Evidence map›Paper›PMID 36636049›Full record

ArticleJournal of gastrointestinal oncology2022

A phase II trial of GSK2256098 and trametinib in patients with advanced pancreatic ductal adenocarcinoma.

Kyaw L Aung, Elaine McWhirter, Stephen Welch, Lisa Wang, Sophia Lovell, Lee-Anne Stayner, Saara Ali, Anne Malpage, Barbara Makepeace, Makilpriya Ramachandran and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.6field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 35 citations in OpenAlex.

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  9. NJournal of experimental & clinical cancer research : CR · 2025
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  12. MRTX1133's promise for treating KRASJournal of gastrointestinal oncology · 2024
    Article
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  15. A Small Molecule with Big Impact: MRTX1133 Targets the KRASG12D Mutation in Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

21 authors at 7 institutions in 1 country.

Kyaw L AungPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Elaine McWhirterJuravanski Cancer Centre, Hamilton, ON, Canada.
Stephen WelchLondon Health Science Centre, London, ON, Canada.
Lisa WangPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Sophia LovellPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Lee-Anne StaynerPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Saara AliOttawa Hospital Cancer Centre, Ottawa, ON, Canada.
Anne MalpageLondon Health Science Centre, London, ON, Canada.
Barbara MakepeaceJuravanski Cancer Centre, Hamilton, ON, Canada.
Makilpriya RamachandranPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Gun Ho JangOntario Institute for Cancer Research, Toronto, ON, Canada.
Steven GallingerOntario Institute for Cancer Research, Toronto, ON, Canada.
Tong ZhangAdvanced Molecular Diagnostics Laboratory, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Tracy L StockleyAdvanced Molecular Diagnostics Laboratory, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Sandra E FischerDepartment of Pathology, University Health Network, Toronto, ON, Canada.
Neesha DhaniPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
David HedleyPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Jennifer J KnoxPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Lillian L SiuPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Rachel GoodwinOttawa Hospital Cancer Centre, Ottawa, ON, Canada.
Philippe L BedardPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Princess Margaret Cancer Centre · CAUniversity Health Network · CAUniversity of Toronto · CAJuravinski Cancer Centre · CALondon Health Sciences Centre · CAOntario Institute for Cancer Research · CAOttawa Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mitogen-activated protein kinase kinase (MEK) is activated by mutated KRAS in >90% of pancreatic ductal adenocarcinoma (PDAC). MEK and focal adhesion kinase (FAK) are frequently co-activated in PDAC providing a rationale for combining trametinib, an oral allosteric MEK1/2 inhibitor, with GSK2256098, an oral FAK inhibitor. Methods: Advanced PDAC patients whose disease progressed after first line palliative chemotherapy were treated with GSK2256098 250 mg twice daily and trametinib 0.5 mg once daily orally. The primary endpoint was clinical benefit (CB; complete response, partial response, or stable disease ≥24 weeks). Twenty-four patients were planned to enroll using a 2-stage minimax design (P Results: Sixteen patients were enrolled and 11 were response evaluable. Of those 11, 10 had progressive disease as best tumor response and one had stable disease for 4 months. No treatment related grade ≥3 adverse events (AEs) were observed. The median progression free survival (PFS) was 1.6 (95% CI: 1.5-1.8) months and the median overall survival (OS) was 3.6 (95% CI: 2.7-not reached) months. One response-inevaluable patient achieved clinical stability for 5 months with reduction in CA19-9 and ctDNA levels with a MAP2K1 treatment resistance mutation detected in ctDNA at clinical progression. Conclusions: The combination of GSK2256098 and trametinib was well tolerated but was not active in unselected advanced PDAC.

Indexed as

FAK inhibitionGSK2256098MEK inhibitionPancreatic adenocarcinoma (PDAC)trametinib

Identifiers

PMID36636049
PMCPMC9830369
OpenAlexW4313416609

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.