ezra E W CohenDivision of Hematology-Oncology, Moores Cancer Center, University of California at San Diego Health, San Diego, California.ORCID 0000-0002-9872-6242
Rahul AggarwalDivision of Hematology/Oncology, University of California at San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, California.
Catherine ScholzKura Oncology, San Diego, California.
Antonio GualbertoKura Oncology, San Diego, California.
Alan L HoDepartment of Hematology/Oncology, Memorial Sloan Kettering Cancer Center, New York City, New York.
Kura Oncology (United States) · USBC Cancer Agency · CABrigham and Women's Hospital · USDana-Farber Cancer Institute · USHospital Costa del Sol · ESHospital of the University of Pennsylvania · USMemorial Sloan Kettering Cancer Center · USOklahoma State University Oklahoma City · USThe Christie NHS Foundation Trust · GBUC San Diego Health System · USUCSF Helen Diller Family Comprehensive Cancer Center · USUniversitätsklinikum Würzburg · DEUniversity of California, Los Angeles · USUniversity of Würzburg · DE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundTo the authors' knowledge, there are no approved therapies for recurrent, metastatic (R/M) salivary gland carcinoma (SGC), but molecularly targeted therapies warrant ongoing investigation. In the current study, the authors have reported on the efficacy of tipifarnib in patients with aggressive HRAS-mutant, R/M SGC.

methodsThe current prospective, nonrandomized, multicenter, international cohort study involved 8 centers and was conducted from May 2015 to June 2019. The median follow-up was 22 months (range, 6-55 months). Subjects with HRAS-mutant R/M SGC (any histology) and disease progression within the last 6 months were enrolled. Tipifarnib was dosed orally twice daily. The authors determined the objective response rate using Response Evaluation Criteria in Solid Tumors (version 1.1), duration of response, and molecular predictors of response.

resultsA total of 13 patients with R/M SGC were enrolled; all had received prior systemic therapy (1-3 regimens). One objective response was observed; an additional 7 of 12 evaluable patients (58%) had stable disease as their best response with a median duration of 9 months (range, 3-14 months). Five of 7 patients had >10% tumor regression and 6 of 7 had stable disease lasting >6 months. Q61R was the most frequent activating HRAS mutation noted (7 of 13 patients; 54%), but gene variant and allele frequency did not correlate with outcomes. The median progression-free survival was 7 months (95% confidence interval, 5.9-10.1 months), and the median overall survival was 18 months (95% confidence interval, 9.6-22.4 months) with approximately 58.6% of patients alive at 1 year. Survival was similar regardless of HRAS mutant variant or co-occurring PIK3CA alterations. No participant discontinued treatment because of toxicity.

conclusionsTipifarnib resulted in modest clinical activity with a promising disease control rate among patients with HRAS-mutant, R/M SGC who developed disease progression within the last 6 months.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalProgression-Free SurvivalProto-Oncogene Proteins p21(ras)QuinolonesSalivary Gland NeoplasmsTreatment OutcomeHRAS protein, humanProto-Oncogene Proteins p21(ras)QuinolonestipifarnibHRASrare cancerssalivary cancertargeted therapytipifarnib

Identifiers

PMID32557577
PMCPMC8266417
OpenAlexW3036557825

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.