Evidence map›Paper›PMID 36690705›Full record

ArticleNPJ precision oncology2023

Evolution of acquired resistance in a ROS1

Katherine Priest, Anh Le, Amanuail Gebregzabheir, Hala Nijmeh, Gregory B Reis, Melanie Mandell, Kurtis D Davies, Carolyn Lawrence, Emily O'Donnell, Robert C Doebele and 3 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Genomic Landscape of NSCLC in the Republic of Ireland.JTO clinical and research reports · 2024
    Article
  5. Review
  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

13 authors at 1 institution in 1 country.

Katherine PriestDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Anh LeDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Amanuail GebregzabheirDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Hala NijmehDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Gregory B ReisDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Melanie MandellDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Kurtis D DaviesDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Carolyn LawrenceDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Emily O'DonnellDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Robert C DoebeleDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Liming BaoDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Dara L AisnerDepartment of Pathology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.
Erin L SchenkDivision of Medical Oncology, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA. erin.schenk@cuanschutz.edu.ORCID http://orcid.org/0000-0001-9418-9948
University of Colorado Anschutz Medical Campus · US

Funding

Paul Calabresis Award in Clinical Oncology ResearchK12CA086913 · NCI · UNIVERSITY OF COLORADO DENVER · PI VIRGINIA F. BORGES, Jill E Slansky · 2000 to 2026
$17.8M
LUNGevity Foundation (LUNGevity) 25B1267NCI NIH HHS K12 CA086913
6 · The paper itself

Abstract

Patients with metastatic NSCLC bearing a ROS1 gene fusion usually experience prolonged disease control with ROS1-targeting tyrosine kinase inhibitors (TKI), but significant clinical heterogeneity exists in part due to the presence of co-occurring genomic alterations. Here, we report on a patient with metastatic NSCLC with a concurrent ROS1 fusion and KRAS p.G12C mutation at diagnosis who experienced a short duration of disease control on entrectinib, a ROS1 TKI. At progression, the patient continued entrectinib and started sotorasib, a small molecule inhibitor of KRAS p.G12C. A patient-derived cell line generated at progression on entrectinib demonstrated improved TKI responsiveness when treated with entrectinib and sotorasib. Cell-line growth dependence on both ROS1 and KRAS p.G12C was further reflected in the distinct downstream signaling pathways activated by each driver. Clinical benefit was not observed with combined therapy of entrectinib and sotorasib possibly related to an evolving KRAS p.G12C amplification identified on repeated molecular testing. This case supports the need for broad molecular profiling in patients with metastatic NSCLC for potential therapeutic and prognostic information.

Identifiers

PMID36690705
PMCPMC9871013
OpenAlexW4317722130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.