Evidence map›Paper›PMID 39378065›Full record

ArticleFuture oncology (London, England)2024

CASPER: A Phase I trial combining calaspargase pegol-mnkl and cobimetinib in pancreatic cancer.

Charles D Lopez, Adel Kardosh, Emerson Y Chen, Guillaume Pegna, Alexander Guimaraes, Bryan Foster, Brian Brinkerhoff, Shaun M Goodyear, Jeong-Youn Lim, Erin Taber and 17 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05034627 (A Phase I, Open-Label, Dose Finding Study of Calaspargase Pegol-Mnkl in Combination With Cobimetinib in Locally-Advanced or Metastatic Pancreatic Cancer), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT05034627 phase1completednot on this map

A Phase I, Open-Label, Dose Finding Study of Calaspargase Pegol-Mnkl in Combination With Cobimetinib in Locally-Advanced or Metastatic Pancreatic Cancer

TypeinterventionalSponsorOHSU Knight Cancer InstituteRan2022 to 2026Enrolled15ConditionsLocally Advanced Pancreatic Adenocarcinoma, Metastatic Pancreatic Adenocarcinoma, Stage II Pancreatic Cancer AJCC v8, Stage IIA Pancreatic Cancer AJCC v8ArmsBiopsy, Calaspargase Pegol-mknl, Cobimetinib
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Targeting glutamine metabolism as a potential target for cancer treatment.Journal of experimental & clinical cancer research : CR · 2025
    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

27 authors.

Charles D LopezDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.ORCID 0000-0002-0921-4932
Adel KardoshDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.ORCID 0000-0002-6241-4896
Emerson Y ChenDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.ORCID 0000-0003-3035-4478
Guillaume PegnaDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.ORCID 0000-0002-2754-5065
Alexander GuimaraesBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0003-4601-9340
Bryan FosterDepartment of Pathology, OHSU, OR 97239, Portland.ORCID 0000-0002-1210-059X
Brian BrinkerhoffDepartment of Pathology, OHSU, OR 97239, Portland.ORCID 0000-0002-6266-7965
Shaun M GoodyearDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.ORCID 0000-0003-0217-0890
Jeong-Youn LimBiostatistics Shared Resource, Knight Cancer Institute (OHSU).ORCID 0009-0000-5503-998X
Erin TaberDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Brindha RajagopalanDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Exodus EdmersonDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Johnson VoDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Katherine NelsonDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Anna JacksonDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Tasha GingerichDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Anne FahlmanDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Christopher LessenichDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Francesca FennellDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Diane VenturaDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Preeyam RoyDepartment of Medicine, Hematology and Medical Oncology, Oregon Health & Science University (OHSU), OR 97239, Portland.
Dove KeithBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0001-6104-3264
Brett SheppardBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0002-2182-7547
Jonathan R BrodyBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0003-3680-3270
Gordon B MillsBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0002-0144-9614
Ze'ev A RonaiSanford Burnham Prebys, La Jolla, CA 92037, San Diego.ORCID 0000-0002-3859-0400
Rosalie C SearsBrenden-Colson Center for Pancreatic Care, Knight Cancer Institute (OHSU), OR, Portland.ORCID 0000-0003-1558-2413

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Rewired Signaling at the Nexus of Melanoma Metastasis and ResistanceR35CA197465 · NCI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI RONAI, ZEEV A. · 2016 to 2022
$7.9M
Rewired Signaling at the Nexus of Melanoma Metastasis and ResistanceR35CA283706 · NCI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI Zeev A. Ronai · 2024 to 2026
$3.1M
Center for Strategic Scientific Initiatives, National Cancer Institute R35CA197465GenentechNCATS NIH HHS UL1 TR002369NCI NIH HHS R35 CA197465NCI NIH HHS R35 CA283706Servier
6 · The paper itself

Abstract

Asparagine synthetase (ASNS) catalyzes the biosynthesis of asparagine from aspartate and glutamine. Cells lacking ASNS, however, are auxotrophic for asparagine. Use of L-asparaginase to promote asparagine starvation in solid tumors with low ASNS levels, such as pancreatic ductal adenocarcinoma (PDAC), is a rationale treatment strategy. However, tumor cell resistance to L-asparaginase has limited its clinical utility. Our preclinical studies show that RAS/MAPK signaling circumvents L-asparaginase-induced tumor killing, but L-asparaginase and MEK inhibition potentiated tumor killing; suggesting that this combination may provide meaningful clinical benefit to patients with PDAC. This Phase I trial (NCT05034627) will evaluate the safety and tolerability of the MEK inhibitor, cobimetinib, in combination with pegylated L-asparaginase, L calaspargase pegol-mknl, in patients with locally-advanced or metastatic PDAC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAsparaginaseAzetidinesCarcinoma, Pancreatic DuctalPancreatic NeoplasmsPiperidinesPolyethylene GlycolsAspartate-Ammonia LigaseClinical Trials, Phase I as TopicFemaleHumansMaleAsparaginaseAspartate-Ammonia LigaseAzetidinescobimetinibpegaspargasePiperidinesPolyethylene Glycolscalaspargase pegol-mknlcobimetinibdrug resistanceL-asparaginaseMEK inhibitionmetabolic reprogrammingpancreatic cancer

Identifiers

PMID39378065
PMCPMC11572257

What OpenQuestion holds

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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.