Evidence map›Paper›PMID 40330140›Full record

ArticleJCO oncology advances2025

ACR-368, a CHK1/2 Kinase Inhibitor, in Patients With Relapsed or Refractory Desmoplastic Small Round Cell Tumor: Phase I/II Trial Results.

Emily K Slotkin, Audrey Mauguen, Filemon S Dela Cruz, Michael V Ortiz, Viswatej Avutu, Paul A Meyers, Leonard H Wexler, Tara J O'Donohue, Michael D Kinnaman, Ciara M Kelly and 21 more

Abstract read
In one paragraph

Article in JCO oncology advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

31 authors.

Emily K SlotkinDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-4463-5759
Audrey MauguenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0003-3236-6093
Filemon S Dela CruzDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-8356-5191
Michael V OrtizDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-9379-314X
Viswatej AvutuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-2591-7187
Paul A MeyersDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-6146-6101
Leonard H WexlerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0003-0724-8263
Tara J O'DonohueDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Michael D KinnamanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Ciara M KellyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-4393-8088
Sandra P D'AngeloDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Mary Lou KeohanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Mrinal M GounderDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-8468-0119
Katherine ThorntonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0009-0000-6885-3139
Benjamin A NacevDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0003-4991-2492
Ping ChiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-0159-5531
Evan RosenbaumDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-7499-1279
Mark DicksonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0003-2764-751X
Sagarika PachhalDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Romel SomwarDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Marc LadanyiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-9055-7213
Caroline RobbDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Neeta Pandit-TaskarDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0003-1551-2036
Sinchun HwangDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-6402-3020
Anita PriceDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Gerald BehrDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-2987-0005
Damon R ReedDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-8238-2465
Alex KentsisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-8063-9191
Andrew L KungDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0002-9091-488X
Julia Glade BenderDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-5316-6440
William D TapDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID https://orcid.org/0000-0001-7779-2796

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeWe hypothesized that ACR-368 (prexasertib) would be active in desmoplastic small round cell tumor (DSRCT) because of favorable responses in preclinical models.

methodsPreclinical work identified ACR-368 activity in DSRCT, and a phase I/II trial of ACR-368 and irinotecan in patients 12 months and older with relapsed/refractory DSRCT was conducted. The primary objectives were determination of recommended phase II dose (RP2D) and best overall response rate (ORR) at the RP2D in DSRCT, with ≥3 of 16 responses considered promising.

resultsPreclinical data confirmed ACR-368 as potentially therapeutic in DSRCT, and 19 patients were enrolled in a subsequent clinical trial. Treatment was well tolerated, and cytopenias were managed using growth factors. Fifteen of 19 patients, including five of six achieving PR, had previously received irinotecan. The estimated ORR at the RP2D was 23% (lower boundary one-sided 90% CI, 9%), exceeding the unpromising rate of 5%. In addition, three patients with DSRCT had a PR at doses other than the RP2D, bringing the ORR for all doses (n = 19) to 32% (90% CI, 15% to 53%). The median overall survival was 19 months (95% CI, 13 to 36).

conclusionThe RP2D of ACR-368 with irinotecan by age group is ACR-368 105 or 150 mg/m

Identifiers

PMID40330140
PMCPMC12052087

What OpenQuestion holds

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Read underepoch 390

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.