Evidence map›Paper›PMID 34590052›Full record

ArticleJTO clinical and research reports2021

Phase 1b Open-Label Trial of Afatinib Plus Xentuzumab (BI 836845) in Patients With

Keunchil Park, Daniel Shao Weng Tan, Wu-Chou Su, Byoung Chul Cho, Sang-We Kim, Ki Hyeong Lee, Chin-Chou Wang, Takashi Seto, Dennis Chin-Lun Huang, Helen Hayoun Jung and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02191891 (A Phase Ib Open-label Clinical Trial of Once Daily Oral Treatment of Afatinib Plus Weekly Intravenous Infusion of Xentuzumab), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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.

NCT02191891 phase1completednot on this map

A Phase Ib Open-label Clinical Trial of Once Daily Oral Treatment of Afatinib Plus Weekly Intravenous Infusion of Xentuzumab (BI 836845) in Patients With EGFR Mutant Non-small Cell Lung Cancer With Progression Following Prior EGFR Tyrosine Kinase Inhibitors

TypeinterventionalSponsorBoehringer IngelheimRan2014 to 2018Enrolled32ConditionsCarcinoma, Non-Small-Cell LungArmsXentuzumab, Afatinib
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Insulin-like growth factor receptor signaling in physiology and disease.Signal transduction and targeted therapy · 2026
    Review
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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

13 authors at 13 institutions in 7 countries.

Keunchil ParkDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Daniel Shao Weng TanDepartment of Medical Oncology, National Cancer Center, Singapore, Singapore.
Wu-Chou SuDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Byoung Chul ChoYonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.
Sang-We KimDepartment of Oncology, Asan Medical Center, Seoul, South Korea.
Ki Hyeong LeeDepartment of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, South Korea.
Chin-Chou WangDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Takashi SetoDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Dennis Chin-Lun HuangBoehringer Ingelheim Taiwan Limited, Taipei, Taiwan.
Helen Hayoun JungBoehringer Ingelheim Korea, Seoul, South Korea.
Ming-Chi HsuBoehringer Ingelheim (People's Republic of China) Investment Co. Ltd., Shanghai, People's Republic of China.
Thomas BogenriederRCV Medicine, Boehringer Ingelheim RCV, Vienna, Austria.
Chia-Chi LinDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Asan Medical Center · KRBoehringer Ingelheim (Austria) · ATBoehringer Ingelheim (China) · CNBoehringer Ingelheim (South Korea) · KRBoehringer Ingelheim (Taiwan) · TWChungbuk National University Hospital · KRKaohsiung Chang Gung Memorial Hospital · TWNational Cancer Centre Singapore · SGNational Cheng Kung University Hospital · TWNational Hospital Organization Kyushu Cancer Center · JPNational Taiwan University Hospital · TWSamsung Medical Center · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInsulin-like growth factor signaling has been implicated in acquired resistance to EGFR tyrosine kinase inhibitors (TKIs) in NSCLC. This phase 1 trial (NCT02191891) investigated the combination of xentuzumab (an insulin-like growth factor-ligand neutralizing monoclonal antibody) and afatinib (an EGFR TKI) in patients with previously treated

methodsThe trial comprised dose escalation (part A) and expansion (part B). Patients had advanced or metastatic NSCLC that had progressed on EGFR TKI monotherapy or platinum-based chemotherapy (nonadenocarcinoma only, part A) or irreversible EGFR TKI monotherapy (part B). Absence of

resultsA total of 16 patients each were treated in parts A and B. Maximum tolerated dose was xentuzumab 1000 mg/wk plus afatinib 40 mg/d. No patients in part B had an objective response, but 10 had stable disease (median [range] duration of disease control: 2.3 [0.8-10.9] mo). The most common drug-related adverse events were diarrhea (75 %), paronychia (69 %), and rash (69 %) in part A and diarrhea (31 %), rash (19 %), paronychia (19 %), and fatigue (19 %) in part B.

conclusionsThere were no new safety issues; xentuzumab and afatinib could be safely coadministered. Nevertheless, the combination revealed only modest activity in patients with

Indexed as

AfatinibEGFR tyrosine kinase inhibitorIGFNSCLCXentuzumab

Identifiers

PMID34590052
PMCPMC8474216
OpenAlexW3177774675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.