Evidence map›Paper›PMID 35135829›Full record

ArticleCancer discovery2022

Zenocutuzumab, a HER2xHER3 Bispecific Antibody, Is Effective Therapy for Tumors Driven by NRG1 Gene Rearrangements.

Alison M Schram, Igor Odintsov, Madelyn Espinosa-Cotton, Inna Khodos, Whitney J Sisso, Marissa S Mattar, Allan J W Lui, Morana Vojnic, Sara H Shameem, Thrusha Chauhan and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed
15.7field-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

116 citing papers in PubMed, 156 citations in OpenAlex.

  1. Efficacy of Zenocutuzumab inThe New England journal of medicine · 2025
    Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Induced proximity-based therapeutic modalities.Nature reviews. Drug discovery · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

56 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

22 authors at 2 institutions in 2 countries.

Alison M Schram *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-6070-2413
Igor Odintsov *Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Madelyn Espinosa-CottonDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York.
Inna KhodosAnti-tumor Core Facility, Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York.
Whitney J SissoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Marissa S MattarAnti-tumor Core Facility, Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-2846-9914
Allan J W LuiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-7624-3437
Morana VojnicDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-5441-4119
Sara H ShameemDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Thrusha ChauhanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Jean TorrisiDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.
Jim FordMerus N.V., Utrecht, the Netherlands.
Marie N O'ConnorMerus N.V., Utrecht, the Netherlands.
Cecile A W GeuijenMerus N.V., Utrecht, the Netherlands.
Ron C J SchackmannMerus N.V., Utrecht, the Netherlands.ORCID 0000-0003-0461-7369
Jeroen J Lammerts van BuerenMerus N.V., Utrecht, the Netherlands.
Ernesto WassermanMerus N.V., Utrecht, the Netherlands.
Elisa de StanchinaAnti-tumor Core Facility, Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-3873-315X
Eileen M O'ReillyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-8076-9199
Marc LadanyiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Alexander DrilonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-6806-9061
Romel SomwarDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · USMerus (Netherlands) · NL

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
MSKCC Pilot Center for Precision Disease ModelingU54OD020355 · OD · SLOAN-KETTERING INST CAN RESEARCH · PI LOWE, SCOTT W., SOLIT, DAVID B. · 2015 to 2019
$9.9M
Compartimental bi-specific antibody and cytokine therapy for advance desmoplastic small round cell tumorsK00CA223062 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ESPINOSA-COTTON, MADELYN · 2019 to 2022
$391k
NCI NIH HHS K00 CA223062NCI NIH HHS P30 CA008748NIH HHS U54 OD020355
6 · The paper itself

Abstract

NRG1 rearrangements are recurrent oncogenic drivers in solid tumors. NRG1 binds to HER3, leading to heterodimerization with other HER/ERBB kinases, increased downstream signaling, and tumorigenesis. Targeting ERBBs, therefore, represents a therapeutic strategy for these cancers. We investigated zenocutuzumab (Zeno; MCLA-128), an antibody-dependent cellular cytotoxicity-enhanced anti-HER2xHER3 bispecific antibody, in NRG1 fusion-positive isogenic and patient-derived cell lines and xenograft models. Zeno inhibited HER3 and AKT phosphorylation, induced expression of apoptosis markers, and inhibited growth. Three patients with chemotherapy-resistant NRG1 fusion-positive metastatic cancer were treated with Zeno. Two patients with ATP1B1-NRG1-positive pancreatic cancer achieved rapid symptomatic, biomarker, and radiographic responses and remained on treatment for over 12 months. A patient with CD74-NRG1-positive non-small cell lung cancer who had progressed on six prior lines of systemic therapy, including afatinib, responded rapidly to treatment with a partial response. Targeting HER2 and HER3 simultaneously with Zeno is a novel therapeutic paradigm for patients with NRG1 fusion-positive cancers. SIGNIFICANCE: NRG1 rearrangements encode chimeric ligands that activate the ERBB receptor tyrosine kinase family. Here we show that targeting HER2 and HER3 simultaneously with the bispecific antibody Zeno leads to durable clinical responses in patients with NRG1 fusion-positive cancers and is thus an effective therapeutic strategy. This article is highlighted in the In This Issue feature, p. 1171.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntibodies, BispecificCarcinogenesisCell Line, TumorErb-b2 Receptor Tyrosine KinasesGene RearrangementHumansImmunoglobulin GNeuregulin-1Receptor, ErbB-3Antibodies, BispecificErb-b2 Receptor Tyrosine KinasesImmunoglobulin GNeuregulin-1NRG1 protein, humanReceptor, ErbB-3zenocutuzumab

Identifiers

PMID35135829
PMCPMC9394398
OpenAlexW4210841967

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.