Evidence map›Paper›PMID 36969746›Full record

Trial reportCancer research communications2022

A Phase II Study Investigating Cabozantinib in Patients with Refractory Metastatic Colorectal Cancer (AGICC 17CRC01).

Aaron J Scott, Atrayee Basu Mallick, Efrat Dotan, Steven J Cohen, Philip J Gold, Howard S Hochster, Somasundaram Subramaniam, Afsaneh Barzi, George S Watts, Patrick J Blatchford and 1 more

Open access · goldFull text readClinical Trial, Phase II
In one paragraph

Trial report in Cancer research communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. The MET Oncogene: An Update on Targeting Strategies.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Cabozantinib for the treatment of solid tumors: a systematic review.Therapeutic advances in medical oncology · 2022
    Review
  12. Article
  13. Review
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

11 authors at 8 institutions in 1 country.

Aaron J ScottDivision of Hematology and Oncology, University of Arizona Cancer Center, Tucson, Arizona.ORCID 0000-0002-0301-3072
Atrayee Basu MallickSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.
Efrat DotanFox Chase Cancer Center, Philadelphia, Pennsylvania.ORCID 0000-0002-5762-512X
Steven J CohenJefferson Health/Abington Hospital, Sidney Kimmel Cancer Center, Philadelphia, Pennsylvania.
Philip J GoldSwedish Cancer Institute, Seattle, Washington.
Howard S HochsterRutgers Cancer Institute of New Jersey, New Brunswick, New Jersey.ORCID 0000-0002-9893-1529
Somasundaram SubramaniamSwedish Cancer Institute, Seattle, Washington.
Afsaneh BarziCity of Hope Comprehensive Cancer Center, Duarte, California.ORCID 0000-0002-0032-2988
George S WattsDivision of Hematology and Oncology, University of Arizona Cancer Center, Tucson, Arizona.
Patrick J BlatchfordColorado School of Public Health, Aurora, Colorado.
Wells A MessersmithUniversity of Colorado Cancer Center, Aurora, Colorado.
Sidney Kimmel Cancer Center · USSwedish Medical Center · USUniversity of Arizona · USCity of Hope · USColorado School of Public Health · USFox Chase Cancer Center · USRutgers, The State University of New Jersey · USUniversity of Colorado Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Multi-tyrosine kinase inhibitors (TKI) have shown clinical activity in patients with metastatic colorectal cancer. Cabozantinib, a multi-TKI, exhibited potent antitumor activity superior to regorafenib in preclinical colorectal cancer patient-derived tumor xenograft models. This phase II study aimed to investigate cabozantinib, a multi-TKI, in patients with refractory, metastatic colorectal cancer (mCRC). Experimental Design: A nonrandomized, two-stage, phase II clinical trial evaluating 12-week progression-free survival (PFS) was conducted in eight cancer centers across the United States between May 2018 and July 2020. Results: A total of 44 patients were enrolled between May 2018 and May 2019, 40 of which were response evaluable. Of the total 769 reported adverse events (AE), 93 (12%) were ≥ grade 3. Five grade 5 AEs were reported of which four were unrelated to study drug and one was reported as possibly related due to bowel perforation. Eighteen patients (45%) achieved 12-week PFS with stable disease or better (confidence interval, 0.29-0.62; Conclusions: This phase II study demonstrated clinical activity of cabozantinib in heavily pretreated, patients with refractory mCRC, and supports further investigation. Significance: Targeting angiogenesis through VEGF axis blockade provides incremental survival benefit in patients with mCRC. The hepatocyte growth factor/MET signal transduction pathway has been observed as a mechanism for acquired resistance. Dual inhibition of VEGF plus MET is an attractive therapeutic strategy. This phase II trial demonstrated clinical activity with cabozantinib, a multi-TKI targeting VEGFR2 and MET, in patients with refractory, mCRC.

Indexed as

Colorectal NeoplasmsVascular Endothelial Growth Factor AAnilidesHumansPhenylurea CompoundsProspective StudiesPyridinesAnilidescabozantinibPhenylurea CompoundsPyridinesregorafenibVascular Endothelial Growth Factor A

Identifiers

PMID36969746
PMCPMC10035393
OpenAlexW4295865084

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read153
identifiers read6
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.