{"ok":true,"data":{"subject":{"kind":"trial","nctId":"NCT01548144","title":"Pazopanib or Pemetrexed and Crizotinib in Advanced Cancer","sponsor":"M.D. Anderson Cancer Center","phases":["PHASE1"],"status":"TERMINATED","indication":null,"disease":"tumor of meninges"},"rows":[{"n":1,"question":"Is the biology right?","flags":[{"id":"somatic_driver","label":"Somatic driver evidence","value":"no","detail":"None of MET, ALK, EML4, CSF1R, KIT, LCK has somatic-mutation evidence in tumor of meninges","rule":"Open Targets has somatic-mutation evidence for the target in this cancer","source":{"label":"Open Targets: MET in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000105976/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"},"context":[]},{"id":"human_genetic","label":"Human genetic evidence","value":"no","detail":"No germline or somatic evidence for MET, ALK, EML4, CSF1R, KIT, LCK in tumor of meninges","rule":"Any germline or somatic human genetic evidence for the target in this cancer, counted apart from animal-model and literature evidence","source":{"label":"Open Targets: MET in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000105976/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"},"context":[]},{"id":"pediatric_target","label":"Pediatric target","value":"yes","detail":"MET, ALK, CSF1R, KIT on the FDA list","rule":"Target is on FDA's Pediatric Molecular Target List (relevant targets); membership alone neither requires nor waives a study","source":{"label":"FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01))","url":"https://www.fda.gov/media/191157/download?attachment","date":"2026-11-11T07:05:03Z"},"context":[]},{"id":"haematologic","label":"Haematologic cancer","value":"no","detail":"Solid tumour","rule":"From the indication, or the registry conditions when no indication matches","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},"context":[{"figure":"Likelihood of approval from phase 1: 7.5% haematologic vs 4.6% solid","dataset":"BIO / Informa / QLS 2021","years":"2011–2020","caveat":"Population-level, not a prediction."}]}],"facts":[{"label":"MET (via Crizotinib)","text":"Open Targets has no association between MET and tumor of meninges.","source":{"label":"Open Targets: MET in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000105976/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}},{"label":"ALK (via Crizotinib)","text":"Open Targets has no association between ALK and tumor of meninges.","source":{"label":"Open Targets: ALK in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000171094/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}},{"label":"EML4 (via Crizotinib)","text":"Open Targets has no association between EML4 and tumor of meninges.","source":{"label":"Open Targets: EML4 in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000143924/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}},{"label":"CSF1R (via Pazopanib)","text":"Open Targets has no association between CSF1R and tumor of meninges.","source":{"label":"Open Targets: CSF1R in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000182578/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}},{"label":"KIT (via Pazopanib)","text":"Open Targets has no association between KIT and tumor of meninges.","source":{"label":"Open Targets: KIT in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000157404/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}},{"label":"LCK (via Pazopanib)","text":"Open Targets has no association between LCK and tumor of meninges.","source":{"label":"Open Targets: LCK in tumor of meninges","url":"https://platform.opentargets.org/evidence/ENSG00000182866/MONDO_0016743","date":"2026-11-11T19:32:31.767Z"}}],"pending":[{"what":"Normal-tissue expression in vital organs","source":"Human Protein Atlas (ticket 36)"},{"what":"Pan-essential in cell lines","source":"DepMap (ticket 36)"},{"what":"Approved drug on this target","source":"Drugs@FDA (ticket 30)"}]},{"n":2,"question":"Can the result be trusted?","flags":[{"id":"randomised","label":"Randomised","value":"no","detail":"Non-randomised","rule":"Registry allocation field","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},"context":[]},{"id":"small_denominator","label":"Small denominator","value":"no","detail":"178 