Evidence map›Paper›PMID 37040046›Full record

ArticleInvestigational new drugs2023

Results of an open-label phase 1b study of the ERK inhibitor MK-8353 plus the MEK inhibitor selumetinib in patients with advanced or metastatic solid tumors.

Anastasios Stathis, Anthony W Tolcher, Judy S Wang, Daniel J Renouf, Lin-Chi Chen, Leah H Suttner, Tomoko Freshwater, Andrea L Webber, Tapan Nayak, Lillian L Siu

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Investigational new drugs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03745989 (Phase 1b Open-label Study of MK-8353 in Combination With Selumetinib), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-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.

NCT03745989 phase1completednot on this map

Phase 1b Open-label Study of MK-8353 in Combination With Selumetinib (MK-5618) in Participants With Advanced/Metastatic Solid Tumors

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2019 to 2021Enrolled30ConditionsSolid TumorsArmsMK-8353, Selumetinib
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 5 institutions in 3 countries.

Anastasios StathisOncology Institute of Southern Switzerland, EOC, via A. Gallino 12, Bellinzona 6500, Switzerland. anastasios.stathis@eoc.ch.
Anthony W TolcherNEXT Oncology, San Antonio, TX, USA.
Judy S WangFlorida Cancer Specialists/Sarah Cannon Research Institute, Sarasota, FL, USA.
Daniel J RenoufBC Cancer-Vancouver Center, Vancouver, BC, Canada.
Lin-Chi ChenMerck & Co., Inc., Rahway, NJ, USA.
Leah H SuttnerMerck & Co., Inc., Rahway, NJ, USA.
Tomoko FreshwaterMerck & Co., Inc., Rahway, NJ, USA.
Andrea L WebberMerck & Co., Inc., Rahway, NJ, USA.
Tapan NayakMerck & Co., Inc., Rahway, NJ, USA.
Lillian L SiuPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USInstitute of Oncology Research · CHPrincess Margaret Cancer Centre · CASarah Cannon · USTexas Oncology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe evaluated MK-8353 (small molecule inhibitor of extracellular signal-regulated kinase 1/2) plus selumetinib (mitogen-activated extracellular signal-regulated kinase 1/2 inhibitor) in patients with advanced solid tumors.

methodsThis phase 1b, open-label, dose-escalation study (NCT03745989) enrolled adults with histologically/cytologically documented, locally advanced/metastatic solid tumors. MK-8353/selumetinib dose combinations were intended to be investigated in sequence: 50/25, 100/50, 150/75, 200/75, 200/100, and 250/100. Each agent was administered orally BID 4 days on/3 days off in repeating cycles every 21 days. Primary objectives were safety and tolerability and to establish preliminary recommended phase 2 doses for combination therapy.

resultsThirty patients were enrolled. Median (range) age was 61.5 (26-78) years and 93% had received previous cancer therapy. Among 28 patients in the dose-limiting toxicities [DLT]-evaluable population, 8 experienced DLTs: 1/11 (9%) in the MK-8353/selumetinib 100/50-mg dose level experienced a grade 3 DLT (urticaria), and 7/14 (50%) in the 150/75-mg dose level experienced grade 2/3 DLTs (n = 2 each of blurred vision, retinal detachment, vomiting; n = 1 each of diarrhea, macular edema, nausea, retinopathy). The DLT rate in the latter dose level exceeded the prespecified target DLT rate (~30%). Twenty-six patients (87%) experienced treatment-related adverse events (grade 3, 30%; no grade 4/5), most commonly diarrhea (67%), nausea (37%), and acneiform dermatitis (33%). Three patients (10%) experienced treatment-related adverse events leading to treatment discontinuation. Best response was stable disease in 14 patients (n = 10 with MK-8353/selumetinib 150/75 mg).

conclusionMK-8353/selumetinib 50/25 mg and 100/50 mg had acceptable safety and tolerability, whereas 150/75 mg was not tolerable. No responses were observed.

Indexed as

NeoplasmsAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBenzimidazolesDiarrheaHumansIndazolesMaximum Tolerated DoseMiddle AgedMitogen-Activated Protein Kinase 3Mitogen-Activated Protein Kinase KinasesNauseaProtein Kinase InhibitorsPyridinesPyrrolidinesAZD 6244BenzimidazolesIndazolesMitogen-Activated Protein Kinase 3Mitogen-Activated Protein Kinase KinasesMK-8353Protein Kinase InhibitorsPyridinesPyrrolidinesTriazolesERK inhibitorMEK inhibitorMK-8353SelumetinibSolid tumorsTolerability

Identifiers

PMID37040046
PMCPMC10289957
OpenAlexW4364353540

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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.