Evidence map›Paper›PMID 39644403›Full record

Trial reportBreast cancer research and treatment2025

Phase II study of MEK inhibitor trametinib alone and in combination with AKT inhibitor GSK2141795/uprosertib in patients with metastatic triple negative breast cancer.

Vishnu Prasath, Hinda Boutrid, Robert Wesolowski, Mahmoud Abdel-Rasoul, Cynthia Timmers, Maryam Lustberg, Rachel M Layman, Erin Macrae, Ewa Mrozek, Charles Shapiro and 14 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

24 authors.

Vishnu PrasathDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
Hinda BoutridDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
Robert WesolowskiDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
Mahmoud Abdel-RasoulDepartment of Biomedical Informatics, Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
Cynthia TimmersDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
Maryam LustbergYale Cancer Center, New Haven, CT, USA.
Rachel M LaymanThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Erin MacraeColumbus Oncology, Columbus, OH, USA.
Ewa MrozekOhioHealth Marion Cancer Center, Columbus, OH, USA.
Charles ShapiroMount Sinai, New York, NY, USA.
Kristyn GloverDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
Mark VaterDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.
G Thomas BuddCleveland Clinic Cancer Center, Cleveland, OH, USA.
Lyndsay HarrisDivision of Cancer Treatment and Diagnosis, National Cancer Institute, Bethesda, MD, USA.
Claudine IsaacsDivision of Medical Oncology, Georgetown University, Washington, DC, USA.
Claire DeesUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Charles M PerouUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Gary L JohnsonUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Andrew PoklepovicDivision of Medical Oncology, Virginia Commonwealth University, Richmond, VA, USA.
Helen ChenCancer Therapy Evolution Program, National Cancer Institute, Bethesda, MD, USA.
Miguel Villalona-CaleroDepartment of Medical Oncology & Therapeutics Research, City of Hope, Duarte, CA, USA.
William CarsonDepartment of Surgery, Ohio State University College of Medicine, Columbus, OH, USA.
Daniel G StoverDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA. daniel.stover@osumc.edu.
Bhuvaneswari RamaswamyDivision of Medical Oncology, Ohio State University College of Medicine, Columbus, OH, USA.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
SToP Cancer SPORE: Developmental Research ProgramP50CA257911 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jen Jen Yeh · 2022 to 2026
$12.9M
Assay Validation of Cell-Free DNA Shallow Whole Genome Sequencing To Determine 'Tumor Fraction' in Advanced CancersUH3CA239105 · NCI · BROAD INSTITUTE, INC. · PI ADALSTEINSSON, VIKTOR, LENNON, NIALL JOHN · 2022 to 2024
$762k
NCI NIH HHS HHSN261201100070CNCI NIH HHS P30CA016058NCI NIH HHS P50 CA257911NCI NIH HHS UH3 CA239105NCI NIH HHS UH3CA239105NIH HHS No. HHSN261201100070C
6 · The paper itself

Abstract

purposeWhile MEK inhibitors demonstrated activity in metastatic triple negative breast cancer (mTNBC) preclinical studies, preclinical, and clinical studies implicate rapid development of resistance limiting clinical benefit. The purpose of this study was to determine response rate for Trametinib alone and in combination with Uprosertib in patients with mTNBC previously treated with chemotherapy.

methodsThis was an open-label, two-part, phase II, single-arm, multicenter study. Patients first received Trametinib monotherapy (2 mg daily; Part I) then at progression transitioned to Trametinib (1.5 mg) plus Uprosertib (50 mg; Part II).

resultsBetween October 2013 and January 2017, 37 patients were enrolled to Part I. Subsequently, 19 patients entered Part II. Of the 37 patients receiving Trametinib monotherapy, 2 patients achieved partial response (PR) for an ORR of 5.4% (2/37) and an additional 6/37 (16.2%) achieved stable disease (SD). The clinical benefit rate (PR+SD) for patients receiving monotherapy was 21.6% (8/37). Of the 19 patients in Part II, 3 patients achieved PR for an ORR to Part II of 15.8% (3/19) and an additional 3 achieved SD. Median progression-free survival (PFS) was 7.7 weeks for Part I and 7.8 weeks for Part II. Circulating tumor DNA (ctDNA) clearance at C2D1 of Trametinib monotherapy was associated with improved PFS and overall survival.

conclusionIn patients with mTNBC, Trametinib monotherapy demonstrated limited efficacy and addition of Uprosertib was associated with numerically greater objective responses but no difference in PFS. Translational analyses suggest ctDNA clearance as a potential early biomarker of response.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPyridonesPyrimidinonesTriple Negative Breast NeoplasmsAdultAgedFemaleHumansMiddle AgedNeoplasm MetastasisProtein Kinase InhibitorsProto-Oncogene Proteins c-aktTreatment OutcomeProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPyridonesPyrimidinonestrametinibMEK inhibitionTriple negative breast cancerTyrosine kinase inhibitors

Identifiers

PMID39644403
PMCPMC12796985

What Socratic holds

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Registered trials

None linked

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 Socratic graph.