Evidence map›Paper›PMID 40938918›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Cabozantinib plus Atezolizumab in Advanced, Progressive Endocrine Malignancies: A Multicohort, Basket, Phase II Trial (CABATEN/GETNE-T1914).

Jaume Capdevila, Jorge Hernando, Javier Molina-Cerrillo, Marta Benavent Viñuales, Rocio Garcia-Carbonero, Alex Teulé, Ana Custodio, Paula Jimenez-Fonseca, Carlos López, Cinta Hierro and 10 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. 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. Article
  2. Article
  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

20 authors.

Jaume CapdevilaMedical Oncology Department, Vall Hebron University Hospital, Vall Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0003-0718-8619
Jorge HernandoMedical Oncology Department, Vall Hebron University Hospital, Vall Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-0929-7360
Javier Molina-CerrilloMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID 0000-0003-4616-0598
Marta Benavent ViñualesMedical Oncology Department, University Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Seville, Spain.ORCID 0000-0003-1268-4588
Rocio Garcia-CarboneroMedical Oncology Department, Hospital Universitario 12 de Octubre, Imas12, Facultad de Medicina, UCM, Madrid, Spain.ORCID 0000-0002-3342-397X
Alex TeuléMedical Oncology Department, Institut Català d´Oncologia (ICO) - IDIBELL, L´Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0003-0028-7200
Ana CustodioMedical Oncology Department, Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.ORCID 0000-0003-1917-5479
Paula Jimenez-FonsecaMedical Oncology Department, Hospital Universitario Central de Asturias, ISPA, Oviedo, Spain.ORCID 0000-0003-4592-3813
Carlos LópezMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, IDIVAL, UNICAN, Santander, Spain.ORCID 0000-0002-8901-741X
Cinta HierroMedical Oncology Department, Catalan Institute of Oncology (ICO)- Badalona, Badalona-Applied Research Group in Oncology (B-ARGO), Badalona, Spain.ORCID 0000-0002-0435-2172
Alberto Carmona-BayonasHematology and Medical Oncology Department, Hospital Universitario Morales Meseguer. UMI. IMIB, Murcia, Spain.ORCID 0000-0002-1930-9660
Vicente AlonsoMedical Oncology Department, Instituto Aragonés de Investigación Sanitaria, Hospital Universitario Miguel Servet, Zaragoza, Spain.ORCID 0000-0003-2280-1004
Marta LlanosMedical Oncology Department, Hospital Universitario de Canarias, San Cristóbal de la Laguna, Spain.ORCID 0000-0002-4876-5075
Isabel SevillaMedical Oncology Department, Investigación Clínica y Traslacional en Cáncer, Instituto de Investigaciones Biomédicas de Málaga (IBIMA), Hospitales Universitarios Regional y Virgen de la Victoria de Málaga, Málaga, Spain.ORCID 0000-0001-6942-159X
Alejandro García-ÁlvarezMedical Oncology Department, Vall Hebron University Hospital, Vall Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-6948-0485
Teresa Alonso-GordoaMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID 0000-0002-8966-7236
Inmaculada Gallego JiménezMedical Oncology Department, University Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS), Seville, Spain.ORCID 0000-0001-8134-4451
Beatriz Antón-PascualMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID 0000-0001-9237-8614
Andrea Modrego SánchezMedical Oncology Department, Hospital Universitario 12 de Octubre, Imas12, Facultad de Medicina, UCM, Madrid, Spain.ORCID 0000-0002-9000-6080
Enrique GrandeMedical Oncology Department, MD Anderson Cancer Center Madrid, Madrid, Spain.ORCID 0000-0002-0134-4732

Funding

GETNEIpsen (Ipsen S.A.)Roche (Roche Holding)
6 · The paper itself

Abstract

purposeMultikinase inhibitors have shown efficacy in endocrine neoplasms, and synergism with immune checkpoint inhibitors has been noted in other tumors. PATIENTS AND

methodsThis is a prospective, multicenter, open-label, Simon two-stage optimal design, phase II study including patients with advanced and refractory endocrine and neuroendocrine neoplasms in six cohorts: lung well-differentiated neuroendocrine tumors, anaplastic thyroid cancer (ATC), adrenocortical carcinoma (ACC), pheochromocytoma/paraganglioma (PPGL), well-differentiated gastroenteropancreatic neuroendocrine tumors (GEP-NET), and grade 3 extrapulmonary neuroendocrine neoplasms. Patients received atezolizumab 1,200 mg intravenously every 3 weeks plus cabozantinib 40 mg/day orally until disease progression or unacceptable toxicity. The primary objective was the overall response rate (ORR) by RECIST 1.1.

resultsFrom October 2020 to December 2022, 93 patients were included. The ORR was 14.3% [95% confidence interval (CI), 1.8-42.8] in ATC (N = 14); 8.3% (95% CI, 1.0-27.0) in ACC (N = 24); 15.4% (95% CI, 1.9-45.5) in PPGL (N = 13), and 16.7% (95% CI, 4.7-37.4) in GEP-NET (N = 24). Lung well-differentiated neuroendocrine tumors and grade 3 extrapulmonary neuroendocrine neoplasms had no responses. The duration of response was 20.4 months in ATC, 13.1 months in ACC, 12.2 months in PPGL, and 15.8 months in GEP-NET. Survival rates at 12 months in ATC and ACC were 47.6% and 47.6%, respectively. No unexpected toxicity was observed.

conclusionsCabozantinib and atezolizumab were safely administered and showed promising ORR, and preliminary long-term survival rates were observed in aggressive and pretreated ACC and ATC, which warrants further investigation.

Indexed as

AnilidesAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsEndocrine Gland NeoplasmsAdultAgedAged, 80 and overDisease ProgressionFemaleHumansMaleMiddle AgedNeuroendocrine TumorsProspective StudiesPyridinesAnilidesAntibodies, Monoclonal, HumanizedatezolizumabcabozantinibPyridines

Identifiers

PMID40938918
PMCPMC12616244

What OpenQuestion holds

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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.