Evidence map›Paper›PMID 38211393›Full record

Trial reportGynecologic oncology2024

Targeting HER2-mutant metastatic cervical cancer with neratinib: Final results from the phase 2 SUMMIT basket trial.

Claire F Friedman, Anishka D'Souza, Diana Bello Roufai, Anna V Tinker, Maria de Miguel, Valentina Gambardella, Jonathan Goldman, Sherene Loi, Michelle E Melisko, Ana Oaknin and 9 more

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

Trial report in Gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01953926 (An Open-Label, Phase 2 Basket Study of Neratinib in Patients With Solid Tumors With Somatic Activating HER Mutations), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

NCT01953926 phase2terminatednot on this map

An Open-Label, Phase 2 Basket Study of Neratinib in Patients With Solid Tumors With Somatic Activating HER Mutations

TypeinterventionalSponsorPuma Biotechnology, Inc.Ran2013 to 2023Enrolled582ConditionsSolid Tumors Harboring Somatic HER2 or EGFR Exon 18 MutationsArmsNeratinib, Fulvestrant, Trastuzumab, Paclitaxel
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Advances in Targeting HER2 across Cancer Subtypes: A Pan-Tumor Approach.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  5. Review
  6. Research Progress of HER2 in Cervical Carcinoma.Cancer management and research · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Treatment advances across the cervical cancer spectrum.Nature reviews. Clinical oncology · 2025
    Review
  13. HER2-targeted therapies beyond breast cancer - an update.Nature reviews. Clinical oncology · 2024
    Review
  14. 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

19 authors at 14 institutions in 6 countries.

Claire F FriedmanMemorial Sloan Kettering Cancer Center, New York, NY, USA; Weill Cornell Medical College, New York, NY, USA. Electronic address: friedmac@mskcc.org.
Anishka D'SouzaUSC Norris Comprehensive Cancer Center, Los Angeles, CA, USA.
Diana Bello RoufaiDepartment of Medical Oncology, Institut Curie, Saint Cloud, France.
Anna V TinkerBC Cancer-Vancouver, Vancouver, British Columbia, Canada.
Maria de MiguelRamón y Cajal University Hospital, Madrid, Spain.
Valentina GambardellaHospital Clínico Universitario de Valencia, Valencia, Spain.
Jonathan GoldmanThe David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Sherene LoiPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Michelle E MeliskoUCSF Early Phase Investigational Therapeutics, University of California San Francisco, San Francisco, CA, USA.
Ana OakninGynecological Cancer Program, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, Barcelona, Spain.
Iben SpanggaardUniversity Hospital, Rigshospitalet, Copenhagen, Denmark.
Geoffrey I ShapiroDana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Adam C ElNaggarWest Cancer Center and Research Institute, Memphis, TN, USA.
Stefano PanniCremona Hospital, Cremona, Italy.
Vignesh RavichandranMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Aimee L FrazierPuma Biotechnology Inc, Los Angeles, CA, USA.
Daniel DiPrimeoPuma Biotechnology Inc, Los Angeles, CA, USA.
Lisa D EliPuma Biotechnology Inc, Los Angeles, CA, USA.
David B SolitMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Memorial Sloan Kettering Cancer Center · USPuma Biotechnology (United States) · USHarvard University · USHospital Clínico Universitario de Valencia · ESInstitut Curie · FRInstituto Cajal · ESIstituti Ospitalieri di Cremona · ITPeter MacCallum Cancer Centre · AURigshospitalet · DKUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUSC Norris Comprehensive Cancer Center · USVall d'Hebron Hospital Universitari · ESWest Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveHER2 mutations are associated with poor prognosis and are detected in 3-6% of cervical cancers. Neratinib, an irreversible pan-HER tyrosine kinase inhibitor, had activity in several HER2-mutant cancer types in the phase 2 SUMMIT basket study. We present updated and final results from the cervical cancer cohort of SUMMIT.

methodsEligible patients had HER2-mutant, metastatic or recurrent cervical cancer progressing after platinum-based treatment for advanced/recurrent disease. Patients received neratinib 240 mg/day; loperamide was mandatory during cycle 1. Confirmed objective response rate (ORR) was the primary endpoint. Duration of response (DoR), clinical benefit rate (CBR), progression-free survival (PFS), and safety were secondary endpoints.

resultsTwenty-two patients were enrolled; 18 (81.8%) had endocervical adenocarcinoma; median two prior systemic chemotherapy regimens (range 1-4). The most common HER2 variant was S310F/Y mutation (n = 13; 59.1%). Four patients had confirmed partial responses (ORR 18.2%; 95% CI 5.2-40.3); 6 had stable disease ≥16 weeks (CBR 45.5%; 95% CI 24.4-67.8). Median DoR was 7.6 months (95% CI 5.6-12.3). Median PFS was 5.1 months (95% CI 1.7-7.2). All-grade diarrhea (90.9%), nausea (54.5%), and constipation (54.5%) were the most common adverse events. Five patients (22.7%) reported grade 3 diarrhea. There were no grade 4 adverse events, no diarrhea-related treatment discontinuations, and two grade 5 adverse events, unrelated to neratinib: dyspnea (n = 1) and embolism (n = 1).

conclusionsNeratinib resulted in durable responses and disease control in patients with HER2-mutant metastatic/recurrent cervical cancer in SUMMIT. These findings support next-generation sequencing and tailored therapy for select patients with advanced cervical cancer. All responses occurred in patients with endocervical adenocarcinoma. Further assessment of neratinib in this setting is warranted. TRIAL REGISTRATION NUMBER: NCT01953926 (ClinicalTrials.gov), 2013-002872-42 (EudraCT).

Indexed as

AdenocarcinomaQuinolinesUterine Cervical NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsDiarrheaErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm Recurrence, LocalTreatment OutcomeErb-b2 Receptor Tyrosine KinasesneratinibQuinolinesCervical cancerClinical trialHER2 mutationNeratinibTyrosine kinase inhibitor

Identifiers

PMID38211393
PMCPMC10922668
OpenAlexW4390764220

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.