Evidence map›Paper›PMID 38920407›Full record

Trial reportCancer research communications2024

A Phase II Trial of the WEE1 Inhibitor Adavosertib in SETD2-Altered Advanced Solid Tumor Malignancies (NCI 10170).

Edward Maldonado, W Kimryn Rathmell, Geoffrey I Shapiro, Naoko Takebe, Jordi Rodon, Devalingam Mahalingam, Nikolaos A Trikalinos, Arash R Kalebasty, Mamta Parikh, Scott A Boerner and 8 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer research communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03284385 (A Phase 2 Study of AZD1775 in SETD2-Deficient Advanced Solid Tumor Malignancies), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

NCT03284385 phase2active not recruitingnot on this map

A Phase 2 Study of AZD1775 in SETD2-Deficient Advanced Solid Tumor Malignancies

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2019 to 2027Enrolled18ConditionsClear Cell Renal Cell Carcinoma, Locally Advanced Clear Cell Renal Cell Carcinoma, Locally Advanced Malignant Solid Neoplasm, Metastatic Malignant Solid NeoplasmArmsAdavosertib
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Targeting WEE1 Kinase for Breast Cancer Therapeutics: An Update.International journal of molecular sciences · 2025
    Review
  10. Article
  11. Phase I Study of Adavosertib with Radiotherapy and Temozolomide in Newly Diagnosed Glioblastoma and Intratumoral Drug Levels in Recurrent Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  12. 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

18 authors.

Edward MaldonadoUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0002-7018-8462
W Kimryn RathmellVanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-4984-0225
Geoffrey I ShapiroDana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-3331-4095
Naoko TakebeNational Cancer Institute, Bethesda, Maryland.ORCID 0000-0002-5790-4954
Jordi RodonInvestigational Cancer Therapeutics, MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-6467-3632
Devalingam MahalingamNorthwestern University, Evanston, Illinois.ORCID 0000-0002-2979-9894
Nikolaos A TrikalinosWashington University St. Louis, St. Louis, Missouri.ORCID 0000-0001-8611-2182
Arash R KalebastyUniversity of California, Irvine, Irvine, California.ORCID 0000-0002-3701-5084
Mamta ParikhUniversity of California, Davis, Davis, California.ORCID 0000-0002-7300-7452
Scott A BoernerYale University, New Haven, Connecticut.ORCID 0000-0003-1388-9665
Celene BalidoUniversity of California, San Francisco, San Francisco, California.ORCID 0009-0002-7034-1540
Gregor KringsUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0002-5285-0862
Timothy F BurnsUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-8685-3762
Emily K BergslandUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0001-7754-6552
Pamela N MunsterUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0002-2074-0984
Alan AshworthUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0003-1446-7878
Patricia LoRussoYale University, New Haven, Connecticut.ORCID 0000-0001-7144-036X
Rahul R AggarwalUniversity of California, San Francisco, San Francisco, California.ORCID 0000-0001-7003-7982

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
XPO1 inhibitors Selinexor and Eltanexor in Combination with Venetoclax and Decitabine (ASTX727) in AMLUM1CA186709 · NCI · DANA-FARBER CANCER INST · PI KEITH T FLAHERTY, DONALD W. KUFE · 2014 to 2026
$25.9M
ViKTriY-PC Consortium Phase II SupplementUM1CA186689 · NCI · YALE UNIVERSITY · PI Patricia M. LoRusso · 2014 to 2026
$22.2M
Texas EXperimental Cancer Therapeutics Network - TEX CTNUM1CA186688 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI FUNDA MERIC-BERNSTAM, John Sarantopoulos · 2014 to 2026
$20.4M
Phase I Molecular and Clinical Pharmacodynamic Trials ETCTNUM1CA186717 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI A. Dimitrios Colevas, Alexey V. Danilov · 2014 to 2026
$19.8M
NCI ET-CTN with Phase i Emphasis at UPCIUM1CA186690 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD, Farshid Dayyani · 2014 to 2026
$9.1M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA093373NCI NIH HHS UM1 CA186688NCI NIH HHS UM1 CA186689NCI NIH HHS UM1 CA186690NCI NIH HHS UM1 CA186709NCI NIH HHS UM1 CA186717
6 · The paper itself

Abstract

We sought to evaluate the efficacy of WEE1 inhibitor adavosertib in patients with solid tumor malignancies (cohort A) and clear cell renal cell carcinoma (ccRCC; cohort B). NCT03284385 was a parallel cohort, Simon two-stage, phase II study of adavosertib (300 mg QDAY by mouth on days 1-5 and 8-12 of each 21-day cycle) in patients with solid tumor malignancies harboring a pathogenic SETD2 mutation. The primary endpoint was the objective response rate. Correlative assays evaluated the loss of H3K36me3 by IHC, a downstream consequence of SETD2 loss, in archival tumor tissue. Eighteen patients were enrolled (9/cohort). The median age was 60 years (range 45-74). The median duration of treatment was 1.28 months (range 0-24+). No objective responses were observed in either cohort; accrual was halted following stage 1. Minor tumor regressions were observed in 4/18 (22%) evaluable patients. Stable disease (SD) was the best overall response in 10/18 (56%) patients, including three patients with SD > 4 months. One patient with ccRCC remains on treatment for >24 months. The most common adverse events of any grade were nausea (59%), anemia (41%), diarrhea (41%), and neutropenia (41%). Nine patients (50%) experienced a Grade ≥3 adverse event. Of eight evaluable archival tissue samples, six (75%) had a loss of H3K36me3 by IHC. Adavosertib failed to exhibit objective responses in SETD2-altered ccRCC and other solid tumor malignancies although prolonged SD was observed in a subset of patients. Combination approaches may yield greater depth of tumor response. SIGNIFICANCE: WEE1 inhibition with adavosertib monotherapy demonstrated limited clinical activity in patients with SETD2-altered solid tumors despite compelling preclinical data indicating a synthetic lethal effect, which did not translate into robust tumor regression. Loss of the H3K36me3 trimethylation mark caused by SETD2-deficiency was confirmed in the majority of evaluable tumors. A subset of patients derived clinical benefit as manifested by minor tumor regressions and prolonged SD.

Indexed as

Cell Cycle ProteinsHistone-Lysine N-MethyltransferaseProtein-Tyrosine KinasesPyrazolesAgedCarcinoma, Renal CellFemaleHumansKidney NeoplasmsMaleMiddle AgedMutationNeoplasmsPyrimidinonesadavosertibCell Cycle ProteinsHistone-Lysine N-MethyltransferaseProtein-Tyrosine KinasesPyrazolesPyrimidinonesSETD2 protein, humanWEE1 protein, human

Identifiers

PMID38920407
PMCPMC11264598

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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.