Evidence map›Paper›PMID 35406565›Full record

ArticleCancers2022

Indirect Treatment Comparison of Larotrectinib versus Entrectinib in Treating Patients with TRK Gene Fusion Cancers.

Jesus Garcia-Foncillas, Carsten Bokemeyer, Antoine Italiano, Karen Keating, Noman Paracha, Marc Fellous, Marisca Marian, Mirko Fillbrunn, Wei Gao, Rajeev Ayyagari and 1 more

5 registry-linked trialsAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02097810 phase1completednot on this map

A Phase 1, Multicenter, Open-Label Study of Oral Entrectinib (RXDX-101) in Adult Patients With Locally Advanced or Metastatic Cancer Confirmed to be Positive for NTRK1, NTRK2, NTRK3, ROS1, or ALK Molecular Alterations

TypeinterventionalSponsorHoffmann-La RocheRan2014 to 2020Enrolled84ConditionsLocally Advanced Solid Tumors, Metastatic Solid TumorsArmsEntrectinib
NCT02122913 phase1completednot on this map

A Phase 1 Study of the Oral TRK Inhibitor Larotrectinib in Adult Patients With Solid Tumors

TypeinterventionalSponsorBayerRan2014 to 2021Enrolled75ConditionsSolid Tumors Harboring NTRK FusionArmsLarotrectinib (Vitrakvi, BAY2757556)
NCT02568267 phase2active not recruitingnot on this map

An Open-Label, Multicenter, Global Phase 2 Basket Study of Entrectinib for the Treatment of Patients With Locally Advanced or Metastatic Solid Tumors That Harbor NTRK1/2/3, ROS1, or ALK Gene Rearrangements

TypeinterventionalSponsorHoffmann-La RocheRan2015 to 2027Enrolled534ConditionsBreast Cancer, Cholangiocarcinoma, Colorectal Cancer, Head and Neck NeoplasmsArmsEntrectinib
NCT02576431 phase2completednot on this map

A Study to Learn How Well the Drug Larotrectinib Works in Adults With Different Solid Cancers With a Change in the Genes Called NTRK Fusion

TypeinterventionalSponsorBayerRan2015 to 2025Enrolled215ConditionsSolid Tumors Harboring NTRK FusionArmsBAY2757556 (Larotrectinib, Vitrakvi)
NCT02637687 phase1 / phase2active not recruitingnot on this map

A Phase 1/2 Study of the Oral TRK Inhibitor Larotrectinib in Pediatric Patients With Advanced Solid or Primary Central Nervous System Tumors

TypeinterventionalSponsorBayerRan2015 to 2026Enrolled154ConditionsSolid Tumors Harboring NTRK FusionArmsLarotrectinib (Vitrakvi, BAY2757556)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
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  8. Review
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

11 authors.

Jesus Garcia-FoncillasDepartment of Oncology, Cancer Institute, Fundacion Jimenez Diaz University Hospital, Autonomous University, 28040 Madrid, Spain.
Carsten BokemeyerDepartment of Oncology, Hematology and BMT with Section Penumology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.ORCID 0000-0001-6071-7810
Antoine ItalianoEarly Phase Trials Unit, Institut Bergonie, 33000 Bordeaux, France.
Karen KeatingBayer HealthCare Pharmaceuticals, Inc., Whippany, Hanover Township, NJ 07981, USA.
Noman ParachaMarket Access Oncology, Bayer AG, 4052 Basel, Switzerland.
Marc FellousMarket Access Oncology, Bayer AG, 4052 Basel, Switzerland.
Marisca MarianMarket Access Oncology, Bayer AG, 4052 Basel, Switzerland.
Mirko FillbrunnAnalysis Group, Inc., Boston, MA 02199, USA.
Wei GaoAnalysis Group, Inc., Boston, MA 02199, USA.
Rajeev AyyagariAnalysis Group, Inc., Boston, MA 02199, USA.
Ulrik LassenDepartment of Oncology, Rigshospitalet, 2100 Copenhagen, Denmark.

Funding

Bayer HealthCare Pharmaceuticals, Inc. and Loxo Oncology, Inc., a wholly owned subsidiary of Eli Lilly and Company Not applicable
6 · The paper itself

Abstract

Information regarding the comparative efficacy of first-generation receptor tyrosine kinase inhibitors is limited. This matching-adjusted indirect comparison (MAIC) evaluated differences in efficacy and safety across larotrectinib and entrectinib trials. Data from clinical trials for larotrectinib (LOXO-TRK-14001 (NCT02122913), SCOUT (NCT02637687), and NAVIGATE (NCT02576431)) and entrectinib (ALKA-372-001 (EudraCT 2012-000148-88), STARTRK-1 (NCT02097810), and STARTRK-2 (NCT02568267)) were used. Adults (≥18 years) across trials were matched on available baseline characteristics. Outcomes evaluated included overall response rate (ORR), complete response (CR) rate, duration of response (DoR), overall survival (OS), progression-free survival (PFS), any serious treatment-related adverse events of grade ≥ 3 (TRAEs), and TRAEs leading to treatment discontinuation. The MAIC included 74 patients from entrectinib trials and 117 and 147 patients for the larotrectinib efficacy and safety populations, respectively. Post-matching, larotrectinib was associated with a significantly longer median duration of OS than entrectinib (p < 0.05) and a numerically longer median PFS (p = 0.07). ORR was similar for both agents (p = 0.63). The CR rate was higher (p < 0.05) and the DoR was longer for larotrectinib (p < 0.05). Safety outcomes were comparable and low for both treatments. Results were consistent in sensitivity analyses. These findings suggest favorable efficacy for larotrectinib and comparable safety profiles versus entrectinib in treating tropomyosin receptor kinase fusion cancer.

Indexed as

clinical efficacyentrectiniblarotrectinibNTRK gene fusionsafety

Identifiers

PMID35406565
PMCPMC8997457

What OpenQuestion holds

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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.