Evidence map›Paper›PMID 26461489›Full record

ArticlePloS one2015

Landscape of Targeted Anti-Cancer Drug Synergies in Melanoma Identifies a Novel BRAF-VEGFR/PDGFR Combination Treatment.

Adam A Friedman, Arnaud Amzallag, Iulian Pruteanu-Malinici, Subash Baniya, Zachary A Cooper, Adriano Piris, Leeza Hargreaves, Vivien Igras, Dennie T Frederick, Donald P Lawrence and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

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

27 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. A Pan-Cancer Ex Vivo Drug Screen Atlas for Functional Precision Oncology.bioRxiv : the preprint server for biology · 2026
    Article
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  13. Article
  14. Combination of Anti-Cancer Drugs with Molecular Chaperone Inhibitors.International journal of molecular sciences · 2019
    Review
  15. Article
  16. Article
  17. Targeting the ERK Signaling Pathway in Melanoma.International journal of molecular sciences · 2019
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Adam A FriedmanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Dermatology and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America.
Arnaud AmzallagMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Iulian Pruteanu-MaliniciMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Subash BaniyaMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Dermatology and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America.
Zachary A CooperDepartment of Surgical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States of America; Department of Genomic Medicine, University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States of America.
Adriano PirisDivision of Dermatopathology, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Leeza HargreavesMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Dermatology and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America.
Vivien IgrasMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Dermatology and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America.
Dennie T FrederickMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Donald P LawrenceMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Daniel A HaberMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Howard Hughes Medical Institute, Chevy Chase, Maryland, United States of America.
Keith T FlahertyMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Jennifer A WargoDepartment of Surgical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States of America; Department of Genomic Medicine, University of Texas M.D. Anderson Cancer Center, Houston, Texas, United States of America.
Sridhar RamaswamyMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
Cyril H BenesMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America.
David E FisherMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, United States of America; Dermatology and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts, United States of America.
Harvard University · USMassachusetts General Hospital · USThe University of Texas MD Anderson Cancer Center · USHoward Hughes Medical Institute · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Transcriptional mechanisms and melanomaP01CA163222 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI LEONARD Ira ZON · 2013 to 2026
$25.3M
Pharmaco Response Signatures and Disease MechanismU54HG006097 · NHGRI · HARVARD MEDICAL SCHOOL · PI MITCHISON, TIMOTHY J, SORGER, PETER KARL · 2010 to 2013
$9.7M
The MITF transcriptional network: melanoma risk and carcinogenesisR01AR043369 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI DAVID E FISHER · 1996 to 2026
$9.4M
DERMATOLOGY TRAINING GRANTT32AR007098 · NIAMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI THOMAS S. KUPPER · 1986 to 2026
$8.1M
Role of Tumor Stroma in Therapeutic Response and ResistanceU54CA163125 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI FLAHERTY, KEITH T, FUTREAL, PHILLIP ANDREW · 2011 to 2015
$4.4M
Exploring synergy of combined BRAF-targeted therapy & immunotherapy for melanomaK08CA160692 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI WARGO, JENNIFER A. · 2012 to 2016
$713k
Development of next-generation cancer functional diagnosticsR21CA175907 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FISHER, DAVID E · 2013 to 2014
$411k
NCI NIH HHS 1K08CA160692-01A1NCI NIH HHS K08 CA160692NCI NIH HHS P01 CA163222NCI NIH HHS P01CA163222NCI NIH HHS R21 CA175907NCI NIH HHS R21CA175907NCI NIH HHS U54 CA163125NCI NIH HHS U54CA163125NHGRI NIH HHS 1U54HG006097-01NHGRI NIH HHS U54 HG006097NIAMS NIH HHS R01 AR043369NIAMS NIH HHS T32 AR007098NIAMS NIH HHS T32AR007098-38Wellcome TrustWellcome Trust 086357Wellcome Trust 102696
6 · The paper itself

Abstract

A newer generation of anti-cancer drugs targeting underlying somatic genetic driver events have resulted in high single-agent or single-pathway response rates in selected patients, but few patients achieve complete responses and a sizeable fraction of patients relapse within a year. Thus, there is a pressing need for identification of combinations of targeted agents which induce more complete responses and prevent disease progression. We describe the results of a combination screen of an unprecedented scale in mammalian cells performed using a collection of targeted, clinically tractable agents across a large panel of melanoma cell lines. We find that even the most synergistic drug pairs are effective only in a discrete number of cell lines, underlying a strong context dependency for synergy, with strong, widespread synergies often corresponding to non-specific or off-target drug effects such as multidrug resistance protein 1 (MDR1) transporter inhibition. We identified drugs sensitizing cell lines that are BRAFV600E mutant but intrinsically resistant to BRAF inhibitor PLX4720, including the vascular endothelial growth factor receptor/kinase insert domain receptor (VEGFR/KDR) and platelet derived growth factor receptor (PDGFR) family inhibitor cediranib. The combination of cediranib and PLX4720 induced apoptosis in vitro and tumor regression in animal models. This synergistic interaction is likely due to engagement of multiple receptor tyrosine kinases (RTKs), demonstrating the potential of drug- rather than gene-specific combination discovery approaches. Patients with elevated biopsy KDR expression showed decreased progression free survival in trials of mitogen-activated protein kinase (MAPK) kinase pathway inhibitors. Thus, high-throughput unbiased screening of targeted drug combinations, with appropriate library selection and mechanistic follow-up, can yield clinically-actionable drug combinations.

Indexed as

Molecular Targeted TherapyAnimalsAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsATP Binding Cassette Transporter, Subfamily BCell DeathCell Line, TumorDrug Resistance, NeoplasmDrug SynergismHigh-Throughput Screening AssaysHumansIndolesMelanomaMiceProto-Oncogene Proteins B-rafQuinazolinesABCB1 protein, humanAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily BcediranibIndolesPLX 4720Proto-Oncogene Proteins B-rafQuinazolinesReceptors, Platelet-Derived Growth FactorReceptors, Vascular Endothelial Growth FactorSulfonamides

Identifiers

PMID26461489
PMCPMC4604168
OpenAlexW2187351898

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.