Evidence map›Paper›PMID 34407844›Full record

ArticleJournal of hematology & oncology2021

Phase 1 study of M2698, a p70S6K/AKT dual inhibitor, in patients with advanced cancer.

Apostolia-Maria Tsimberidou, Jamie V Shaw, Dejan Juric, Claire Verschraegen, Amy M Weise, John Sarantopoulos, Gilberto Lopes, John Nemunaitis, Monica Mita, Haeseong Park and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of hematology & oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01971515 (A Phase I, First-in-Human, Dose Escalation Trial of MSC2363318A, a Dual p70S6K/Akt Inhibitor, in Subjects With Advanced Malignancies), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-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.

NCT01971515 phase1completednot on this map

A Phase I, First-in-Human, Dose Escalation Trial of MSC2363318A, a Dual p70S6K/Akt Inhibitor, in Subjects With Advanced Malignancies

TypeinterventionalSponsorEMD SeronoRan2013 to 2018Enrolled101ConditionsSolid TumorArmsMSC2363318A, MSC2363318A plus Trastuzumab, MSC2363318A plus Tamoxifen
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

15 authors at 12 institutions in 3 countries.

Apostolia-Maria TsimberidouDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Unit 455, 1515 Holcombe Boulevard, Houston, TX, 77030, USA. atsimber@mdanderson.org.ORCID 0000-0003-2713-233X
Jamie V ShawEMD Serono Research and Development Institute, Inc., Billerica, MA, USA.
Dejan JuricMassachusetts General Hospital, Boston, MA, USA.
Claire VerschraegenOhio State University Comprehensive Cancer Center, Columbus, OH, USA.
Amy M WeiseKarmanos Cancer Institute, Detroit, MI, USA.
John SarantopoulosInstitute for Drug Development, Mays Cancer Center at University of Texas Health San Antonio MD Anderson Cancer Center, San Antonio, TX, USA.
Gilberto LopesSylvester Comprehensive Cancer Center, Miami, FL, USA.
John NemunaitisGradalis, Inc., Carrollton, TX, USA.
Monica MitaSamuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Haeseong ParkWashington University, St Louis, MO, USA.
Barbara Ellers-LenzMerck KGaA, Darmstadt, Germany.
Hui TianEMD Serono Research and Development Institute, Inc., Billerica, MA, USA.
Wenyuan XiongMerck Institute of Pharmacometrics, Merck Serono SA, Lausanne, Switzerland.
Remigiusz KaletaEMD Serono Research and Development Institute, Inc., Billerica, MA, USA.
Razelle KurzrockMoores Cancer Center, La Jolla, CA, USA.
Ono Pharmaceutical (United States) · USThe University of Texas MD Anderson Cancer Center · USCedars-Sinai Medical Center · USGradalis (United States) · USMassachusetts General Hospital · USMerck (Germany) · DEMerck Serono (Switzerland) · CHMoores Cancer CenterSylvester Comprehensive Cancer Center · USThe Barbara Ann Karmanos Cancer Institute · USThe Ohio State University · USWashington University in St. Louis · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Lei Zheng · 1991 to 2026
$59.1M
Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
NCATS NIH HHS UL1 TR003167NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA054174
6 · The paper itself

Abstract

backgroundThe PI3K/AKT/mTOR (PAM) pathway is a key regulator of tumor therapy resistance. We investigated M2698, an oral p70S6K/AKT dual inhibitor, in patients with advanced cancer who failed standard therapies.

methodsM2698 was administered as monotherapy (escalation, 15-380 mg daily; food effect cohort, 240-320 mg daily) and combined with trastuzumab or tamoxifen.

resultsOverall, 101 patients were treated (M2698, n = 62; M2698/trastuzumab, n = 13; M2698/tamoxifen, n = 26). Patients were predominantly aged < 65 years, were female, had performance status 1 and were heavily pretreated. There was a dose- and concentration-dependent inhibition of pS6 levels in peripheral blood mononuclear cells and tumor tissue. M2698 was well tolerated; the most common treatment-emergent adverse events were gastrointestinal, abnormal dreams and fatigue (serious, attributed to M2698: monotherapy, 8.1%; M2698/trastuzumab, 7.7%; M2698/tamoxifen, 11.5% of patients). The recommended phase 2 doses of M2698 were 240 mg QD (monotherapy), 160 mg QD (M2698/trastuzumab) and 160 mg QD/240 mg intermittent regimen (M2698/tamoxifen). In the monotherapy cohort, 27.4% of patients had stable disease at 12 weeks; no objective response was noted. The median progression-free survival (PFS) durations in patients with PAM pathway alterations with and without confounding markers (KRAS, EGFR, AKT2) were 1.4 months and 2.8 months, respectively. Two patients with breast cancer (M2698/trastuzumab, n = 1; M2698/tamoxifen, n = 1) had partial response; their PFS durations were 31 months and 2.7 months, respectively.

conclusionsM2698 was well tolerated. Combined with trastuzumab or tamoxifen, M2698 demonstrated antitumor activity in patients with advanced breast cancer resistant to multiple standard therapies, suggesting that it could overcome treatment resistance. Trial registration ClinicalTrials.gov, NCT01971515. Registered October 23, 2013.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsFemaleHumansMaleMiddle AgedNeoplasmsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktRibosomal Protein S6 Kinases, 70-kDaTreatment OutcomeAntineoplastic AgentsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktRibosomal Protein S6 Kinases, 70-kDaAdvanced cancerAKTClinical trialM2698p70S6KPhase IPI3KTargeted therapy

Identifiers

PMID34407844
PMCPMC8371902
OpenAlexW3195173811

What OpenQuestion holds

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LicenceCC BY
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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.