Evidence map›Paper›PMID 21206909›Full record

Trial reportPloS one2010

A phase II trial of sorafenib in metastatic melanoma with tissue correlates.

Patrick A Ott, Anne Hamilton, Christina Min, Sara Safarzadeh-Amiri, Lauren Goldberg, Joanne Yoon, Herman Yee, Michael Buckley, Paul J Christos, John J Wright and 4 more

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

Trial report in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00119249 (A Phase II Study of BAY 43-9006), which is not on this map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
6.8field-weighted citation impact, top 2% 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.

NCT00119249 phase2completednot on this map

A Phase II Study of BAY 43-9006 (NSC 724772) in Unresectable Stage III and IV Melanoma (IND 69,869)

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2005Enrolled74ConditionsStage III Melanoma, Stage IV MelanomaArmssorafenib tosylate, laboratory biomarker analysis
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Correlation of somatic mutations and clinical outcome in melanoma patients treated with Carboplatin, Paclitaxel, and sorafenib.Clinical cancer research : an official journal of the American Association for Cancer Research · 2014
    Trial
  7. Trial
  8. Phase III trial of carboplatin and paclitaxel with or without sorafenib in metastatic melanoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Trial
  9. Trial
  10. Trial
  11. Review
  12. Review
  13. Optimal treatment strategy for metastatic melanoma patients harboringTherapeutic advances in medical oncology · 2020
    Review
  14. Developments in the Space of New MAPK Pathway Inhibitors for BRAF-Mutant Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Review
  15. Review
  16. Article
  17. DNA methylation alterations as therapeutic prospects in thyroid cancer.Journal of endocrinological investigation · 2019
    Review
  18. Article
  19. Article
  20. Review
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

14 authors at 4 institutions in 2 countries.

Patrick A OttDepartment of Medical Oncology, New York University School of Medicine, New York, New York, United States of America.
Anne Hamilton
Christina Min
Sara Safarzadeh-Amiri
Lauren Goldberg
Joanne Yoon
Herman Yee
Michael Buckley
Paul J Christos
John J Wright
David Polsky
Iman Osman
Leonard Liebes
Anna C Pavlick
New York University · USCornell University · USNational Cancer Institute · USRoyal Prince Alfred Hospital · AU

Funding

NCI NIH HHS N01 CM017103NCI NIH HHS N01 CM062204NCI NIH HHS N01-CM-17103NCI NIH HHS N01-CM-62204
6 · The paper itself

Abstract

backgroundSorafenib monotherapy in patients with metastatic melanoma was explored in this multi-institutional phase II study. In correlative studies the impact of sorafenib on cyclin D1 and Ki67 was assessed. METHODOLOGY/PRINCIPAL

findingsThirty-six patients treatment-naïve advanced melanoma patients received sorafenib 400 mg p.o. twice daily continuously. Tumor BRAF(V600E) mutational status was determined by routine DNA sequencing and mutation-specific PCR (MSPCR). Immunohistochemistry (IHC) staining for cyclin D1 and Ki67 was performed on available pre- and post treatment tumor samples. The main toxicities included diarrhea, alopecia, rash, mucositis, nausea, hand-foot syndrome, and intestinal perforation. One patient had a RECIST partial response (PR) lasting 175 days. Three patients experienced stable disease (SD) with a mean duration of 37 weeks. Routine BRAF(V600E) sequencing yielded 27 wild-type (wt) and 6 mutant tumors, whereas MSPCR identified 12 wt and 18 mutant tumors. No correlation was seen between BRAF(V600E) mutational status and clinical activity. No significant changes in expression of cyclin D1 or Ki67 with sorafenib treatment were demonstrable in the 15 patients with pre-and post-treatment tumor samples. CONCLUSIONS/SIGNIFICANCE: Sorafenib monotherapy has limited activity in advanced melanoma patients. BRAF(V600E) mutational status of the tumor was not associated with clinical activity and no significant effect of sorafenib on cyclin D1 or Ki67 was seen, suggesting that sorafenib is not an effective BRAF inhibitor or that additional signaling pathways are equally important in the patients who benefit from sorafenib.

trial registrationClinical Trials.gov NCT00119249.

Indexed as

MutationAdultAgedAged, 80 and overAntineoplastic AgentsBenzenesulfonatesCyclin D1DNA Mutational AnalysisFemaleHumansKi-67 AntigenMaleMelanomaMiddle AgedNeoplasm MetastasisNiacinamideAntineoplastic AgentsBenzenesulfonatesBRAF protein, humanCyclin D1Ki-67 AntigenNiacinamidePhenylurea CompoundsProto-Oncogene Proteins B-rafPyridinesSorafenib

Identifiers

PMID21206909
PMCPMC3012061
OpenAlexW2106981111

What OpenQuestion holds

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LicenceCC BY
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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.