Evidence map›Paper›PMID 21156289›Full record

ArticleCancer cell2010

Acquired resistance to BRAF inhibitors mediated by a RAF kinase switch in melanoma can be overcome by cotargeting MEK and IGF-1R/PI3K.

Jessie Villanueva, Adina Vultur, John T Lee, Rajasekharan Somasundaram, Mizuho Fukunaga-Kalabis, Angela K Cipolla, Bradley Wubbenhorst, Xiaowei Xu, Phyllis A Gimotty, Damien Kee and 11 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer cell, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02583516 (A Randomized Phase II Study of Vemurafenib Plus Cobimetinib Continuous Versus Intermittent, in Previously Untreated BRAFV600- Mutation Positive Patients With Unresectable Locally Advanced or Metastatic Melanoma), which is not on this map. Cited by 707 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
707citing papers in PubMed, 2 pooled it
56.5field-weighted citation impact, top 1% 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.

NCT02583516 phase2completednot on this mapstarted 2015, after this paper: background citation

A Randomized Phase II Study of Vemurafenib Plus Cobimetinib Continuous Versus Intermittent, in Previously Untreated BRAFV600- Mutation Positive Patients With Unresectable Locally Advanced or Metastatic Melanoma

TypeinterventionalSponsorGrupo Español Multidisciplinar de MelanomaRan2015 to 2019Enrolled70ConditionsMelanomaArmsvemurafenib and cobimetinib
3 · Its place in the literature

Who cites it

707 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,226 citations in OpenAlex.

  1. Pooled it
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  3. Longitudinal Genomic Analysis to Fine-tune Targeted Therapy: Results of the Phase II LOGIC 2 Trial in Patients with BRAFV600-Mutant Metastatic Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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647 more citing papers are in PubMed but not listed here.

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

21 authors at 5 institutions in 2 countries.

Jessie VillanuevaThe Wistar Institute, Philadelphia, PA 19104, USA.
Adina Vultur
John T Lee
Rajasekharan Somasundaram
Mizuho Fukunaga-Kalabis
Angela K Cipolla
Bradley Wubbenhorst
Xiaowei Xu
Phyllis A Gimotty
Damien Kee
Ademi E Santiago-Walker
Richard Letrero
Kurt D'Andrea
Anitha Pushparajan
James E Hayden
Kimberly Dahlman Brown
Sylvie Laquerre
Grant A McArthur
Jeffrey A Sosman
Katherine L Nathanson
Meenhard Herlyn
The Wistar Institute · USUniversity of Pennsylvania · USPeter MacCallum Cancer Centre · AUVanderbilt University Medical Center · USGlaxoSmithKline (United States) · US

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Targeting the MAP and PI3 Kinase Pathways in MelanomaP01CA114046 · NCI · WISTAR INSTITUTE · PI MURPHY, MAUREEN E. · 2008 to 2023
$37.1M
TUMOR DEVELOPMENT AND PROGRESSION IN HUMAN MELANOCYTESP01CA025874 · NCI · WISTAR INSTITUTE · PI HERLYN, MEENHARD F · 1985 to 2015
$19.0M
Tissue &PathologyP50CA093372 · NCI · WISTAR INSTITUTE · PI HERLYN, MEENHARD F · 2001 to 2009
$15.4M
Clinical Investigation in Tumor ImmunotherapyK24CA097588 · NCI · VANDERBILT UNIVERSITY · PI SOSMAN, JEFFREY A · 2002 to 2012
$1.5M
NCI NIH HHS K24 CA097588NCI NIH HHS P01 CA025874NCI NIH HHS P01 CA114046NCI NIH HHS P30 CA010815NCI NIH HHS P50 CA093372NCI NIH HHS R01 CA117881
6 · The paper itself

Abstract

BRAF is an attractive target for melanoma drug development. However, resistance to BRAF inhibitors is a significant clinical challenge. We describe a model of resistance to BRAF inhibitors developed by chronic treatment of BRAF(V)⁶⁰⁰(E) melanoma cells with the BRAF inhibitor SB-590885; these cells are cross-resistant to other BRAF-selective inhibitors. Resistance involves flexible switching among the three RAF isoforms, underscoring the ability of melanoma cells to adapt to pharmacological challenges. IGF-1R/PI3K signaling was enhanced in resistant melanomas, and combined treatment with IGF-1R/PI3K and MEK inhibitors induced death of BRAF inhibitor-resistant cells. Increased IGF-1R and pAKT levels in a post-relapse human tumor sample are consistent with a role for IGF-1R/PI3K-dependent survival in the development of resistance to BRAF inhibitors.

Indexed as

Phosphoinositide-3 Kinase InhibitorsCell Line, TumorDrug Resistance, NeoplasmHumansMAP Kinase Signaling SystemMelanomaMitogen-Activated Protein Kinase KinasesPhosphatidylinositol 3-KinasesPhosphorylationProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-aktraf KinasesReceptor, IGF Type 1Mitogen-Activated Protein Kinase KinasesPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-aktraf KinasesReceptor, IGF Type 1

Identifiers

PMID21156289
PMCPMC3026446
OpenAlexW2100614336

What OpenQuestion holds

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Read underepoch 390

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.