Evidence map›Paper›PMID 39318387›Full record

ArticleJTO clinical and research reports2024

Cabozantinib Plus Atezolizumab or Cabozantinib Alone in Patients With Advanced NSCLC Previously Treated With an Immune Checkpoint Inhibitor: Results From the Phase 1b COSMIC-021 Study.

Joel W Neal, Armando Santoro, Maria Gonzalez-Cao, Farah Louise Lim, Bruno Fang, Ryan D Gentzler, Jerome Goldschmidt, Polina Khrizman, Claudia Proto, Shiven Patel and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in JTO clinical and research reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03170960 (A Phase 1b Dose-Escalation Study of Cabozantinib), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

NCT03170960 phase1active not recruitingnot on this map

A Phase 1b Dose-Escalation Study of Cabozantinib (XL184) Administered Alone or in Combination With Atezolizumab to Subjects With Locally Advanced or Metastatic Solid Tumors

TypeinterventionalSponsorExelixisRan2017 to 2027Enrolled914ConditionsUrothelial Carcinoma, Renal Cell Carcinoma, Non-Small Cell Lung Cancer, Castration-resistant Prostate CancerArmscabozantinib, atezolizumab
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

18 authors.

Joel W NealDivision of Oncology, Stanford Cancer Institute, Palo Alto, California.
Armando SantoroDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Maria Gonzalez-CaoTranslational Cancer Research Unit, Instituto Oncologico Dr Rosell, Dexeus University Hospital, Barcelona, Spain.
Farah Louise LimBarts Health NHS Trust, St Bartholomew's Hospital, London, United Kingdom.
Bruno FangAstera Cancer Care, East Brunswick, New Jersey.
Ryan D GentzlerDivision of Hematology Oncology, University of Virginia Cancer Center, Charlottesville, Virginia.
Jerome GoldschmidtDepartment of Medical Oncology, Blue Ridge Cancer Care, Blacksburg, Virginia.
Polina KhrizmanMD Anderson Cancer Center at Cooper, Camden, New Jersey.
Claudia ProtoMedical Oncology Department, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Shiven PatelDivision of Medical Oncology, The Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah.
Sonam PuriDivision of Medical Oncology, The Huntsman Cancer Institute at the University of Utah, Salt Lake City, Utah.
Stephen V LiuGeorgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia.
Erminia MassarelliDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, California.
Denise WilliamsonDepartment of Biostatistics, Exelixis Inc, Alameda, California.
Martin SchwickartDepartment of Translational Medicine, Exelixis Inc, Alameda, California.
Christian ScheffoldDepartment of Clinical Development, Exelixis Inc, Alameda, California.
Svetlana AndrianovaDepartment of Clinical Development, Exelixis Inc, Alameda, California.
Enriqueta FelipMedical Oncology Service, Vall d'Hebron Institute of Oncology (VIHO), Vall d'Hebron Barcelona Hospital Campus, Universitat Autonoma de Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We evaluated efficacy and safety of cabozantinib plus atezolizumab or cabozantinib alone in advanced NSCLC previously treated with an immune checkpoint inhibitor (ICI). Methods: COSMIC-021 (NCT03170960) is a phase 1b, multicenter study in advanced solid tumors. This analysis included patients with stage IV non-squamous NSCLC without actionable genomic aberrations in Results: Eighty-one patients assigned to combination therapy and 31 assigned to single-agent cabozantinib received greater than or equal to one dose of study treatment. Median (range) follow-up was 26.1 months (12.1-44.2) and 22.4 months (1.5-29.0), respectively. Objective response rate was 20% (95% confidence interval: 11.7%-30.1%) in combination cohort and 6% (95% confidence interval: 0.8%-21.4%) in single-agent cabozantinib cohort. Treatment-related adverse events (TRAEs) occurred in 86% of patients in the combination cohort and 90% in the single-agent cabozantinib cohort; grade 3/4 TRAEs were 44% and 48%, respectively. There were two grade 5 TRAEs: pneumonitis (n = 1, combination) and gastric ulcer hemorrhage (n = 1, single-agent). Neither PD-L1 expression in tumor cells nor tumor mutation burden correlated with outcomes. Conclusions: Cabozantinib plus atezolizumab demonstrated modest clinical activity and manageable toxicity in advanced NSCLC after progression on prior ICI.

Indexed as

AtezolizumabCabozantinibImmunotherapyNon–small cell lung cancer

Identifiers

PMID39318387
PMCPMC11421317

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.