Evidence map›Paper›PMID 23000686›Full record

ReviewNature reviews. Drug discovery2012

Targeting the TGFβ signalling pathway in disease.

Rosemary J Akhurst, Akiko Hata

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Nature reviews. Drug discovery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 866 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
866citing papers in PubMed, 2 pooled it
34.2field-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.

NCT03451773 phase1 / phase2terminatednot on this mapstarted 2018, after this paper: background citation

A Phase IB/II Single-arm Study of M7824 (MSB0011359C) in Combination With Gemcitabine in Adults With Previously Treated Advanced Adenocarcinoma of the Pancreas

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2018 to 2020Enrolled7ConditionsCancer of Pancreas, Pancreas Cancer, Pancreatic Adenocarcinoma, Pancreatic CancerArmsM7824, Gemcitabine
NCT05195918 phase1completednot on this mapstarted 2023, after this paper: background citation

Dose Ranging Study of Oral Epigallocatechin-3-gallate (EGCG) Given Daily for 12 Weeks to Patients With Idiopathic Pulmonary Fibrosis (IPF) Evaluating Safety, PK Interactions With Standard of Care Drugs, and Biomarkers of Drug Effect

TypeinterventionalSponsorHal ChapmanRan2023 to 2026Enrolled50ConditionsIdiopathic Pulmonary FibrosisArmsEGCG 300 mg + Nintedanib, EGCG 300 mg + Pirfenidone, Placebo 2 capsules + Nintedanib or Pirfenidone, EGCG 600 mg + Nintedanib, EGCG 600 mg + Pirfenidone
NCT05637216 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

A Pilot Study of Losartan to Reduce Radiation Induced Fibrosis in Breast Cancer Patients

TypeinterventionalSponsorShaw Cancer CenterRan2023 to 2027Enrolled43ConditionsRadiation Induced FibrosisArmsLosartan 25 milligram capsule, Placebo
3 · Its place in the literature

Who cites it

866 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,454 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Reversal of injury-induced fibrosis and anal sphincter muscle dysfunction by sFRP2 in rabbits.American journal of physiology. Gastrointestinal and liver physiology · 2026
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  17. MOncogene · 2026
    Article
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  19. The hidden players: LncRNA-Encoded micropeptides in cancer hallmarks.Cellular and molecular life sciences : CMLS · 2026
    Review
  20. Review

806 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

2 authors at 2 institutions in 1 country.

Rosemary J AkhurstHelen Diller Family Comprehensive Cancer Center, University of California at San Francisco, San Francisco, California 94158, USA. RAkhurst@cc.ucsf.edu
Akiko Hata
UCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of California, San Francisco · US

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jennifer Leigh Clarke · 1999 to 2026
$209.7M
Tissue CoreP01AR050440 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EPSTEIN, ERVIN HAROLD · 2003 to 2007
$6.9M
TGFBM2 in Development and DiseaseR01GM060514 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AKHURST, ROSEMARY J · 2001 to 2012
$2.9M
Functional analysis of Tgfbm3 locus in vascular development and diseaseR01HL078564 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AKHURST, ROSEMARY J · 2006 to 2010
$2.8M
Mechanisms of TGFB Signal TransductionR01HL108317 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HATA, AKIKO · 2011 to 2014
$1.5M
"Genetic interactions between Tgfb1 and Skts15/Tgfbm3 in cancer"R01CA116019 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AKHURST, ROSEMARY J · 2007 to 2010
$1.2M
Acquired Resistance to TGFBR1 inhibitors and cancer stem cell outgrowthR21CA164772 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AKHURST, ROSEMARY J · 2012 to 2013
$360k
NCI NIH HHS P30 CA082103NCI NIH HHS R01 CA116019NCI NIH HHS R21 CA164772NHLBI NIH HHS R01 HL078564NHLBI NIH HHS R01 HL108317NIAMS NIH HHS P01 AR050440NIGMS NIH HHS R01 GM060514
6 · The paper itself

Abstract

Many drugs that target transforming growth factor-β (TGFβ) signalling have been developed, some of which have reached Phase III clinical trials for a number of disease applications. Preclinical and clinical studies indicate the utility of these agents in fibrosis and oncology, particularly in augmentation of existing cancer therapies, such as radiation and chemotherapy, as well as in tumour vaccines. There are also reports of specialized applications, such as the reduction of vascular symptoms of Marfan syndrome. Here, we consider why the TGFβ signalling pathway is a drug target, the potential clinical applications of TGFβ inhibition, the issues arising with anti-TGFβ therapy and how these might be tackled using personalized approaches to dosing, monitoring of biomarkers as well as brief and/or localized drug-dosing regimens.

Indexed as

AnimalsDrug Delivery SystemsHumansProtein BindingReceptors, Transforming Growth Factor betaSignal TransductionTransforming Growth Factor betaReceptors, Transforming Growth Factor betaTransforming Growth Factor beta

Identifiers

PMID23000686
PMCPMC3520610
OpenAlexW2150548551

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.