Evidence map›Paper›PMID 23221341›Full record

Trial reportThe Journal of clinical investigation2013

MEK inhibition exhibits efficacy in human and mouse neurofibromatosis tumors.

Walter J Jessen, Shyra J Miller, Edwin Jousma, Jianqiang Wu, Tilat A Rizvi, Meghan E Brundage, David Eaves, Brigitte Widemann, Mi-Ok Kim, Eva Dombi and 8 more

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2013. 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 217 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed, 2 pooled it
12.3field-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.

NCT03231306 phase2completednot on this mapstarted 2017, after this paper: background citation

A Phase II Study of Binimetinib in Children and Adults With NF1 Associated Plexiform Neurofibromas (PNOC010)

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2017 to 2024Enrolled45ConditionsNeurofibromatosis Type 1, Plexiform NeurofibromaArmsBinimetinib
NCT05238909 enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Developing Novel Biomarkers of Plexiform Neurofibroma Tumor Burden

Typeobservational_patient_registrySponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2022 to 2027Enrolled200ConditionsNeurofibromatosis 1, NF1, Neurofibromatosis Type 1
3 · Its place in the literature

Who cites it

217 citing papers in PubMed, 2 syntheses or guidelines pooled it, 330 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. ReNeu: A Pivotal, Phase IIb Trial of Mirdametinib in Adults and Children With Symptomatic Neurofibromatosis Type 1-Associated Plexiform Neurofibroma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  4. Trial
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  6. Selumetinib in Children with Inoperable Plexiform Neurofibromas.The New England journal of medicine · 2020
    Trial
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  8. Article
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  12. Review
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157 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

18 authors at 6 institutions in 2 countries.

Walter J JessenChildren’s Hospital Medical Center, Division of Experimental Hematology and Cancer Biology, 3333 Burnet Ave., M.L.C. 7013, Cincinnati, Ohio 45229, USA.
Shyra J Miller
Edwin Jousma
Jianqiang Wu
Tilat A Rizvi
Meghan E Brundage
David Eaves
Brigitte Widemann
Mi-Ok Kim
Eva Dombi
Jessica Sabo
Atira Hardiman Dudley
Michiko Niwa-Kawakita
Grier P Page
Marco Giovannini
Bruce J Aronow
Timothy P Cripe
Nancy Ratner
Cincinnati Children's Hospital Medical Center · USNational Institutes of Health · USHouse Clinic · USInstitut National de Recherche en Santé Publique · MLNational Cancer Institute · USRTI International · US

Funding

Therapy for NF1-Related Tumors and other Genetic Tumor Predisposition SyndromesZIABC010801 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2020
$13.8M
MITOGENIC ACTIVITIES IN NEUROFIBROMATOSISR01NS028840 · NINDS · UNIVERSITY OF CINCINNATI · PI NANCY RATNER · 1990 to 2026
$10.1M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
NCATS NIH HHS UL1 TR000077NINDS NIH HHS P50-NS05753NINDS NIH HHS R01 NS028840NINDS NIH HHS R01-NS28840
6 · The paper itself

Abstract

Neurofibromatosis type 1 (NF1) patients develop benign neurofibromas and malignant peripheral nerve sheath tumors (MPNST). These incurable peripheral nerve tumors result from loss of NF1 tumor suppressor gene function, causing hyperactive Ras signaling. Activated Ras controls numerous downstream effectors, but specific pathways mediating the effects of hyperactive Ras in NF1 tumors are unknown. We performed cross-species transcriptome analyses of mouse and human neurofibromas and MPNSTs and identified global negative feedback of genes that regulate Ras/Raf/MEK/ERK signaling in both species. Nonetheless, ERK activation was sustained in mouse and human neurofibromas and MPNST. We used a highly selective pharmacological inhibitor of MEK, PD0325901, to test whether sustained Ras/Raf/MEK/ERK signaling contributes to neurofibroma growth in a neurofibromatosis mouse model (Nf1(fl/fl);Dhh-Cre) or in NF1 patient MPNST cell xenografts. PD0325901 treatment reduced aberrantly proliferating cells in neurofibroma and MPNST, prolonged survival of mice implanted with human MPNST cells, and shrank neurofibromas in more than 80% of mice tested. Our data demonstrate that deregulated Ras/ERK signaling is critical for the growth of NF1 peripheral nerve tumors and provide a strong rationale for testing MEK inhibitors in NF1 clinical trials.

Indexed as

AnimalsBenzamidesChildChild, PreschoolDiphenylamineExtracellular Signal-Regulated MAP KinasesFemaleHumansMaleMiceMice, Mutant StrainsMitogen-Activated Protein Kinase KinasesNeoplasm TransplantationNeurofibromatosis 1Oncogene Protein p21(ras)Peripheral Nervous System NeoplasmsBenzamidesDiphenylamineExtracellular Signal-Regulated MAP KinasesmirdametinibMitogen-Activated Protein Kinase KinasesOncogene Protein p21(ras)raf Kinases

Identifiers

PMID23221341
PMCPMC3533264
OpenAlexW1976009942

What OpenQuestion holds

Textmetadata
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.