Evidence map›Paper›PMID 21642685›Full record

Trial reportJAMA2011

KIT as a therapeutic target in metastatic melanoma.

Richard D Carvajal, Cristina R Antonescu, Jedd D Wolchok, Paul B Chapman, Ruth-Ann Roman, Jerrold Teitcher, Katherine S Panageas, Klaus J Busam, Bartosz Chmielowski, Jose Lutzky and 8 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in JAMA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 360 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
360citing papers in PubMed, 5 pooled it
36.2field-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.

NCT00470470 phase2completednot on this map

A Phase II Study of Imatinib Mesylate (STI571;NSC#716051:IND 61135) in Patients With Inoperable AJCC Stage III or IV Melanoma Harboring Somatic Alterations of C-KIT

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2007 to 2014Enrolled30ConditionsAcral Lentiginous Malignant Melanoma, Recurrent Melanoma, Stage IIIA Melanoma, Stage IIIB MelanomaArmsimatinib mesylate, laboratory biomarker analysis
NCT02171286 completednot on this mapstarted 2014, after this paper: background citation

The Oncopanel Pilot (TOP) Study

TypeobservationalSponsorBritish Columbia Cancer AgencyRan2014 to 2017Enrolled432ConditionsColorectal Cancer Metastatic, Advanced Non-Small Cell Lung Carcinoma, Advanced Melanoma, Gastrointestinal Stromal Tumors
3 · Its place in the literature

Who cites it

360 citing papers in PubMed, 5 syntheses or guidelines pooled it, 868 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. SEOM clinical guideline for the management of malignant melanoma (2017).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Guideline
  6. Phase II Study of Sunitinib in Tumors WithJCO precision oncology · 2024
    Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Next-generation sequencing using a targeted gene panel in advanced solid tumors: five years of experience from an Italian referral institution.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

300 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 1 institution in 1 country.

Richard D CarvajalDepartment of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021, USA. carvajar@mskcc.org
Cristina R Antonescu
Jedd D Wolchok
Paul B Chapman
Ruth-Ann Roman
Jerrold Teitcher
Katherine S Panageas
Klaus J Busam
Bartosz Chmielowski
Jose Lutzky
Anna C Pavlick
Anne Fusco
Lauren Cane
Naoko Takebe
Swapna Vemula
Nancy Bouvier
Boris C Bastian
Gary K Schwartz
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
MSKCC Clinical Oncology Research Career Development ProgramK12CA120121 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SCHWARTZ, GARY K · 2006 to 2010
$3.0M
Phase II Study of Imatinib Mesylate in Patients with Inoperable Melanoma R01FD003445 · FDA · SLOAN-KETTERING INST CAN RESEARCH · PI SCHWARTZ, GARY K · 2008 to 2010
$731k
FDA HHS R01 FD003445FDA HHS R01FD003445-01NCI NIH HHS K12 CA120121NCI NIH HHS N01 CM062206NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

contextSome melanomas arising from acral, mucosal, and chronically sun-damaged sites harbor activating mutations and amplification of the type III transmembrane receptor tyrosine kinase KIT. We explored the effects of KIT inhibition using imatinib mesylate in this molecular subset of disease.

objectiveTo assess clinical effects of imatinib mesylate in patients with melanoma harboring KIT alterations. DESIGN, SETTING, AND PATIENTS: A single-group, open-label, phase 2 trial at 1 community and 5 academic oncology centers in the United States of 295 patients with melanoma screened for the presence of KIT mutations and amplification between April 23, 2007, and April 16, 2010. A total of 51 cases with such alterations were identified and 28 of these patients were treated who had advanced unresectable melanoma arising from acral, mucosal, and chronically sun-damaged sites.

interventionImatinib mesylate, 400 mg orally twice daily.

main outcome measuresRadiographic response, with secondary end points including time to progression, overall survival, and correlation of molecular alterations and clinical response.

resultsTwo complete responses lasting 94 (ongoing) and 95 weeks, 2 durable partial responses lasting 53 and 89 (ongoing) weeks, and 2 transient partial responses lasting 12 and 18 weeks among the 25 evaluable patients were observed. The overall durable response rate was 16% (95% confidence interval [CI], 2%-30%), with a median time to progression of 12 weeks (interquartile range [IQR], 6-18 weeks; 95% CI, 11-18 weeks), and a median overall survival of 46.3 weeks (IQR, 28 weeks-not achieved; 95% CI, 28 weeks-not achieved). Response rate was better in cases with mutations affecting recurrent hotspots or with a mutant to wild-type allelic ratio of more than 1 (40% vs 0%, P = .05), indicating positive selection for the mutated allele.

conclusionsAmong patients with advanced melanoma harboring KIT alterations, treatment with imatinib mesylate results in significant clinical responses in a subset of patients. Responses may be limited to tumors harboring KIT alterations of proven functional relevance. Trial Registration clinicaltrials.gov Identifier: NCT00470470.

Indexed as

Administration, OralAgedAged, 80 and overAntineoplastic AgentsBenzamidesDNA Mutational AnalysisFemaleHumansImatinib MesylateMaleMelanomaMiddle AgedMutationNeoplasm MetastasisPiperazinesProto-Oncogene Proteins c-kitAntineoplastic AgentsBenzamidesImatinib MesylatePiperazinesProto-Oncogene Proteins c-kitPyrimidines

Identifiers

PMID21642685
PMCPMC3986039
OpenAlexW2147474070

What OpenQuestion holds

Textmetadata
LicenceTDM
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.