enrolled; each patient moves a rate by 100 ÷ 178 = 0.6 points","rule":"Enrolment under 30; the arithmetic is shown, not a benchmark","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},"context":[]},{"id":"primary_os","label":"Primary endpoint is overall survival","value":"no","detail":"Maximum Tolerated Dose (MTD) of Crizotinib and Pazopanib","rule":"A registered primary outcome measure names overall survival","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},"context":[{"figure":"Non-OS primary endpoint: odds ratio 2.79 for a positive phase 3","dataset":"Otsuka 2021, 400 phase 3 oncology trials","years":"to 2020","caveat":"Shown with the next figure: a surrogate is easier to hit, and often a weak guide to survival."},{"figure":"52% of surrogate-to-OS correlations are low","dataset":"Prasad 2015","years":"published to 2014","caveat":"Shown with the figure above."}]},{"id":"results_overdue","label":"Results overdue","value":"yes","detail":"Primary completion 2021-08-26, 62 months ago; no results posted","rule":"Primary completion (actual) more than 12 months ago and no results posted to the registry","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},"context":[{"figure":"40.9% of applicable trials report results within a year","dataset":"Results-reporting studies summarised in spec §11","years":"all therapy areas","caveat":"All areas, not oncology only."}]}],"facts":[],"pending":[{"what":"Treated and evaluable counts, assessor, confirmed response, follow-up and data cutoff","source":"Readout extraction (ticket 32)"},{"what":"Primary endpoint changed between registry versions","source":"Registry versions in the store (ticket 32)"}]},{"n":3,"question":"What must it beat?","flags":[],"facts":[],"pending":[{"what":"Control-arm result and approved therapies for the same segment, with label links","source":"Drugs@FDA, FDA labels and readouts (tickets 30, 32)"}]},{"n":4,"question":"Too crowded, or too late?","flags":[],"facts":[{"label":"Stopped on this target","text":"99 terminated, withdrawn or suspended trials of drugs against MET; 14 give no reason. Reasons are quoted as the registry gives them on the target page.","source":{"label":"MET: what already stopped","url":"/target/ENSG00000105976#stopped","date":"2026-11-11T19:32:31.798Z"}}],"pending":[{"what":"Programs on the target by phase and months behind the leader","source":"Programs and Drugs@FDA (ticket 33)"}]},{"n":5,"question":"Can it be approved, and stay approved?","flags":[{"id":"single_country","label":"Single-country","value":"yes","detail":"The only site is in United States","rule":"All listed sites are in one country; the share of US sites is shown","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144?tab=locations","date":"2026-11-11T19:32:31.767Z"},"context":[]},{"id":"eu_pip","label":"EU paediatric investigation plan","value":"yes","detail":"EMEA-001493-PIP03-18-M01 (crizotinib, Treatment of anaplastic large cell lymphoma;Treatment of inflammatory myofibroblastic tumours): PM: decision on the application for modification of an agreed PIP, 27 Jan 2021; compliance positive 31 Mar 2023; EMEA-000601-PIP01-09-M06 (pazopanib, Treatment of Ewing sarcoma family of tumours;Treatment of non-rhabdomyosarcoma soft tissue sarcoma;Treatment of rhabdomyosarcoma): PM: decision on the application for modification of an agreed PIP, 11 Sept 2019; compliance positive 24 Jul 2020; EMEA-001493-PIP02-18 (crizotinib, Treatment of lung malignant neoplasms): W: decision granting a waiver in all age groups for all conditions or indications, 7 Dec 2018","rule":"An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name","source":{"label":"EMA data download (dated snapshot)","url":"https://www.ema.europa.eu/en/documents/report/medicines-output-paediatric_investigation_plans-output-json-report_en.json","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"eu_orphan","label":"EU orphan designation","value":"yes","detail":"EU/3/06/382 withdrawn 29 Jun 2006: Treatment of renal-cell carcinoma","rule":"An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status","source":{"label":"EMA EU/3/06/382","url":"https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu-3-06-382","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"eu_authorised","label":"Authorised