Evidence map›Paper›PMID 23833299›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2013

Tumor genetic analyses of patients with metastatic melanoma treated with the BRAF inhibitor dabrafenib (GSK2118436).

Katherine L Nathanson, Anne-Marie Martin, Bradley Wubbenhorst, Joel Greshock, Richard Letrero, Kurt D'Andrea, Steven O'Day, Jeffrey R Infante, Gerald S Falchook, Hendrik-Tobias Arkenau and 10 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00880321 (A Phase I, Open-Label, Multiple-Dose, Dose-Escalation Study to Investigate the Safety, Pharmacokinetics, and Pharmacodynamics of the BRAF Inhibitor GSK2118436 in Subjects With Solid Tumors), which is not on this map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
11.7field-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.

NCT00880321 phase1completednot on this map

A Phase I, Open-Label, Multiple-Dose, Dose-Escalation Study to Investigate the Safety, Pharmacokinetics, and Pharmacodynamics of the BRAF Inhibitor GSK2118436 in Subjects With Solid Tumors

TypeinterventionalSponsorGlaxoSmithKlineRan2009 to 2012Enrolled170ConditionsCancerArmsGSK2118436, Midazolam
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Copy Number Changes Are Associated with Response to Treatment with Carboplatin, Paclitaxel, and Sorafenib in Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Phase II trial of MEK inhibitor selumetinib (AZD6244, ARRY-142886) in patients with BRAFV600E/K-mutated melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. The Roles of PTEN in Melanoma Suppression.Pigment cell & melanoma research · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. RAF and MEK Inhibitors in Non-Small Cell Lung Cancer.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Review
  19. Review
  20. Review

52 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

20 authors at 5 institutions in 4 countries.

Katherine L NathansonDepartment of Medicine, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. knathans@exchange.upenn.edu
Anne-Marie Martin
Bradley Wubbenhorst
Joel Greshock
Richard Letrero
Kurt D'Andrea
Steven O'Day
Jeffrey R Infante
Gerald S Falchook
Hendrik-Tobias Arkenau
Michael Millward
Michael P Brown
Anna Pavlick
Michael A Davies
Bo Ma
Robert Gagnon
Martin Curtis
Peter F Lebowitz
Richard Kefford
Georgina V Long
Sarah Cannon · USSir Charles Gairdner Hospital · AUNew York University · USCancer Clinic · USGlaxoSmithKline (United States) · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
U OF TEXAS HLTH SCI CTR HOUSTON CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR024148 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2006 to 2010
$27.9M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016520NCI NIH HHS P30CA016520NCI NIH HHS P30 CA016672NCRR NIH HHS UL1 RR024148
6 · The paper itself

Abstract

purposeDabrafenib is a selective inhibitor of V600-mutant BRAF kinase, which recently showed improved progression-free survival (PFS) as compared with dacarbazine, in metastatic melanoma patients. This study examined potential genetic markers associated with response and PFS in the phase I study of dabrafenib. EXPERIMENTAL

designBaseline (pretreatment or archival) melanoma samples were evaluated in 41 patients using a custom genotyping melanoma-specific assay, sequencing of PTEN, and copy number analysis using multiplex ligation amplification and array-based comparative genomic hybridization. Nine patients had on-treatment and/or progression samples available.

resultsAll baseline patient samples had BRAF(V600E/K) confirmed. Baseline PTEN loss/mutation was not associated with best overall response to dabrafenib, but it showed a trend for shorter median PFS [18.3 (95% confidence interval, CI, 9.1-24.3) vs. 32.1 weeks (95% CI, 24.1-33), P=0.059]. Higher copy number of CCND1 (P=0.009) and lower copy number of CDKN2A (P=0.012) at baseline were significantly associated with decreased PFS. Although no melanomas had high-level amplification of BRAF, the two patients with progressive disease as their best response had BRAF copy gain in their tumors.

conclusionsCopy number changes in CDKN2A, CCND1, and mutation/copy number changes in PTEN correlated with the duration of PFS in patients treated with dabrafenib. The results suggest that these markers should be considered in the design and interpretation of future trials with selective BRAF inhibitors in advanced melanoma patients.

Indexed as

Comparative Genomic HybridizationCyclin D1Cyclin-Dependent Kinase Inhibitor p16Disease-Free SurvivalDisease ProgressionDNA Copy Number VariationsHumansImidazolesMelanomaMutationNeoplasm StagingOximesProto-Oncogene Proteins B-rafPTEN PhosphohydrolaseBRAF protein, humanCCND1 protein, humanCyclin D1Cyclin-Dependent Kinase Inhibitor p16dabrafenibImidazolesOximesProto-Oncogene Proteins B-rafPTEN Phosphohydrolase

Identifiers

PMID23833299
PMCPMC3924894
OpenAlexW2110764732

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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.