Evidence map›Paper›PMID 37992310›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2024

A Phase I/II Study of GSK525762 Combined with Fulvestrant in Patients with Hormone Receptor-positive/HER2-negative Advanced or Metastatic Breast Cancer.

David W Cescon, John Hilton, Serafin Morales Murilo, Rachel M Layman, Timothy Pluard, Belinda Yeo, In Hae Park, Louise Provencher, Sung-Bae Kim, Young-Hyuck Im and 10 more

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
2.8field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Epigenetics-targeted drugs: current paradigms and future challenges.Signal transduction and targeted therapy · 2024
    Review
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  10. 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

20 authors at 13 institutions in 6 countries.

David W CesconPrincess Margaret Cancer Center, University Health Network and University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-1080-0998
John HiltonOttawa Hospital Cancer Center, Ottawa, Ontario, Canada.ORCID 0000-0002-6280-8633
Serafin Morales MuriloLleida Biomedical Research Institute, Lleida, Spain.ORCID 0000-0001-7445-4193
Rachel M LaymanMD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-8663-0331
Timothy PluardSaint Luke's Cancer Institute, Kansas City, Missouri.ORCID 0000-0002-3640-3077
Belinda YeoOlivia Newton-John Cancer Research and Wellness Centre and Olivia Newton-John Cancer Research Institute, Austin Health, Melbourne, Australia.ORCID 0000-0002-9218-9917
In Hae ParkNational Cancer Center, Goyang, Republic of South Korea.ORCID 0000-0001-7894-8772
Louise ProvencherCHU de Québec-Laval University, Québec City, Québec, Canada.ORCID 0009-0001-3463-8649
Sung-Bae KimAsan Medical Center, Seoul, Republic of South Korea.ORCID 0000-0001-5588-8332
Young-Hyuck ImSamsung Medical Center, Seoul, Republic of South Korea.ORCID 0000-0001-6459-8118
Anastasia WyceGSK, Collegeville, Pennsylvania.ORCID 0000-0003-2294-3096
Anu Shilpa KrishnatryGSK, Collegeville, Pennsylvania.ORCID 0000-0002-8768-9896
Kirsty HicksGSK, Collegeville, Pennsylvania.ORCID 0009-0005-4966-7388
Qu ZhangGSK, Collegeville, Pennsylvania.ORCID 0000-0001-5220-2665
Olena BarbashGSK, Collegeville, Pennsylvania.ORCID 0000-0001-7144-5603
Ahmed KhaledGSK, Collegeville, Pennsylvania.ORCID 0000-0003-2233-3394
Thierry HornerGSK, Collegeville, Pennsylvania.ORCID 0000-0002-8248-6993
Arindam DharGSK, Collegeville, Pennsylvania.ORCID 0000-0002-7929-0877
Mafalda OliveiraVall d'Hebron University Hospital and Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-9152-8799
Joseph A SparanoIcahn School of Medicine, Tisch Cancer Institute, New York, New York (formerly Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York).ORCID 0000-0002-9031-2010
GlaxoSmithKline (United States) · USAlbert Einstein College of Medicine · USHebron University · PSKorea University Medical Center · KROlivia Newton-John Cancer Wellness & Research Centre · AUOttawa Hospital · CAPrincess Margaret Cancer Centre · CASaint Luke's Health System · USSamsung Medical Center · KRThe University of Texas MD Anderson Cancer Center · USUlsan College · KRUniversitat de Lleida · ESUniversité Laval · CA

Funding

N/A N/A
6 · The paper itself

Abstract

purposeEndocrine-based therapy is the initial primary treatment option for hormone receptor-positive and human epidermal growth factor receptor 2-negative (HR+/HER2-) metastatic breast cancer (mBC). However, patients eventually experience disease progression due to resistance to endocrine therapy. Molibresib (GSK525762) is a small-molecule inhibitor of bromodomain and extraterminal (BET) family proteins (BRD2, BRD3, BRD4, and BRDT). Preclinical data suggested that the combination of molibresib with endocrine therapy might overcome endocrine resistance. This study aimed to investigate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy [objective response rate (ORR)] of molibresib combined with fulvestrant in women with HR+/HER2- mBC. PATIENTS AND

methodsIn this phase I/II dose-escalation and dose-expansion study, patients received oral molibresib 60 or 80 mg once daily in combination with intramuscular fulvestrant. Patients enrolled had relapsed/refractory, advanced/metastatic HR+/HER2- breast cancer with disease progression on prior treatment with an aromatase inhibitor, with or without a cyclin-dependent kinase 4/6 inhibitor.

resultsThe study included 123 patients. The most common treatment-related adverse events (AE) were nausea (52%), dysgeusia (49%), and fatigue (45%). At a 60-mg dosage of molibresib, >90% of patients experienced treatment-related AE. Grade 3 or 4 treatment-related AE were observed in 47% and 48% of patients treated with molibresib 60 mg and molibresib 80 mg, respectively. The ORR was 13% [95% confidence interval (CI), 8-20], not meeting the 25% threshold for proceeding to phase II. Among 82 patients with detected circulating tumor DNA and clinical outcome at study enrollment, a strong association was observed between the detection of copy-number amplification and poor progression-free survival (HR, 2.89; 95% CI, 1.73-4.83; P < 0.0001).

conclusionsMolibresib in combination with fulvestrant did not demonstrate clinically meaningful activity in this study.

Indexed as

BenzodiazepinesBreast NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBromodomain Containing ProteinsCell Cycle ProteinsDisease ProgressionErb-b2 Receptor Tyrosine KinasesFemaleFulvestrantHumansNuclear ProteinsTranscription FactorsBenzodiazepinesBRD4 protein, humanBromodomain Containing ProteinsCell Cycle ProteinsErb-b2 Receptor Tyrosine KinasesFulvestrantmolibresibNuclear ProteinsTranscription Factors

Identifiers

PMID37992310
PMCPMC10792358
OpenAlexW4388897642

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.