Evidence map›Paper›PMID 25265970›Full record

ArticleBMC cancer2014

The clinical response to vemurafenib in a patient with a rare BRAFV600DK601del mutation-positive melanoma.

Stéphanie Trudel, Norbert Odolczyk, Julie Dremaux, Jérôme Toffin, Aline Regnier, Henri Sevestre, Piotr Zielenkiewicz, Jean-Philippe Arnault, Brigitte Gubler

Abstract readCase Reports
In one paragraph

Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Cancers · 2021
    Article
  3. Article
  4. Article
  5. Retrospective Case Series Analysis ofJCO precision oncology · 2021
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

9 authors.

Stéphanie TrudelLaboratoire d'Oncobiologie moléculaire, Centre Hospitalier Universitaire Amiens Picardie, F-80054 Amiens, France. trudel.stephanie@chu-amiens.fr.
Norbert Odolczyk
Julie Dremaux
Jérôme Toffin
Aline Regnier
Henri Sevestre
Piotr Zielenkiewicz
Jean-Philippe Arnault
Brigitte Gubler

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMutations in the activation segment of the v-raf murine sarcoma viral oncogene homolog B (BRAF) gene are present in approximately 50% of melanomas. The selective BRAF inhibitor vemurafenib has demonstrated significant clinical benefits in patients with melanomas harboring the most common mutations (V600E, V600K and V600R). However, the clinical activity of BRAF inhibitors in patients with rare mutations of codon 600 and the surrounding codons has not been documented. CASE PRESENTATION: We used the BRAF inhibitor vemurafenib to treat a patient presenting a rare p.V600_K601delinsD-mutated melanoma. An objective response was evidenced by two months of progression-free survival. By cloning and sequencing BRAF exon 15, we confirmed that a dual mutation was present on a single allele and thus resulted in a BRAFV(600DK601del) mutant protein. We also performed an in silico crystal structure analysis of the mutated protein, in order to characterize the nature of the putative interaction between vemurafenib and the mutant protein.

conclusionThis clinical experience suggests that (i) patients with BRAFV(600DK601del)-mutation-positive melanoma can be treated successfully with the oral BRAF inhibitor vemurafenib and (ii) molecular screening in this context should encompass rare and complex mutations.

Indexed as

AgedAntineoplastic AgentsFemaleHumansIndolesMelanomaModels, MolecularNeoplasm MetastasisPoint MutationProtein Structure, TertiaryProto-Oncogene Proteins B-rafSequence DeletionSulfonamidesTreatment OutcomeVemurafenibAntineoplastic AgentsBRAF protein, humanIndolesProto-Oncogene Proteins B-rafSulfonamidesVemurafenib

Identifiers

PMID25265970
PMCPMC4192296

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Registered trials

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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.