Evidence map›Paper›PMID 37233987›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2023

Phase II Study of Docetaxel and Trametinib in Patients with KRAS Mutation Positive Recurrent Non-Small Cell Lung Cancer (NSCLC; SWOG S1507, NCT-02642042).

Shirish M Gadgeel, Jieling Miao, Jonathan W Riess, James Moon, Philip C Mack, Gregory J Gerstner, Timothy F Burns, Asma Taj, Wallace L Akerley, Konstantin H Dragnev and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Chemo-photothermal synergy ignites antitumor immunity via ferroptosis.Signal transduction and targeted therapy · 2026
    Article
  4. Article
  5. Precision immune regulation in KRAS-mutated cancers: the final piece of the puzzle?Journal of experimental & clinical cancer research : CR · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Targeting MEK in non-small cell lung cancer.Current problems in cancer · 2024
    Review
  12. Targeting KRAS-Mutated NSCLC: Novel TKIs and Beyond.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. TargetingInternational journal of molecular sciences · 2020
    Review
  18. New Horizons inFrontiers in oncology · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Shirish M GadgeelHenry Ford Cancer/Henry Ford Health, Detroit, Michigan.ORCID 0000-0001-5240-3811
Jieling MiaoSWOG Statistical and Data Management Center, Seattle, Washington.ORCID 0009-0008-9540-453X
Jonathan W RiessUniversity of California, Davis, Sacramento, California.ORCID 0000-0001-7370-7304
James MoonSWOG Statistical and Data Management Center, Seattle, Washington.ORCID 0009-0009-4195-6694
Philip C MackMount Sinai Hospital, New York, New York.ORCID 0000-0003-4750-3812
Gregory J GerstnerHeartland NCORP/Illinois Cancer Care-Peoria, Peoria, Illinois.ORCID 0009-0008-3072-7901
Timothy F BurnsUniversity of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-8685-3762
Asma TajMichigan CRC NCORP/St. Mary's of Michigan, Saginaw, Michigan.ORCID 0000-0003-2789-2603
Wallace L AkerleyUniversity of Utah, Salt Lake City, Utah.ORCID 0000-0002-3090-4778
Konstantin H DragnevDartmouth Cancer Center, Lebanon, New Hampshire.ORCID 0000-0001-8277-6993
Noel LaudiMercy Hospital/Minnesota Community Oncology Research Consortium, Coon Rapids, Minnesota.ORCID 0000-0002-6159-7707
Mary W RedmanSWOG Statistical and Data Management Center, Seattle, Washington.ORCID 0000-0003-2294-9674
Jhanelle E GrayMoffitt Cancer Center, Tampa, Florida.ORCID 0000-0003-1304-7062
David R Gandara *University of California, Davis, Sacramento, California.ORCID 0000-0003-1784-048X
Karen Kelly *University of California, Davis, Sacramento, California.ORCID 0000-0002-2235-6636
Fred Hutch Cancer Center · USUniversity of California, Davis · USDartmouth College · USHenry Ford Health System · USIllinois CancerCare · USMetro-Minnesota Community Oncology Research Consortium · USMoffitt Cancer Center · USMount Sinai Hospital · USSt. Mary's Medical Center · USUniversity of Pittsburgh · USUniversity of Utah · US

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Michael L. LeBlanc · 2014 to 2026
$115.2M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
Metro-Minnesota Community Oncology Research Consortium (MMCORC)UG1CA189863 · NCI · PARK NICOLLET INSTITUTE · PI JOLEEN M HUBBARD, Yan Ji · 2014 to 2026
$43.2M
Heartland Cancer Research NCORPUG1CA189830 · NCI · DECATUR MEMORIAL HOSPITAL · PI Bryan A. Faller · 2014 to 2026
$40.9M
SWOG U24 Funding for 2026-2027U24CA196175 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI James Michael Rae, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$37.6M
Michigan Cancer Research Consortium NCORPUG1CA189971 · NCI · SAINT JOSEPH MERCY HEALTH SYSTEM · PI Tareq Al baghdadi · 2014 to 2026
$36.6M
Huntsman Cancer Institute/ University of Utah Network Lead Academic Participating Site ApplicationUG1CA233178 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Matthew Poppe, Heloisa Prado Soares · 2019 to 2026
$4.9M
UCDCCC NCTN UG1 PROGRAMUG1CA233340 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GANDARA, DAVID R, VALICENTI, RICHARD · 2019 to 2025
$3.7M
NCI NIH HHS P30 CA076292NCI NIH HHS P30 CA093373NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180888NCI NIH HHS U24 CA196175NCI NIH HHS UG1 CA189830NCI NIH HHS UG1 CA189863NCI NIH HHS UG1 CA189971NCI NIH HHS UG1 CA233178NCI NIH HHS UG1 CA233323NCI NIH HHS UG1 CA233340
6 · The paper itself

Abstract

purposeEfficacy of MEK inhibitors in KRAS+ NSCLC may differ based on specific KRAS mutations and comutations. Our hypothesis was that docetaxel and trametinib would improve activity in KRAS+ NSCLC and specifically in KRAS G12C NSCLC. PATIENTS AND

methodsS1507 is a single-arm phase II study assessing the response rate (RR) with docetaxel plus trametinib in recurrent KRAS+ NSCLC and secondarily in the G12C subset. The accrual goal was 45 eligible patients, with at least 25 with G12C mutation. The design was two-stage design to rule out a 17% RR, within the overall population at the one-sided 3% level and within the G12C subset at the 5% level.

resultsBetween July 18, 2016, and March 15, 2018, 60 patients were enrolled with 53 eligible and 18 eligible in the G12C cohort. The RR was 34% [95% confidence interval (CI), 22-48] overall and 28% (95% CI, 10-53) in G12C. Median PFS and OS were 4.1 and 3.3 months and 10.9 and 8.8 months, overall and in the subset, respectively. Common toxicities were fatigue, diarrhea, nausea, rash, anemia, mucositis, and neutropenia. Among 26 patients with known status for TP53 (10+ve) and STK11 (5+ve), OS (HR, 2.85; 95% CI, 1.16-7.01), and RR (0% vs. 56%, P = 0.004) were worse in patients with TP53 mutated versus wild-type cancers.

conclusionsRRs were significantly improved in the overall population. Contrary to preclinical studies, the combination showed no improvement in efficacy in G12C patients. Comutations may influence therapeutic efficacy of KRAS directed therapies and are worthy of further evaluation. See related commentary by Cantor and Aggarwal, p. 3563.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsDocetaxelHumansMutationNeoplasm Recurrence, LocalProto-Oncogene Proteins p21(ras)PyridonesPyrimidinonesDocetaxelKRAS protein, humanProto-Oncogene Proteins p21(ras)PyridonesPyrimidinonestrametinib

Identifiers

PMID37233987
PMCPMC10526968
OpenAlexW4378349065

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Registered trials

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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.