in the EU","value":"yes","detail":"Xalkori: authorised since 23 Oct 2012; Votrient: authorised since 14 Jun 2010","rule":"An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file","source":{"label":"EMA data download (dated snapshot)","url":"https://www.ema.europa.eu/en/documents/report/medicines-output-medicines_json-report_en.json","date":"2026-11-11T09:12:26Z"},"context":[]},{"id":"fda_orphan","label":"FDA orphan designation","value":"not published","detail":"FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link","rule":"Would be: an FDA orphan designation names the drug","source":{"label":"FDA orphan designations search","url":"https://www.accessdata.fda.gov/scripts/opdlisting/oopd/","date":""},"context":[]},{"id":"fda_ped_approval","label":"FDA pediatric oncology approval","value":"yes","detail":"Crizotinib [Xalkori], 14 Jul 2022: Treatment of adult and pediatric patients 1 year of age and older with unresectable, recurrent, or refractory inflammatory myofibroblastic tumor (IMT) that is ALK-positive; Crizotinib [Xalkori], 14 Jan 2021: Treatment of pediatric patients 1 year of age and older and young adults with relapsed or refractory, systemic anaplastic large cell lymphoma (ALCL) that is ALK-positive","rule":"FDA's Pediatric Oncology Drug Approvals table names the drug","source":{"label":"FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03)","url":"https://www.fda.gov/about-fda/oncology-center-excellence/pediatric-oncology-drug-approvals","date":"2026-11-11T19:32:31.810Z"},"context":[]},{"id":"studies_under_18","label":"Registered studies open to children","value":"yes","detail":"37 interventional studies of Crizotinib, Pazopanib include patients under 18; 7 are recruiting, not yet recruiting or active","rule":"The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age","source":{"label":"ClinicalTrials.gov search","url":"https://clinicaltrials.gov/search?intr=%22Crizotinib%22+OR+%22Pazopanib%22&aggFilters=ages%3Achild%2CstudyType%3Aint","date":"2026-11-11T19:32:31.813Z"},"context":[]}],"facts":[{"label":"Caveat","text":"Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where the sites are is a fact about the record, not a judgement of its quality."},{"label":"Rare pediatric disease voucher","text":"FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news.","source":{"label":"FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs","url":"https://www.fda.gov/industry/medical-products-rare-diseases-and-conditions/rare-pediatric-disease-designation-and-priority-review-voucher-programs","date":"2026-11-11"}}],"pending":[{"what":"Precedent approvals for target, modality and endpoint; accelerated-approval status","source":"Drugs@FDA and FDA accelerated-approval tables (ticket 30)"}]},{"n":6,"question":"Can the sponsor finish?","flags":[],"facts":[{"label":"Sponsor","text":"M.D. Anderson Cancer Center (academic or other)","source":{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"}},{"label":"principal investigator","text":"Sarina Piha-Paul, MD, M.D. Anderson Cancer Center","source":{"label":"Person page","url":"/person/Sarina%20Piha-Paul%2C%20MD","date":"2026-11-11T19:32:31.767Z"}}],"pending":[{"what":"Filed cash, quarterly spend and the runway arithmetic","source":"SEC XBRL company facts (ticket 37)"},{"what":"Sponsor's completed vs stopped oncology trials and results-reporting record","source":"Registry, by company (ticket 37)"}]}],"limits":"Public records cannot show: sales forecasts; a probability of success for this asset; full deal terms and net prices; FDA designations and action dates before approval (shown only as company-reported); clinical holds unless the company disclosed them; manufacturing; patents on unapproved drugs; whether preclinical findings have been replicated.","sources":[{"label":"ClinicalTrials.gov NCT01548144","url":"https://clinicaltrials.gov/study/NCT01548144","date":"2026-11-11T19:32:31.767Z"},{"label":"Open Targets Platform","url":"https://platform.opentargets.org","date":"2026-11-11T19:32:31.767Z"},{"label":"FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01))","url":"https://www.fda.gov/media/191157/download?attachment","date":"2026-11-11T07:05:03Z"}]},"source":"ClinicalTrials.gov + Open Targets","fetchedAt":"2026-11-11T19:32:31.762Z"}