Evidence map›Paper›PMID 35983951›Full record

ReviewThe oncologist2022

DLL3 as an Emerging Target for the Treatment of Neuroendocrine Neoplasms.

James Yao, Emily Bergsland, Rahul Aggarwal, Ana Aparicio, Himisha Beltran, Judy S Crabtree, Christine L Hann, Toni Ibrahim, Lauren A Byers, Hironobu Sasano and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in The oncologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
11.7field-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

59 citing papers in PubMed, 79 citations in OpenAlex.

  1. Imaging with [The Lancet. Oncology · 2024
    Trial
  2. Review
  3. Article
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  7. Review
  8. Review
  9. Review
  10. Next-generation anti-DLL3 radiopharmaceuticals targeting high-grade neuroendocrine lung and prostate cancers.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Safety and Efficacy of Tarlatamab in Patients with Neuroendocrine Prostate Cancer: Results from the Phase 1b DeLLpro-300 Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  20. Article
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

12 authors at 9 institutions in 4 countries.

James YaoGastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-1875-3962
Emily BergslandDepartment of Medicine, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Rahul AggarwalDepartment of Medicine, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Ana AparicioThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Himisha BeltranMedical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Judy S CrabtreeDepartment of Genetics, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Christine L HannDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-1467-5557
Toni IbrahimOsteoncology, Bone and Soft Tissue Sarcomas and Innovative Therapies Unit, IRCSS Istituto Ortopedico Rizzoli, Bologna, Italy.
Lauren A ByersThoracic Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Hironobu SasanoDepartment of Pathology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.ORCID 0000-0002-6600-8641
John UmejiegoAmgen Inc., Thousand Oaks, CA, USA.
Marianne PavelDepartment of Medicine 1, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
The University of Texas MD Anderson Cancer Center · USUCSF Helen Diller Family Comprehensive Cancer Center · USAmgen (United States) · USDana-Farber Cancer Institute · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEIstituto Ortopedico Rizzoli · ITJohns Hopkins University · USLouisiana State University Health Sciences Center New Orleans · USTohoku University · JP

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

introductionNeuroendocrine neoplasms (NEN) are heterogeneous malignancies that can arise at almost any anatomical site and are classified as biologically distinct well-differentiated neuroendocrine tumors (NET) and poorly differentiated neuroendocrine carcinomas (NEC). Current systemic therapies for advanced disease, including targeted therapies, chemotherapy, and immunotherapy, are associated with limited duration of response. New therapeutic targets are needed. One promising target is delta-like ligand 3 (DLL3), an inhibitory ligand of the Notch receptor whose overexpression on the surface of NEN is associated with tumorigenesis.

methodsThis article is a narrative review that highlights the role of DLL3 in NEN progression and prognosis, the potential for therapeutic targeting of DLL3, and ongoing studies of DLL3-targeting therapies. Classification, incidence, pathogenesis, and current management of NEN are reviewed to provide biological context and illustrate the unmet clinical needs. DISCUSSION: DLL3 is overexpressed in many NENs, implicated in tumor progression, and is typically associated with poor clinical outcomes, particularly in patients with NEC. Targeted therapies using DLL3 as a homing beacon for cytotoxic activity mediated via several different mechanisms (eg, antibody-drug conjugates, T-cell engager molecules, CAR-Ts) have shown promising clinical activity in small-cell lung cancer (SCLC). DLL3 may be a clinically actionable target across NEN.

conclusionsCurrent treatment options for NEN do not provide sustained responses. DLL3 is expressed on the cell surface of many NEN types and is associated with poor clinical outcomes. Initial clinical studies targeting DLL3 therapeutically in SCLC have been promising, and additional studies are expanding this approach to the broader group of NEN.

Indexed as

Carcinoma, NeuroendocrineLung NeoplasmsNeuroendocrine TumorsSmall Cell Lung CarcinomaHumansIntracellular Signaling Peptides and ProteinsLigandsMembrane ProteinsDLL3 protein, humanIntracellular Signaling Peptides and ProteinsLigandsMembrane ProteinsDLL3 proteinhumanmolecular targeted therapyneuroendocrine carcinomaneuroendocrine tumors

Identifiers

PMID35983951
PMCPMC9632312
OpenAlexW4292299507

What OpenQuestion holds

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LicenceCC BY-NC
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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.