Evidence map›Paper›PMID 38102226›Full record

Trial reportBritish journal of cancer2024

Phase II trial of afatinib in patients with advanced urothelial carcinoma with genetic alterations in ERBB1-3 (LUX-Bladder 1).

Albert Font, Begona Mellado, Miguel A Climent, Juan Antonio Virizuela, Stephane Oudard, Javier Puente, Daniel Castellano, Aranzazu González-Del-Alba, Alvaro Pinto, Rafael Morales-Barrera and 11 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02780687 (LUX-Bladder 1), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT02780687 phase2completednot on this map

LUX-Bladder 1: Phase II Open Label Single Arm Exploratory Trial of Oral Afatinib Monotherapy Following Platinum Failure for Patients With Advanced/Metastatic Urothelial Tract Carcinoma With Genetic Alterations in ERBB Receptors.

TypeinterventionalSponsorBoehringer IngelheimRan2016 to 2019Enrolled42ConditionsUrologic NeoplasmsArmsAfatinib
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Towards biomarker-driven therapies for urothelial carcinoma.Nature reviews. Clinical oncology · 2026
    Review
  4. Review
  5. Review
  6. 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

21 authors at 16 institutions in 5 countries.

Albert Font *Medical Oncology Department, Institut Català d'Oncologia, Badalona Applied Research Group in Oncology (BARGO), Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. afont@iconcologia.net.ORCID 0000-0003-3908-1111
Begona Mellado *Medical Oncology Department, Hospital Clínic de Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain. bmellado@clinic.cat.
Miguel A ClimentMedical Oncology Department, Instituto Valenciano de Oncología (IVO), València, Spain.
Juan Antonio VirizuelaMedical Oncology Service, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Stephane OudardMedical Oncology Department, Hôpital Européen George Pompidou, University of Paris, Paris, France.
Javier PuenteMedical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), CIBERONC, Madrid, Spain.
Daniel CastellanoMedical Oncology Department, Hospital Universitario 12 de Octubre, Madrid, Spain.
Aranzazu González-Del-AlbaMedical Oncology Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain.
Alvaro PintoMedical Oncology Department, Hospital Universitario La Paz, Instituto de Investigacion Sanitaria Hospital La Paz (IdiPAZ), Madrid, Spain.
Rafael Morales-BarreraVall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Alejo Rodriguez-VidaMedical Oncology Department, Hospital del Mar, IMIM Research Institute, Barcelona, Spain.
Pedro L FernandezPathology Department, Hospital Germans Trias i Pujol, IGTP, Universitat Autònoma de Barcelona, Barcelona, Spain.
Cristina TeixidoPathology Department, Hospital Clínic Barcelona and Institut d'Investigacions Biomèdiques August Pi i Sunyer, Translational Genomics and Targeted Therapeutics in Solid Tumors, Barcelona, Spain.
Pedro JaresMolecular Biology CORE and Pathology Department, Hospital Clínic Barcelona, Barcelona, Spain.
Iban AldecoaPathology Department, Hospital Clínic Barcelona - University of Barcelona and Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Neil GibsonBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach, Germany.
Flavio SolcaBoehringer Ingelheim RCV GmbH & Co. KG, Vienna, Austria.
Shoubhik MondalBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.
Robert M LorenceBoehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT, USA.
Josep SerraBoehringer Ingelheim España, S.A., Barcelona, Spain.
Francisco X RealCentro Nacional de Investigaciones Oncológicas (CNIO), Madrid, Spain. freal@cnio.es.ORCID 0000-0001-9501-498X
Boehringer Ingelheim (United States) · USHospital Clínic de Barcelona · ESUniversitat Autònoma de Barcelona · ESBoehringer Ingelheim (Austria) · ATBoehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Spain) · ESFundación Instituto Valenciano de Oncología · ESHôpital Européen · FRHospital Universitario 12 De Octubre · ESHospital Universitario La Paz · ESHospital Universitario Son Espases · ESHospital Universitario Virgen Macarena · ESInstitut Català d'Oncologia · ESInstituto de Investigación Sanitaria del Hospital Clínico San Carlos · ESUniversitat de Barcelona · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreclinical and early clinical data suggest that the irreversible ErbB family blocker afatinib may be effective in urothelial cancers harbouring ERBB mutations.

methodsThis open-label, phase II, single-arm trial (LUX-Bladder 1, NCT02780687) assessed the efficacy and safety of second-line afatinib 40 mg/d in patients with metastatic urothelial carcinoma with ERBB1-3 alterations. The primary endpoint was 6-month progression-free survival rate (PFS6) (cohort A); other endpoints included ORR, PFS, OS, DCR and safety (cohorts A and B). Cohort A was planned to have two stages: stage 2 enrolment was based on observed antitumour activity.

resultsThirty-four patients were enroled into cohort A and eight into cohort B. In cohorts A/B, PFS6 was 11.8%/12.5%, ORR was 5.9%/12.5%, DCR was 50.0%/25.0%, median PFS was 9.8/7.8 weeks and median OS was 30.1/29.6 weeks. Three patients (two ERBB2-amplified [cohort A]; one EGFR-amplified [cohort B]) achieved partial responses. Stage 2 for cohort A did not proceed. All patients experienced adverse events (AEs), most commonly (any/grade 3) diarrhoea (76.2%/9.5%). Two patients (4.8%) discontinued due to AEs and one fatal AE was observed (acute coronary syndrome; not considered treatment-related).

conclusionsAn exploratory biomarker analysis suggested that basal-squamous tumours and ERBB2 amplification were associated with superior response to afatinib. CLINICAL

trial registrationNCT02780687.

Indexed as

AfatinibCarcinoma, Transitional CellUrinary Bladder NeoplasmsHumansMutationUrinary BladderAfatinib

Identifiers

PMID38102226
PMCPMC10844502
OpenAlexW4389784708

What OpenQuestion holds

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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.