Evidence map›Paper›PMID 35435625›Full record

Trial reportInvestigational new drugs2022

A phase II study of tarloxotinib (a hypoxia activated prodrug of a pan-erb tyrosine kinase inhibitor) in patients with recurrent or metastatic squamous cell carcinoma of the head and neck or skin.

Luke S McLean, Tessa A Morris, Ann Gramza, Stephen Liu, Saad A Khan, A Dimitrios Colevas, Tillman Pearce, Danny Rischin

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Investigational new drugs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02449681 (A Phase 2 Study of Tarloxotinib), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT02449681 phase2terminatednot on this map

A Phase 2 Study of Tarloxotinib (TH-4000) in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck or Skin

TypeinterventionalSponsorRain Oncology IncRan2015 to 2017Enrolled30ConditionsMetastatic Head-and-neck Squamous-cell CarcinomaArmsTH-4000 (Tarloxotinib)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Coenzyme QMolecules (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. 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

8 authors at 5 institutions in 3 countries.

Luke S McLeanDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Tessa A MorrisDepartment of Medicine, University of Otago, Dunedin, New Zealand.
Ann GramzaGeorgetown University, Washington, D.C, United States of America.
Stephen LiuGeorgetown University, Washington, D.C, United States of America.
Saad A KhanUniversity of Texas Southwestern Medical Center, Dallas, Texas, United States of America.
A Dimitrios ColevasStanford University, Stanford, California, United States of America.
Tillman PearceTCellCo, San Francisco, California, United States of America.
Danny RischinDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia. Danny.rischin@petermac.org.
Georgetown University · USPeter MacCallum Cancer Centre · AUSouthern District Health Board · NZStanford University · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTarloxotinib, a hypoxia-activated prodrug of an irreversible pan-ErbB tyrosine kinase inhibitor, represents a novel therapeutic which exploits the tumor-specific hypoxic environment as a mechanism for tumor-specific targeting. This study evaluated the safety and activity of tarloxotinib in recurrent or metastatic (R/M) cutaneous (CSCC) or head and neck squamous cell carcinoma (HNSCC).

methodsThis was a phase II two-stage multi-centre study for patients with R/M HNSCC or CSCC. All patients received tarloxotinib 150 mg/m2 on days 1,8,15 and 22 in a 28-day cycle. Stage 1 enrolled patients in three cohorts: p16-negative HNSCC, p16-positive oropharyngeal SCC, and CSCC. In order for a cohort to proceed to stage 2 a minimum response rate of 5% was required.

results30 patients were enrolled: 23% were female with median age of 63.3 years. The median duration of follow-up was 20 weeks. The median progression-free survival was 2.0 months (95%CI 1.8-3.4) and median overall survival 5.7 months (95%CI 3.6-8.0). Treatment was well tolerated. The objective response rate was 3% with one patient with CSCC having a partial response.

conclusionsHypoxia-activated prodrugs represent a novel approach to cancer treatment, however, no clinically meaningful benefit for tarloxotinib in R/M HNSCC or CSCC was identified in this study. TRIAL REGISTRATION NUMBER: NCT02449681 (May 20, 2015).

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsProdrugsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansHypoxiaMaleMiddle AgedNeoplasm Recurrence, LocalProtein Kinase InhibitorsSquamous Cell Carcinoma of Head and NeckProdrugsProtein Kinase InhibitorsCutaneous squamous cell carcinomaEGFRHead and neck squamous cell carcinomaHypoxia-activated prodrugsPhase II

Identifiers

PMID35435625
OpenAlexW4224016822

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.