Evidence map›Paper›PMID 36037567›Full record

Trial reportESMO open2022

Lurbinectedin, a selective inhibitor of oncogenic transcription, in patients with pretreated germline BRCA1/2 metastatic breast cancer: results from a phase II basket study.

V Boni, B Pistilli, I Braña, G I Shapiro, J Trigo, V Moreno, D Castellano, C Fernández, C Kahatt, V Alfaro and 8 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in ESMO open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02454972 (A Multicenter Phase II Clinical Trial of Lurbinectedin), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT02454972 phase2completednot on this map

A Multicenter Phase II Clinical Trial of Lurbinectedin (PM01183) in Selected Advanced Solid Tumors

TypeinterventionalSponsorPharmaMarRan2015 to 2020Enrolled345ConditionsAdvanced Solid TumorsArmslurbinectedin (PM01183)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

18 authors at 13 institutions in 4 countries.

V BoniSTART Madrid-CIOCC, Centro Integral Oncológico Clara Campal, Madrid, Spain.
B PistilliGustave Roussy, Villejuif, France.
I BrañaHospital Universitario Vall D'Hebron (VHIO), Barcelona, Spain.
G I ShapiroDana-Farber Cancer Institute, Boston, USA.
J TrigoHospital Universitario Virgen De La Victoria, IBIMA, Málaga, Spain.
V MorenoSTART Madrid-FJD, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
D CastellanoHospital Universitario 12 de Octubre, Madrid, Spain.
C FernándezPharmaMar, Colmenar Viejo, Madrid, Spain.
C KahattPharmaMar, Colmenar Viejo, Madrid, Spain.
V AlfaroPharmaMar, Colmenar Viejo, Madrid, Spain.
M SigueroPharmaMar, Colmenar Viejo, Madrid, Spain.
A ZeaiterPharmaMar, Colmenar Viejo, Madrid, Spain.
F LongoHospital Universitario Ramón y Cajal, Madrid, Spain.
K ZamanUniversity Hospital CHUV, Lausanne, Switzerland.
A AntónHospital Universitario Miguel Servet, Zaragoza, Spain.
A ParedesHospital Universitario Donostia, Donostia-San Sebastián, Spain.
G HuidobroHospital Universitario de Vigo Alvaro Cunqueiro, Pontevedra, Spain.
V SubbiahThe University of Texas MD Anderson Cancer Center, Houston, USA. Electronic address: vsubbiah@mdanderson.org.
PharmaMar (Spain) · ESBoston University · USHospital Universitario 12 De Octubre · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Miguel Servet · ESHospital Universitario Quirónsalud Madrid · ESHospital Universitario Ramón y Cajal · ESInstitut Gustave Roussy · FRInstituto de Investigación Biomédica de Málaga · ESThe University of Texas MD Anderson Cancer Center · USUniversity Hospital Complex Of Vigo · ESUniversity Hospital of Lausanne · CHVall d'Hebron Hospital Universitari · ES

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
Blocking tumor progression in therapy-responsive RET aberration-associated cancerR01CA242845 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI AHNERT, JORDI RODON, MOOERS, BLAINE H. M. · 2020 to 2024
$1.9M
Informatics to enable routine personalized cancer therapyU01CA180964 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BERNSTAM, ELMER V., MERIC-BERNSTAM, FUNDA · 2013 to 2015
$964k
NCATS NIH HHS UL1 TR000371NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA242845NCI NIH HHS U01 CA180964
6 · The paper itself

Abstract

backgroundLurbinectedin, a selective inhibitor of oncogenic transcription, has shown preclinical antitumor activity against homologous recombination repair-deficient models and preliminary clinical activity in BRCA1/2 breast cancer. PATIENTS AND

methodsThis phase II basket multitumor trial (NCT02454972) evaluated lurbinectedin 3.2 mg/m

resultsConfirmed partial response (PR) was observed in six patients [ORR = 28.6%; 95% confidence interval (CI) 11.3% to 52.2%] who had received a median of two prior advanced chemotherapy lines. Lurbinectedin was active in both BRCA mutations: four PRs in 11 patients (36.4%) with BRCA2 and two PRs in 10 patients (20.0%) with BRCA1. Median DoR was 8.6 months, median PFS was 4.1 months and median OS was 16.1 months. Stable disease (SD) was observed in 10 patients (47.6%), including 3 with unconfirmed response in a subsequent tumor assessment [ORR unconfirmed = 42.9% (95% CI 21.8% to 66.0%)]. Clinical benefit rate (PR + SD ≥ 4 months) was 76.2% (95% CI 52.8% to 91.8%). No objective response was observed among patients who had received prior poly (ADP-ribose) polymerase inhibitors. The most common treatment-related adverse events (AEs) were nausea (61.9%), fatigue (38.1%) and vomiting (23.8%). These AEs were mostly grade 1/2. The most common grade 3/4 toxicity was neutropenia (42.9%: grade 4, 23.8%: with no febrile neutropenia).

conclusionsThis phase II study met its primary endpoint and showed activity of lurbinectedin in germline BRCA1/2 breast cancer. Lurbinectedin showed a predictable and manageable safety profile. Considering the exploratory aim of this trial as well as previous results in other phase II studies, further development of lurbinectedin in this indication is warranted.

Indexed as

Breast NeoplasmsNeutropeniaAdenosine DiphosphateBRCA1 ProteinCarbolinesFemaleGenes, BRCA1Genes, BRCA2Germ CellsGerm-Line MutationHeterocyclic Compounds, 4 or More RingsHormonesHumansPoly(ADP-ribose) Polymerase InhibitorsRiboseAdenosine DiphosphateBRCA1 ProteinBRCA1 protein, humanCarbolinesHeterocyclic Compounds, 4 or More RingsHormonesPM 01183Poly(ADP-ribose) Polymerase InhibitorsRiboseBRCA1BRCA2breast cancerlurbinectedinphase IIresponse rate

Identifiers

PMID36037567
PMCPMC9588879
OpenAlexW4293375172

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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.