Evidence map›Paper›PMID 39317891›Full record

ArticleTargeted oncology2024

Real-Life Experience with Entrectinib in Neurotrophic Tyrosine Receptor Kinase Fusion-Positive Solid Tumors: A Multicenter Retrospective Trial.

Feride Yılmaz, Serkan Yaşar, Nil Molinas Mandel, Turgut Kaçan, Melek Özdemir, Gamze Gököz Doğu, Nilay Şengül, Nezih Meydan, Fatma Buğdaycı Başal, Pınar Kubilay Tolunay and 11 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Targeted oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

21 authors.

Feride YılmazDepartment of Oncology, Hacettepe University, Cancer Institute, Ankara, Türkiye. doktorferide@gmail.com.ORCID 0000-0001-5848-3381
Serkan YaşarDepartment of Oncology, Hacettepe University, Cancer Institute, Ankara, Türkiye.
Nil Molinas MandelDepartment of Oncology, American Hospital, İstanbul, Türkiye.
Turgut KaçanDepartment of Oncology, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye.
Melek ÖzdemirDepartment of Oncology, Pamukkale University, Faculty of Medicine, Denizli, Türkiye.
Gamze Gököz DoğuDepartment of Oncology, Pamukkale University, Faculty of Medicine, Denizli, Türkiye.
Nilay ŞengülDepartment of Oncology, Medicana Ataköy Hospital, İstanbul, Türkiye.
Nezih MeydanDepartment of Oncology, Medicana International Hospital, İstanbul, Türkiye.
Fatma Buğdaycı BaşalDepartment of Oncology, Lösante Children and Adults Hospital, Ankara, Türkiye.
Pınar Kubilay TolunayDepartment of Medical Oncology, Ankara University Faculty of Medicine, Ankara, Türkiye.
Melda Berber HamamcıPediatric Hematology and Oncology Clinic, Ankara Etlik City Hospital, Ankara, Türkiye.
Oğuz Salih DinçerDepartment of Pediatric Hematology and Oncology, Ondokuz Mayıs University, Faculty of Medicine, Samsun, Türkiye.
Aykut BahçeciDepartment of Oncology, Başkent University, Faculty of Medicine, Adana, Türkiye.
Leyla ÖzerDepartment of Oncology, Acıbadem Hospital, İstanbul, Türkiye.
Miraç AjrediniDepartment of Oncology, Acıbadem Hospital, İstanbul, Türkiye.
Önder KırcaDepartment of Oncology, Memorial Healthcare Group, Antalya, Türkiye.
Özlem YersalDepartment of Medical Oncology, Private Ümit Hospital, Eskişehir, Türkiye.
Orçun CanDepartment of Oncology, Acıbadem Hospital, İstanbul, Türkiye.
Meral GünaldıDepartment of Oncology, Medicana Ataköy Hospital, İstanbul, Türkiye.
Gökhan DemirDepartment of Oncology, Acıbadem Hospital, İstanbul, Türkiye.
Şuayib YalçınDepartment of Oncology, Hacettepe University, Cancer Institute, Ankara, Türkiye. suayibyalcin@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurotrophic tyrosine receptor kinase (NTRK) gene fusions represent rare somatic mutations in many types of cancer and have enabled the use of promising targeted therapies. In clinical studies, increased response rates to tropomyosin receptor kinase inhibitors have been demonstrated in NTRK fusion-positive cancer types; however, real-world experiences on these targeted agents are scarce.

objectiveWe evaluated the clinical characteristics and treatment responses of NTRK fusion-positive patients who received entrectinib treatment within the scope of an early access program in Turkey. PATIENTS AND

methodsThis multicenter, retrospective analysis involved 17 patients with solid tumors harboring NTRK fusions or rearrangements from 14 oncology centers between June 2019 and 31 March 2024. Demographic and clinical data were obtained via retrospective review of medical records with a cutoff date of 31 March 2024.

resultsThe median age at diagnosis of the patients in our study was 42 [interquartile range (IQR) 33-60] years. Nine different types of solid tumors were diagnosed in these patients. The most common NTRK gene rearrangements involved NTRK1 (n = 8), followed by NTRK3 (n = 7). The median duration of entrectinib usage was 6.9 (IQR 3.1-16.1) months. Dose reductions due to side effects were performed in four patients: two due to leukopenia, one due to visual disturbance, and one due to troponin elevation. Leukopenia was the most commonly observed side effect. The objective response rate (ORR) was 35.3% (95% confidence interval (CI) 14.2-62.7), with complete response (CR) achieved in four patients. The duration of response (DOR) in patients who responded after initiating entrectinib was 9.8 (95% CI 0-30.7) months, the median overall survival (mOS) in all patients was 20.8 (95% CI 0-48.5) months, and the time-to-treatment failure (TTF) was 6.4 (95% CI 0-13.5) months.

conclusionsIn this retrospective study, we aimed to obtain real-world data concerning the use of entrectinib in patients with solid tumors harboring NTRK fusion genes. Although our findings are partially similar to the results of clinical studies, prospective studies in larger patient groups with more diverse tumor types and different demographic characteristics are needed to confirm the findings.

Indexed as

BenzamidesIndazolesNeoplasmsAdultFemaleHumansMaleMiddle AgedOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, trkARetrospective StudiesBenzamidesentrectinibIndazolesOncogene Proteins, FusionProtein Kinase InhibitorsReceptor, trkA

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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.