Evidence map›Paper›PMID 38992135›Full record

ArticleNature cancer2024

A first-in-class selective inhibitor of EGFR and PI3K offers a single-molecule approach to targeting adaptive resistance.

Christopher E Whitehead, Elizabeth K Ziemke, Christy L Frankowski-McGregor, Rachel A Mumby, June Chung, Jinju Li, Nathaniel Osher, Oluwadara Coker, Veerabhadran Baladandayuthapani, Scott Kopetz and 1 more

Abstract read
In one paragraph

Article in Nature cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

15 citing papers in PubMed.

  1. Article
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  5. Article
  6. Review
  7. Review
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  11. Review
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  13. Review
  14. Uterine organoids reveal insights into epithelial specification and plasticity in development and disease.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Mutational and co-mutational landscape of early onset colorectal cancer.Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals · 2025
    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

11 authors.

Christopher E Whitehead *Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
Elizabeth K Ziemke *Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
Christy L Frankowski-McGregor *Department of Radiology, University of Michigan, Ann Arbor, MI, USA.
Rachel A MumbyDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
June ChungDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Jinju LiDepartment of Biostatistics, The University of Michigan School of Public Health, Ann Arbor, MI, USA.
Nathaniel OsherDepartment of Biostatistics, The University of Michigan School of Public Health, Ann Arbor, MI, USA.
Oluwadara CokerThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Veerabhadran BaladandayuthapaniDepartment of Biostatistics, The University of Michigan School of Public Health, Ann Arbor, MI, USA.
Scott KopetzThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0001-9647-3416
Judith S Sebolt-LeopoldDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA. jssl@med.umich.edu.ORCID 0000-0002-0351-8505

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric R. Fearon · 1988 to 2026
$178.2M
Project 3: Inhibiting Oxidative Phosphorylation in Pancreatic CancerP50CA221707 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT · 2019 to 2023
$11.0M
Translational Pathology CoreP50CA269022 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE, Meredith A Morgan · 2023 to 2026
$10.0M
Biostatistics Training Program in Cancer ResearchT32CA083654 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Veerabhadran Baladandayuthapani, Kelley McLain Kidwell · 2002 to 2026
$4.3M
Overcoming adaptive feedback resistance to KRAS inhibition in colorectal cancerR01CA262805 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Ryan Bruce Corcoran, Scott Kopetz · 2022 to 2026
$3.5M
Combating Resistance of Pancreatic Cancer with a First-in-Class Dual Targeted PI3K/EGFR InhibitorR01CA241764 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEOPOLD, JUDITH S, REHEMTULLA, ALNAWAZ · 2019 to 2023
$2.4M
Development of a Dual and Selective Small Molecule Inhibitor of EGFR and PI3 Kinase to Treat BRAF Mutant Colorectal CancerR01CA220199 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEOPOLD, JUDITH S · 2018 to 2022
$2.3M
Development of MTX-211 for the Treatment of KRAS Mutant Colorectal CancerR44CA213715 · NCI · MEKANISTIC THERAPEUTICS, LLC · PI LEOPOLD, JUDITH S, WHITEHEAD, CHRISTOPHER EMIL · 2019 to 2020
$1.9M
Development of Novel Therapeutic Molecules for Treatment of Squamous Head and Neck CancersR41CA261407 · NCI · MEKANISTIC THERAPEUTICS, LLC · PI LEOPOLD, JUDITH S, WHITEHEAD, CHRISTOPHER EMIL · 2021 to 2022
$449k
Development of Novel Combination Strategies to Overcome Resistance to KRASG12C Inhibition in Colorectal CancersR21CA267412 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEOPOLD, JUDITH S · 2022 to 2023
$397k
NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA221707NCI NIH HHS P50 CA269022NCI NIH HHS R01 CA220199NCI NIH HHS R01 CA241764NCI NIH HHS R01 CA262805NCI NIH HHS R21 CA267412NCI NIH HHS R41 CA261407NCI NIH HHS R44 CA213715NCI NIH HHS T32 CA083654U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01 CA220199, R01 CA241764, R21 CA267412, R44 CA213715, R41 CA261407, P30 CA046592U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R44 CA213715, R41 CA261407
6 · The paper itself

Abstract

Despite tremendous progress in precision oncology, adaptive resistance mechanisms limit the long-term effectiveness of molecularly targeted agents. Here we evaluated the pharmacological profile of MTX-531 that was computationally designed to selectively target two key resistance drivers, epidermal growth factor receptor and phosphatidylinositol 3-OH kinase (PI3K). MTX-531 exhibits low-nanomolar potency against both targets with a high degree of specificity predicted by cocrystal structural analyses. MTX-531 monotherapy uniformly resulted in tumor regressions of squamous head and neck patient-derived xenograft (PDX) models. The combination of MTX-531 with mitogen-activated protein kinase kinase or KRAS-G12C inhibitors led to durable regressions of BRAF-mutant or KRAS-mutant colorectal cancer PDX models, resulting in striking increases in median survival. MTX-531 is exceptionally well tolerated in mice and uniquely does not lead to the hyperglycemia commonly seen with PI3K inhibitors. Here, we show that MTX-531 acts as a weak agonist of peroxisome proliferator-activated receptor-γ, an attribute that likely mitigates hyperglycemia induced by PI3K inhibition. This unique feature of MTX-531 confers a favorable therapeutic index not typically seen with PI3K inhibitors.

Indexed as

Drug Resistance, NeoplasmErbB ReceptorsProtein Kinase InhibitorsXenograft Model Antitumor AssaysAnimalsCell Line, TumorColorectal NeoplasmsFemaleHead and Neck NeoplasmsHumansMicePhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsEGFR protein, humanErbB ReceptorsPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProtein Kinase Inhibitors

Identifiers

PMID38992135
PMCPMC11357990

What OpenQuestion holds

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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.