Evidence map›Paper›PMID 40267388›Full record

ArticleJCO precision oncology2025

Larotrectinib Compared With Real-World Non-Tropomyosin Receptor Kinase Inhibitor Therapies in Patients With Tropomyosin Receptor Kinase Fusion Cancer.

Marcia S Brose, C Benedikt Westphalen, Xiaoyun Pan, Vadim Bernard-Gauthier, Milena Kurtinecz, Helen Guo, Virginie Aris, Neil R Brett, Abdelali Majdi, Vivek Subbiah and 3 more

3 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in JCO precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02122913 phase1completednot on this map

A Phase 1 Study of the Oral TRK Inhibitor Larotrectinib in Adult Patients With Solid Tumors

TypeinterventionalSponsorBayerRan2014 to 2021Enrolled75ConditionsSolid Tumors Harboring NTRK FusionArmsLarotrectinib (Vitrakvi, BAY2757556)
NCT02576431 phase2completednot on this map

A Study to Learn How Well the Drug Larotrectinib Works in Adults With Different Solid Cancers With a Change in the Genes Called NTRK Fusion

TypeinterventionalSponsorBayerRan2015 to 2025Enrolled215ConditionsSolid Tumors Harboring NTRK FusionArmsBAY2757556 (Larotrectinib, Vitrakvi)
NCT02637687 phase1 / phase2active not recruitingnot on this map

A Phase 1/2 Study of the Oral TRK Inhibitor Larotrectinib in Pediatric Patients With Advanced Solid or Primary Central Nervous System Tumors

TypeinterventionalSponsorBayerRan2015 to 2026Enrolled154ConditionsSolid Tumors Harboring NTRK FusionArmsLarotrectinib (Vitrakvi, BAY2757556)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. 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

13 authors.

Marcia S BroseSidney Kimmel Comprehensive Cancer Center, Thomas Jefferson University, Philadelphia, PA.ORCID 0000-0001-7096-4057
C Benedikt WestphalenDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-5310-3754
Xiaoyun PanBayer HealthCare Pharmaceuticals, Inc, Whippany, NJ.
Vadim Bernard-GauthierBayer Pharmaceuticals, Inc, Toronto, ON, Canada.
Milena KurtineczBayer HealthCare Pharmaceuticals, Inc, Whippany, NJ.
Helen GuoBayer Pharmaceuticals, Inc, Toronto, ON, Canada.
Virginie ArisBayer HealthCare Pharmaceuticals, Inc, Whippany, NJ.
Neil R BrettPPD, part of Thermo Fisher Scientific, Montreal, QC, Canada.
Abdelali MajdiBayer HealthCare SAS, La Garenne-Colombes, France.
Vivek SubbiahSarah Cannon Research Institute, Nashville, TN.ORCID 0000-0002-6064-6837
Nathan A PennellCleveland Clinic Taussig Cancer Institute, Cleveland, OH.ORCID 0000-0002-1458-0064
Kenneth L KehlDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0001-5339-9797
Alexander DrilonMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-6806-9061

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Integration of Imaging and Circulating Plasma Cell-Free DNA Sequencing Using MSK-ACCESS to Monitor Treatment Response and Predict Progression in Patients With Multiple Cancers on Targeted TherapyR01CA273224 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Michael F. Berger, Alexander Drilon · 2022 to 2026
$3.6M
Understanding tumor addiction to TRK fusions and sensitivity to TRK inhibitionR01CA226864 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DRILON, ALEXANDER, VENTURA, ANDREA · 2018 to 2021
$2.5M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA226864NCI NIH HHS R01 CA273224
6 · The paper itself

Abstract

purposeNeurotrophic tyrosine receptor kinase gene fusions are oncogenic drivers of various solid tumors. Larotrectinib is a highly selective tropomyosin receptor kinase (TRK) inhibitor approved for patients with TRK fusion cancer on the basis of single-arm trials. This study was a matched comparative effectiveness study of larotrectinib in clinical trials versus standard of care (SOC) in the real-world (RW) setting.

methodsAdult patients with advanced/metastatic TRK fusion non-small cell lung cancer, colorectal cancer, soft tissue sarcoma, thyroid cancer, or salivary gland carcinoma were included. Deduplicated data from RW patients were from US and ex-US data sources. Patients in the larotrectinib cohort (pooled data from three trials, ClinicalTrials.gov identifiers: NCT02122913, NCT02576431, and NCT02637687) were matched 1:1 to RW patients on the basis of tumor type and line of therapy (LOT). A propensity score (weighting) model was used to balance key characteristics between cohorts. The primary outcome was overall survival (OS).

resultsIn total, 164 patients were matched 1:1 on tumor type and LOT (82 in each cohort). Balance in the baseline covariates was achieved after weighting. Larotrectinib-treated patients had longer OS (median, not reached [NR]

conclusionIn TRK fusion cancers, treatment with larotrectinib was associated with longer OS and prolonged time to event compared with SOC in all categories measured. These RW data provide context to support larotrectinib effectiveness in this population.

Indexed as

NeoplasmsProtein Kinase InhibitorsPyrazolesPyrimidinesAdultAgedFemaleHumansMaleMiddle AgedProtein KinaseslarotrectinibProtein Kinase InhibitorsProtein KinasesPyrazolesPyrimidinestropomyosin kinase

Identifiers

PMID40267388
PMCPMC12039919

What OpenQuestion holds

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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.