Evidence map›Paper›PMID 33052556›Full record

ArticleInvestigational new drugs2021

A phase Ib study of the highly selective MET-TKI savolitinib plus gefitinib in patients with EGFR-mutated, MET-amplified advanced non-small-cell lung cancer.

Jin-Ji Yang, Jian Fang, Yong-Qian Shu, Jian-Hua Chang, Gong-Yan Chen, Jian Xing He, Wei Li, Xiao-Qing Liu, Nong Yang, Caicun Zhou and 10 more

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02374645 (A Phase Ib, Open-label, Multi-centre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumour Activity of Volitinib in Combination With Gefitinib in Patients With Epidermal Growth Factor Receptor-mutated Non-small Cell Lung Cancer Who Have Progressed on Epidermal Growth Factor Receptor Inhibitor Treatment), which is not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT02374645 phase1completednot on this map

A Phase Ib, Open-label, Multi-centre Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-tumour Activity of Volitinib in Combination With Gefitinib in Patients With Epidermal Growth Factor Receptor-mutated Non-small Cell Lung Cancer Who Have Progressed on Epidermal Growth Factor Receptor Inhibitor Treatment

TypeinterventionalSponsorHutchison Medipharma LimitedRan2015 to 2018Enrolled64ConditionsNon-Small Cell Lung CancerArmsVolitinib, gefitinib
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  3. Non-small cell lung cancer withFrontiers in oncology · 2023
    Pooled it
  4. Trial
  5. Article
  6. Review
  7. Real-world adoption of off-label combinations for targeted therapy resistance in non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
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  9. Review
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  20. Efficacy and safety analysis of immunotherapy in non-small cell lung cancer patients with MET alterations.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    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

20 authors at 13 institutions in 3 countries.

Jin-Ji YangGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, 106 Zhongshan Er Rd, Guangzhou, 510080, China.
Jian FangBeijing Cancer Hospital, Beijing, China.
Yong-Qian ShuDepartment of Oncology, First Affiliated Hospital, Nanjing Medical University, Nanjing, China.
Jian-Hua ChangFudan University Cancer Hospital, Shanghai, China.
Gong-Yan ChenHarbin Medical University Cancer Hospital, Harbin, China.
Jian Xing HeThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Wei LiThe First Hospital of Jilin University, Changchun, China.
Xiao-Qing Liu307th Hospital of Chinese People's Liberation Army, Beijing, China.
Nong YangHunan Cancer Hospital, Changsha, China.
Caicun ZhouShanghai Pulmonary Hospital, Shanghai, China.
Jian An HuangThe First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Melanie M FrigaultTranslational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.
Ryan HartmaierTranslational Medicine, Oncology R&D, AstraZeneca, Boston, MA, USA.
Ghada F AhmedFormerly: Clinical Pharmacology and Safety Sciences, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.
Coumaran EgilePrecision Medicine, R&D Oncology, AstraZeneca, Cambridge, UK.
Shethah MorganLate Phase Oncology R&D, AstraZeneca, Cambridge, UK.
Remy B VerheijenFormerly: Late Phase Oncology R&D, AstraZeneca, Cambridge, UK.
Anders MellemgaardLate Phase Oncology R&D, AstraZeneca, Cambridge, UK.
Liu YangGlobal Medicines Development, Oncology, AstraZeneca, Shanghai, China.
Yi-Long WuGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, 106 Zhongshan Er Rd, Guangzhou, 510080, China. syylwu@live.cn.ORCID https://orcid.org/0000-0002-3611-0258
AstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USGuangdong Academy of Medical Sciences · CN307th Hospital of Chinese People’s Liberation Army · CNFirst Affiliated Hospital of Guangzhou Medical University · CNFudan University Shanghai Cancer Center · CNHarbin Medical University · CNHunan Cancer Hospital · CNJilin University · CNNanjing Medical University · CNPeking University · CNShanghai Pulmonary Hospital · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are recommended first-line treatments in EGFR-mutated (EGFRm) non-small-cell lung cancer (NSCLC). However, acquired resistance (e.g. MET amplification) is frequently observed. Savolitinib (volitinib, HMPL-504, AZD6094) is an oral, potent, and highly selective MET-TKI. In this phase Ib, open-label, multicenter study, we enrolled Chinese patients with EGFRm advanced NSCLC, whose disease progressed following prior EGFR-TKI treatment. In the safety run-in, patients received savolitinib 600 or 800 mg plus gefitinib 250 mg orally once daily, and dose-limiting toxicities were recorded. In the expansion phase, patients with MET amplification received savolitinib plus gefitinib. The primary endpoint was safety/tolerability. Secondary endpoints included antitumor activity. Thirteen patients were enrolled in the safety phase (median age 52 years, 46% female) and 51 enrolled in the expansion phase (median age 61 years, 67% female). No dose-limiting toxicities were reported in either dose group during the safety run-in. Adverse events of grade ≥ 3 in the safety run-in and expansion phases (n = 57) were reported in 21 (37%) patients. The most frequently reported adverse events (all grades) were: vomiting (n = 26, 46%), nausea (n = 23, 40%), increased aspartate aminotransferase (n = 22, 39%). Of four deaths, none were treatment-related. The objective response rates in EGFR T790M-negative, -positive, and -unknown patients were 52% (12/23), 9% (2/23), and 40% (2/5), respectively. Savolitinib 600 mg plus gefitinib 250 mg once daily had an acceptable safety profile and demonstrated promising antitumor activity in EGFRm, MET-amplified advanced NSCLC patients who had disease progression on EGFR-TKIs. NCT02374645, Date of registration: March 2nd 2015.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDose-Response Relationship, DrugErbB ReceptorsFemaleGefitinibHumansLung NeoplasmsMaleMiddle AgedProtein-Tyrosine KinasesProto-Oncogene Proteins c-metPyrazinesTriazines1-(1-(imidazo(1,2-a)pyridin-6-yl)ethyl)-6-(1-methyl-1H-pyrazol-4-yl)-1H-(1,2,3)triazolo(4,5-b)pyrazineEGFR protein, humanErbB ReceptorsGefitinibProtein-Tyrosine KinasesProto-Oncogene Proteins c-metPyrazinesTriazinesEGFRmEGFR-TKIGefitinibMETNSCLCSavolitinib

Identifiers

PMID33052556
OpenAlexW3188690607

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.