Cited by 684Lung Cancer Treatments and MutationsHER2/EGFR in Cancer ResearchLung Cancer Diagnosis and Treatment

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index; none of the 22 sources its claims cite is checked for support yet.

Rociletinib in EGFR-Mutated Non–Small-Cell Lung Cancer

Open access

Abstract

BACKGROUND: Non-small-cell lung cancer (NSCLC) with a mutation in the gene encoding epidermal growth factor receptor (EGFR) is sensitive to approved EGFR inhibitors, but resistance develops, mediated by the T790M EGFR mutation in most cases. Rociletinib (CO-1686) is an EGFR inhibitor active in preclinical models of EGFR-mutated NSCLC with or without T790M. METHODS: In this phase 1-2 study, we administered rociletinib to patients with EGFR-mutated NSCLC who had disease progression during previous treatment with an existing EGFR inhibitor. In the expansion (phase 2) part of the study, patients with T790M-positive disease received rociletinib at a dose of 500 mg twice daily, 625 mg twice daily, or 750 mg twice daily. Key objectives were assessment of safety, side-effect profile, pharmacokinetics, and preliminary antitumor activity of rociletinib. Tumor biopsies to identify T790M were performed during screening. Treatment was administered in continuous 21-day cycles. RESULTS: A total of 130 patients were enrolled. The first 57 patients to be enrolled received the free-base form of rociletinib (150 mg once daily to 900 mg twice daily). The remaining patients received the hydrogen bromide salt (HBr) form (500 mg twice daily to 1000 mg twice daily). A maximum tolerated dose (the highest dose associated with a rate of dose-limiting toxic effects of less than 33%) was not identified. The only common dose-limiting adverse event was hyperglycemia. In an efficacy analysis that included patients who received free-base rociletinib at a dose of 900 mg twice daily or the HBr form at any dose, the objective response rate among the 46 patients with T790M-positive disease who could be evaluated was 59% (95% confidence interval [CI], 45 to 73), and the rate among the 17 patients with T790M-negative disease who could be evaluated was 29% (95% CI, 8 to 51). CONCLUSIONS: Rociletinib was active in patients with EGFR-mutated NSCLC associated with the T790M resistance mutation. (Funded by Clovis Oncology; ClinicalTrials.gov number, NCT01526928.).

Overview

Integrity signals

Registry

Crossref · 10.1056/nejmoa1413654

Cites

25 of 25 references verified0 citation errors · 0 not checkable

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  • The quote only partly states this claim. 1
  • It may state two separate claims as one. 19
  • Probably not a substantial claim. 11
28 of 28
  • The paper relies on this without support.

    No approved therapy specifically targets T790M.

    “There are no approved therapies that specifically target T790M”
  • The paper relies on this without support.

    Cytotoxic chemotherapy is the usual treatment for T790M-positive patients.

    “so cytotoxic chemotherapy is typically used.”
  • The paper relies on this without support.

    Approved EGFR inhibitors strongly inhibit wild-type EGFR, leading to rash and diarrhea as common dose-limiting toxicities.

    “currently approved EGFR tyrosine kinase inhibitors result in substantial inhibition of nonmutant EGFR, leading to rash and diarrhea as their two most common and dose-limiting side effects.”
  • The paper relies on this without support.

    The central genotyping assay accurately identifies T790M mutation status in tumor biopsies.

    “those who were T790M-negative on the central assay”
  • The paper relies on this without support.

    The rash, stomatitis, and paronychia syndrome is caused by inhibition of nonmutant EGFR.

    “the syndrome of rash, stomatitis, and paronychia that is associated with inhibition of nonmutant EGFR”
  • The paper relies on this without support.

    There are no approved therapies that specifically target T790M.

    “there are no approved therapies that specifically target T790M”
  • The paper relies on this without support.

    Rociletinib has a short half-life.

    “Because of the short half-life of rociletinib”
7 of 7

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Metadata

Authors
Sequist, L. V., Soria, J.-C., Goldman, J. W., Wakelee, H. A., Gadgeel, S. M., Varga, A., Papadimitrakopoulou, V., Solomon, B. J., Oxnard, G. R., Dziadziuszko, R., Aisner, D. L., Doebele, R. C., Galasso, C., Garon, E. B., Heist, R. S., Logan, J., Neal, J. W., Mendenhall, M. A., Nichols, S., Piotrowska, Z., Wozniak, A. J., Raponi, M., Karlovich, C. A., Jaw-Tsai, S., Isaacson, J., Despain, D., Matheny, S. L., Rolfe, L., Allen, A. R., & Camidge, D. R.
Affiliations
  • Université Paris-Sud (FR)
  • University of California, Los Angeles (US)
  • Stanford Cancer Institute (US)
  • Wayne State University (US)
  • Institut Gustave Roussy (FR)
  • The University of Texas MD Anderson Cancer Center (US)
  • Peter MacCallum Cancer Centre (AU)
  • Harvard University (US)
  • University of Colorado Cancer Center (US)
  • Massachusetts General Hospital (US)
  • Clovis Oncology (United States) (US)
Venue
New England Journal of Medicine
Published
2015-04-30
Volume
372
Issue
18
Pages
1700-1709
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2126177831
Cited by
665
References
25
Citations by year
2026: 9 · 2025: 11 · 2024: 13 · 2023: 30 · 2022: 20 · 2021: 29 · 2020: 39 · 2019: 39 · 2018: 60 · 2017: 133 · 2016: 190 · 2015: 90
FWCI
125.77
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
  • Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
Keywords
rociletinib, EGFR-mutant non-small cell lung cancer, T790M mutation, EGFR inhibitors, acquired drug resistance, tyrosine kinase inhibitors, maximum tolerated dose, hyperglycemia, objective response rate, pharmacokinetics, anticancer activity, safety and tolerability, dose-limiting toxicity
MeSH terms
Acrylamides, Aged, Antineoplastic Agents, Carcinoma, Non-Small-Cell Lung, Dose-Response Relationship, Drug, Female, Humans, Hyperglycemia, Lung Neoplasms, Male, Middle Aged, Mutation, Pyrimidines, Drug Resistance, Neoplasm, Protein Kinase Inhibitors, ErbB Receptors

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