Evidence map›Paper›PMID 35688802›Full record

Trial reportNature communications2022

Results of the phase IIa RADICAL trial of the FGFR inhibitor AZD4547 in endocrine resistant breast cancer.

R C Coombes, P D Badman, J P Lozano-Kuehne, X Liu, I R Macpherson, I Zubairi, R D Baird, N Rosenfeld, J Garcia-Corbacho, N Cresti and 11 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01791985 (A Single Arm Phase IIa Study), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.5field-weighted citation impact, top 3% 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.

NCT01791985 phase1 / phase2completednot on this map

A Single Arm Phase IIa Study (With Combination SRI) to Assess the Safety & Efficacy of AZD4547 in Combination With Either Anastrozole or Letrozole in ER+ Breast Cancer Patients Who Have Progressed on Treatment With Anastrozole or Letrozole

TypeinterventionalSponsorImperial College LondonRan2012 to 2018Enrolled52ConditionsBreast CancerArmsAZD4547 / anastrozole or letrozole
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Review
  3. FGFR Inhibitor AZD4547 Disrupts Inflammatory CAF Crosstalk With Cancer Cells and Macrophages and Attenuates Metastasis in Pancreatic Cancer.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Phase Ib Trial of Fulvestrant, Palbociclib, and Erdafitinib, a pan-FGFR Tyrosine Kinase Inhibitor, in HR+/HER2- Metastatic Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  17. Article
  18. Article
  19. Targeting p-FGFR1Biomedicines · 2025
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 7 institutions in 2 countries.

R C CoombesDepartment of Surgery and Cancer, Imperial College London, London, UK. c.coombes@imperial.ac.uk.ORCID http://orcid.org/0000-0002-4811-1100
P D BadmanDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-0337-3190
J P Lozano-KuehneDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7372-0725
X LiuDepartment of Surgery and Cancer, Imperial College London, London, UK.
I R MacphersonCancer Research UK Clinical Trials Unit, Beatson West of Scotland Cancer Centre, Glasgow, UK.ORCID http://orcid.org/0000-0003-4295-8885
I ZubairiCancer Research UK Clinical Trials Unit, Beatson West of Scotland Cancer Centre, Glasgow, UK.
R D BairdMedical Oncology, Addenbrooke's Hospital, Breast Cancer Research Unit, Cancer Research UK Cambridge Centre, Cambridge, UK.ORCID http://orcid.org/0000-0001-7071-6483
N RosenfeldMedical Oncology, Addenbrooke's Hospital, Breast Cancer Research Unit, Cancer Research UK Cambridge Centre, Cambridge, UK.ORCID http://orcid.org/0000-0002-2825-4788
J Garcia-CorbachoMedical Oncology, Addenbrooke's Hospital, Breast Cancer Research Unit, Cancer Research UK Cambridge Centre, Cambridge, UK.ORCID http://orcid.org/0000-0002-6109-8449
N CrestiSir Bobby Robson Cancer Trials Research Centre, Northern Centre for Cancer Care, Freeman Hospital, Newcastle, UK.ORCID http://orcid.org/0000-0002-0495-4472
R PlummerSir Bobby Robson Cancer Trials Research Centre, Northern Centre for Cancer Care, Freeman Hospital, Newcastle, UK.
A ArmstrongBreast Research Office, The Christie NHS Foundation Trust, Christie Hospital, Manchester, UK.
R AllertonC8 Admin Offices, Russell's Hall Hospital, Russells Hall, UK.
D LandersAstrazeneca, Cheshire, UK.ORCID http://orcid.org/0000-0001-8376-9779
H NicholasDepartment of Surgery and Cancer, Imperial College London, London, UK.
L McLellanECMC Programme Office, Research and Innovation, Cancer Research UK, London, UK.
A LimDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
F MouliereMedical Oncology, Addenbrooke's Hospital, Breast Cancer Research Unit, Cancer Research UK Cambridge Centre, Cambridge, UK.ORCID http://orcid.org/0000-0001-7043-0514
O E PardoDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-2223-1435
V FergusonDepartment of Surgery and Cancer, Imperial College London, London, UK.
M J SecklDepartment of Surgery and Cancer, Imperial College London, London, UK. m.seckl@imperial.ac.uk.ORCID http://orcid.org/0000-0003-4078-2599
Imperial College London · GBCancer Research UK · GBBeatson West of Scotland Cancer Centre · GBFreeman Hospital · GBAstraZeneca (United Kingdom) · GBRussells Hall Hospital · GBThe Christie NHS Foundation Trust · GB

Funding

NTP INFORMATION SYSTEMS SUPPORT27305C0011 · NIEHS · Z-TECH CORPORATION · 2007 to 2009
$4.3M
PROVIDE RABBITS, RATS, MICE, HAMSTERS, GERBILS, GUINEA PIGS27307C0011 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$500k
Cancer Research UK 11906Cancer Research UK 20240Cancer Research UK 28292Cancer Research UK C1312/A12956Department of HealthNIEHS NIH HHS 27305C0011NIEHS NIH HHS 27307C0011NIEHS NIH HHS 27398C0011
6 · The paper itself

Abstract

We conducted a phase IIa, multi-centre, open label, single arm study (RADICAL; NCT01791985) of AZD4547 (a potent and selective inhibitor of Fibroblast Growth Factor Receptor (FGFR)-1, 2 and 3 receptor tyrosine kinases) administered with anastrozole or letrozole in estrogen receptor positive metastatic breast cancer patients who had become resistant to aromatase inhibitors. After a safety run-in study to assess safety and tolerability, we recruited 52 patients. The primary endpoint was change in tumour size at 12 weeks, and secondary endpoints were to assess response at 6 weeks, 20 weeks and every 8 weeks thereafter and tolerability of the combined treatment. Two partial responses (PR) and 19 stable disease (SD) patients were observed at the 12-week time point. At 28 weeks, according to centrally reviewed Response Evaluation Criteria in Solid Tumours (RECIST) criteria, five PR and 8 SD patients were observed in 50 assessable cases. Overall, objective response rate (5 PR) was of 10%, meeting the pre-specified endpoint. Fourteen patients discontinued due to adverse events. Eleven patients had retinal pigment epithelial detachments which was asymptomatic and reversible in all but one patient. Exploratory ribonucleic acid sequencing (RNA-Seq) analysis was done on patients' samples: 6 differentially-expressed-genes could distinguish those who benefited from the addition of AZD4547.

Indexed as

BenzamidesBreast NeoplasmsPiperazinesPyrazolesAntineoplastic AgentsFemaleHumansTreatment OutcomeAntineoplastic AgentsAZD4547BenzamidesPiperazinesPyrazoles

Identifiers

PMID35688802
PMCPMC9187670
OpenAlexW4281675752

What OpenQuestion holds

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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.