Evidence map›Paper›PMID 34169393›Full record

Trial reportBreast cancer research and treatment2021

Phase I/II trial of ruxolitinib in combination with trastuzumab in metastatic HER2 positive breast cancer.

Matthew Kearney, Lauren Franks, Shing Lee, Amy Tiersten, Della F Makower, Tessa Cigler, Prabhjot Mundi, Dow-Chung Chi, Anupama Goel, Pam Klein and 8 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

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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 6 institutions in 1 country.

Matthew KearneyColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Lauren FranksMailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA.
Shing LeeMailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA.
Amy TierstenIcahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.
Della F MakowerMontefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
Tessa CiglerWeill Cornell Medical, 1300 York Avenue, New York, NY, 10065, USA.
Prabhjot MundiColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Dow-Chung ChiColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Anupama GoelIcahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.
Pam KleinHerbert Irving Comprehensive Cancer Center, Columbia University, 1130 St Nicholas Ave, New York, NY, 10032, USA.
Eleni AndreopoulouWeill Cornell Medical, 1300 York Avenue, New York, NY, 10065, USA.
Joseph SparanoMontefiore Medical Center, 111 E 210th St, Bronx, NY, 10467, USA.
Meghna TrivediColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Melissa AccordinoColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Andrea CalifanoHerbert Irving Comprehensive Cancer Center, Columbia University, 1130 St Nicholas Ave, New York, NY, 10032, USA.
Dawn L HershmanColumbia University Irving Medical Center, 630 W 168th St, New York, NY, 10032, USA.
Jose SilvaHerbert Irving Comprehensive Cancer Center, Columbia University, 1130 St Nicholas Ave, New York, NY, 10032, USA.
Kevin KalinskyWinship Cancer Institute at Emory University, 1365 Clifton Road, Suite B4112, Atlanta, GA, 30322, USA. kkalins@emory.edu.ORCID http://orcid.org/0000-0002-1583-3553
Columbia University Irving Medical Center · USCornell University · USIcahn School of Medicine at Mount Sinai · USMontefiore Medical Center · USColumbia University · USEmory Healthcare · US

Funding

Systematic Identification and Pharmacological Targeting of Tumor Dependencies for Precision Cancer MedicineU01CA217858 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CALIFANO, ANDREA · 2017 to 2021
$6.1M
NCI NIH HHS U01 CA217858
6 · The paper itself

Abstract

purposePreclinical data demonstrate STAT3 as an important regulator in HER2+ tumors, and disruption of the IL6-JAK2-STAT-S100A8/S100A9 signaling cascade reduces HER2+ cell viability. Ruxolitinib is an FDA approved inhibitor of JAK1 and JAK2. We performed a phase I/II trial investigating the safety and efficacy of the combination of trastuzumab and ruxolitinib in patients with trastuzumab-resistant metastatic HER2+ breast cancer.

methodsPatients with metastatic HER2+ breast cancer progressing on at least 2 lines of HER2-directed therapy were eligible. The phase I portion determined the tolerable dose of ruxolitinib in combination with trastuzumab. The primary objective of the phase II was to assess the progression free survival (PFS) of the combination of ruxolitinib plus trastuzumab compared to historical control.

resultsTwenty-eight patients were enrolled, with a median number of prior therapies of 4.5. Ruxolitinib 25 mg twice daily was the recommended phase II dose with no dose limiting toxicities (DLTs). Of 26 evaluable patients in phase II, the median PFS was 8.3 weeks (95% CI 7.1, 13.9). Among the 14 patients with measurable disease, 1 patient had a partial response and 4 patients had stable disease. Most of the adverse events were hematologic.

conclusionWhile well tolerated with a strong preclinical rationale, the combination of ruxolitinib and trastuzumab did not lead to an improvement in PFS compared to historical control in patients with trastuzumab-resistant metastatic HER2+ breast cancer.

Indexed as

Breast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansNitrilesPyrazolesPyrimidinesTrastuzumabTreatment OutcomeErb-b2 Receptor Tyrosine KinasesNitrilesPyrazolesPyrimidinesruxolitinibTrastuzumabBreast cancerHER2 positiveJAK2Ruxolitinib

Identifiers

PMID34169393
PMCPMC8487317
OpenAlexW3176146049

What OpenQuestion holds

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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.