Evidence map›Paper›PMID 19861964›Full record

Trial reportBritish journal of cancer2009

Detection of BRAF mutations in the tumour and serum of patients enrolled in the AZD6244 (ARRY-142886) advanced melanoma phase II study.

R E Board, G Ellison, M C M Orr, K R Kemsley, G McWalter, L Y Blockley, S P Dearden, C Morris, M Ranson, M V Cantarini and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04158544 (Immune Monitoring During Systemic Therapy of Metastatic Malignant Melanoma), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
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.

NCT04158544 unknown statusnot on this mapstarted 2016, after this paper: background citation

Immune Monitoring During Systemic Therapy of Metastatic Malignant Melanoma

TypeobservationalSponsorUniversity of RegensburgRan2016 to 2021Enrolled100ConditionsMetastatic Melanoma
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Gefitinib treatment in EGFR mutated caucasian NSCLC: circulating-free tumor DNA as a surrogate for determination of EGFR status.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2014
    Trial
  3. Review
  4. Review
  5. Article
  6. Mayo Clinic proceedings. Innovations, quality & outcomes · 2021
    Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Exploring the impact ofOncology letters · 2016
    Article
  13. Somatic mutations in histiocytic sarcoma identified by next generation sequencing.Virchows Archiv : an international journal of pathology · 2016
    Article
  14. Article
  15. Tumor Heterogeneity and Therapeutic Resistance.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2016
    Review
  16. cfDNA analysis from blood in melanoma.Annals of translational medicine · 2015
    Review
  17. Review
  18. Article
  19. Article
  20. 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

12 authors at 3 institutions in 1 country.

R E BoardAstraZeneca Pharmaceuticals, Alderley Park, Cheshire SK10 4TG, UK.
G Ellison
M C M Orr
K R Kemsley
G McWalter
L Y Blockley
S P Dearden
C Morris
M Ranson
M V Cantarini
C Dive
A Hughes
AstraZeneca (United Kingdom) · GBThe Christie Hospital · GBUniversity of Manchester · GB

Funding

Cancer Research UK
6 · The paper itself

Abstract

backgroundThis study investigated the potential clinical utility of circulating free DNA (cfDNA) as a source of BRAF mutation detection in patients enrolled into a phase II study of AZD6244, a specific MEK1/2 inhibitor, in patients with advanced melanoma.

methodsBRAF mutations were detected using Amplification Refractory Mutation System allele-specific PCR. BRAF mutation status was assessed in serum-derived cfDNA from 126 patients enrolled into the study and from 94 matched tumour samples.

resultsOf 94 tumour samples, 45 (47.9%) were found to be BRAF mutation positive (BRAF+). Serum-derived cfDNA was BRAF+ in 33 of 126 (26.2%) samples, including in five samples for which tumour data were unavailable. Of BRAF+ tumours, 25 of 45 (55.6%) were BRAF+ in cfDNA. In three cases in which the tumour was negative, cfDNA was BRAF+. Progression-free survival (PFS) of patients with BRAF+ tumour and cfDNA was not significantly different compared with tumour BRAF+ but cfDNA BRAF-negative patients, indicating that cfDNA BRAF detection is not associated with poorer prognosis on PFS in stage III/IV advanced melanoma.

conclusionsThese data demonstrate the feasibility of BRAF mutation detection in cfDNA of patients with advanced melanoma. Future studies should aim to incorporate BRAF mutation testing in cfDNA to further validate this biomarker for patient selection.

Indexed as

MutationAntineoplastic AgentsBenzimidazolesCell Line, TumorDisease-Free SurvivalDNA Mutational AnalysisDNA, NeoplasmHT29 CellsHumansMelanomaPrognosisProto-Oncogene Proteins B-rafSkin NeoplasmsAntineoplastic AgentsAZD 6244BenzimidazolesBRAF protein, humanDNA, NeoplasmProto-Oncogene Proteins B-raf

Identifiers

PMID19861964
PMCPMC2778539
OpenAlexW1987947562

What OpenQuestion holds

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Registered trials

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.