Evidence map›Paper›PMID 33469991›Full record

Trial reportThe oncologist2021

Cabozantinib and Panitumumab for RAS Wild-Type Metastatic Colorectal Cancer.

John H Strickler, Christel N Rushing, Hope E Uronis, Michael A Morse, Donna Niedzwiecki, Gerard C Blobe, Ashley N Moyer, Emily Bolch, Renee Webb, Sherri Haley and 10 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02008383 (Cabozantinib), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 13% 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.

NCT02008383 phase1completednot on this map

Cabozantinib (XL184) With Panitumumab in Subjects With KRAS Wild-Type Metastatic Colorectal Cancer and Cabozantinib Monotherapy in Subjects With MET Amplified Treatment-Refractory Colorectal Cancer

TypeinterventionalSponsorJohn Strickler, M.D.Ran2014 to 2018Enrolled29ConditionsColorectal CancerArmsPanitumumab, Cabozantinib
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Therapeutic landscape and future direction of metastatic colorectal cancer.Nature reviews. Gastroenterology & hepatology · 2023
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. 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

20 authors at 4 institutions in 1 country.

John H StricklerDuke University Medical Center, Durham, North Carolina, USA.
Christel N RushingDuke Cancer Institute, Biostatistics, Duke University Medical Center, Durham, North Carolina, USA.
Hope E UronisDuke University Medical Center, Durham, North Carolina, USA.
Michael A MorseDuke University Medical Center, Durham, North Carolina, USA.
Donna NiedzwieckiDuke Cancer Institute, Biostatistics, Duke University Medical Center, Durham, North Carolina, USA.
Gerard C BlobeDuke University Medical Center, Durham, North Carolina, USA.
Ashley N MoyerDuke University Medical Center, Durham, North Carolina, USA.
Emily BolchDuke University Medical Center, Durham, North Carolina, USA.
Renee WebbDuke University Medical Center, Durham, North Carolina, USA.
Sherri HaleyDuke University Medical Center, Durham, North Carolina, USA.
Ace J HatchDuke University Medical Center, Durham, North Carolina, USA.
Ivy P AltomareDuke University Medical Center, Durham, North Carolina, USA.
Gary B SherrillMoses Cone Regional Cancer Center, Greensboro, North Carolina, USA.
David Z ChangVirginia Oncology Associates, Hampton, Virginia, USA.
James L WellsLexington Oncology, West Columbia, South Carolina, USA.
S David HsuDuke University Medical Center, Durham, North Carolina, USA.
Jingquan JiaDuke University Medical Center, Durham, North Carolina, USA.
S Yousuf ZafarDuke University Medical Center, Durham, North Carolina, USA.
Andrew B NixonDuke University Medical Center, Durham, North Carolina, USA.
Herbert I HurwitzDuke University Medical Center, Durham, North Carolina, USA.
Duke Medical Center · USLexington Medical Center · USRegional Cancer Center · USVirginia Oncology Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

lessons learnedAntitumor activity was observed in the study population. Dose modifications of cabozantinib improve long-term tolerability. Biomarkers are needed to identify patient populations most likely to benefit. Further study of cabozantinib with or without panitumumab in patients with metastatic colorectal cancer is warranted.

backgroundThe epidermal growth factor receptor (EGFR) antibody panitumumab is active in patients with RAS wild-type (WT) metastatic colorectal cancer (mCRC), but nearly all patients experience resistance. MET amplification is a driver of panitumumab resistance. Cabozantinib is an inhibitor of multiple kinases, including vascular endothelial growth factor receptor 2 (VEGFR2) and c-MET, and may delay or reverse anti-EGFR resistance.

methodsIn this phase Ib clinical trial, we established the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) of cabozantinib and panitumumab. We then treated an expansion cohort to further describe the tolerability and clinical activity of the RP2D. Eligibility included patients with KRAS WT mCRC (later amended to include only RAS WT mCRC) who had received prior treatment with a fluoropyrimidine, oxaliplatin, irinotecan, and bevacizumab.

resultsTwenty-five patients were enrolled and treated. The MTD/RP2D was cabozantinib 60 mg p.o. daily and panitumumab 6 mg/kg I.V. every 2 weeks. The objective response rate (ORR) was 16%. Median progression free survival (PFS) was 3.7 months (90% confidence interval [CI], 2.3-7.1). Median overall survival (OS) was 12.1 months (90% CI, 7.5-14.3). Five patients (20%) discontinued treatment due to toxicity, and 18 patients (72%) required a dose reduction of cabozantinib.

conclusionThe combination of cabozantinib and panitumumab has activity. Dose reductions of cabozantinib improve tolerability.

Indexed as

Colorectal NeoplasmsVascular Endothelial Growth Factor AAnilidesAntineoplastic Combined Chemotherapy ProtocolsHumansPanitumumabProto-Oncogene Proteins p21(ras)PyridinesAnilidescabozantinibPanitumumabProto-Oncogene Proteins p21(ras)PyridinesVascular Endothelial Growth Factor ACabozantinibColorectal cancerPanitumumabRAS wild-type

Identifiers

PMID33469991
PMCPMC8176979
OpenAlexW3123198979

What OpenQuestion holds

Textmetadata
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.