Evidence map›Paper›PMID 33627640›Full record

ArticleNature communications2021

Gilteritinib overcomes lorlatinib resistance in ALK-rearranged cancer.

Hayato Mizuta, Koutaroh Okada, Mitsugu Araki, Jun Adachi, Ai Takemoto, Justyna Kutkowska, Kohei Maruyama, Noriko Yanagitani, Tomoko Oh-Hara, Kana Watanabe and 14 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
11.4field-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

66 citing papers in PubMed, 99 citations in OpenAlex.

  1. Review
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  11. TargetingJournal of pharmaceutical analysis · 2025
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6 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

24 authors at 11 institutions in 2 countries.

Hayato Mizuta *Division of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Koutaroh Okada *Division of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Mitsugu ArakiGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-7810-4905
Jun AdachiLaboratory of Proteomics for Drug Discovery, Laboratory of Clinical and Analytical Chemistry, Center for Drug Design Research, National Institutes of Biomedical Innovation, Health and Nutrition, Osaka, Japan.
Ai TakemotoDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Justyna KutkowskaDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID 0000-0001-7148-7758
Kohei MaruyamaDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Noriko YanagitaniDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Tomoko Oh-HaraDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Kana WatanabeDepartment of Respiratory Medicine, Miyagi Cancer Center, Miyagi, Japan.
Keiichi TamaiDivision of Cancer Stem Cell, Miyagi Cancer Center Research Institute, Miyagi, Japan.
Luc FribouletINSERM U981, Gustave Roussy Cancer Campus, Université Paris Saclay, Villejuif, France.ORCID 0000-0002-1129-4978
Kazuhiro KatayamaLaboratory of Molecular Targeted Therapeutics, School of Pharmacy, Nihon University, Chiba, Japan.ORCID 0000-0003-4232-7661
Biao MaResearch and Development Group for In Silico Drug Discovery, Center for Cluster Development and Coordination (CCD), Foundation for Biomedical Research and Innovation at Kobe (FBRI), Kobe, Japan.ORCID 0000-0003-0410-4408
Yoko SasakuraResearch and Development Group for In Silico Drug Discovery, Center for Cluster Development and Coordination (CCD), Foundation for Biomedical Research and Innovation at Kobe (FBRI), Kobe, Japan.
Yukari SagaeGraduate School of Medicine, Kyoto University, Kyoto, Japan.
Mutsuko Kukimoto-NiinoRIKEN Center for Biosystems Dynamics Research, Kanagawa, Japan.
Mikako ShirouzuRIKEN Center for Biosystems Dynamics Research, Kanagawa, Japan.ORCID 0000-0002-7997-2149
Satoshi TakagiDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.
Siro SimizuDepartment of Applied Chemistry, Faculty of Science and Technology, Keio University, Kanagawa, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Yasushi OkunoGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0003-3596-4208
Naoya FujitaDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan.ORCID 0000-0002-9631-9264
Ryohei KatayamaDivision of Experimental Chemotherapy, Cancer Chemotherapy Center, Japanese Foundation for Cancer Research, Tokyo, Japan. ryohei.katayama@jfcr.or.jp.ORCID 0000-0001-7394-895X
Kyoto University · JPFoundation for Biomedical Research and Innovation · JPKeio University · JPMiyagi Prefectural Hospital Organization · JPRIKEN Center for Biosystems Dynamics Research · JPThe Cancer Institute Hospital · JPThe University of Tokyo · JPInserm · FRJapan Society of Chemotherapy · JPNational Institute of Biomedical Innovation, Health and Nutrition · JPNihon University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ALK gene rearrangement was observed in 3%-5% of non-small cell lung cancer patients, and multiple ALK-tyrosine kinase inhibitors (TKIs) have been sequentially used. Multiple ALK-TKI resistance mutations have been identified from the patients, and several compound mutations, such as I1171N + F1174I or I1171N + L1198H are resistant to all the approved ALK-TKIs. In this study, we found that gilteritinib has an inhibitory effect on ALK-TKI-resistant single mutants and I1171N compound mutants in vitro and in vivo. Surprisingly, EML4-ALK I1171N + F1174I compound mutant-expressing tumors were not completely shrunk but regrew within a short period of time after alectinib or lorlatinib treatment. However, the relapsed tumor was markedly shrunk after switching to the gilteritinib in vivo model. In addition, gilteritinib was effective against NTRK-rearranged cancers including entrectinib-resistant NTRK1 G667C-mutant and ROS1 fusion-positive cancer.

Indexed as

AminopyridinesAniline CompoundsAnimalsApoptosisBenzamidesCarbazolesCell LineCell SurvivalCrizotinibDrug Resistance, NeoplasmEnzyme InhibitorsHumansImmunoblottingIndazolesLactamsLactams, MacrocyclicalectinibAminopyridinesAniline CompoundsBenzamidesCarbazolesCrizotinibentrectinibEnzyme InhibitorsgilteritinibIndazolesLactamsLactams, MacrocycliclorlatinibPiperidinesProto-Oncogene ProteinsPyrazinesPyrazolesReceptor Protein-Tyrosine KinasesRos1 protein, mouse

Identifiers

PMID33627640
PMCPMC7904790
OpenAlexW3129295825

What OpenQuestion holds

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Registered trials

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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.