Evidence map›Paper›PMID 27458004›Full record

Trial reportBlood2016

Targeted sequencing of refractory myeloma reveals a high incidence of mutations in CRBN and Ras pathway genes.

K Martin Kortüm, Elias K Mai, Nur H Hanafiah, Chang-Xi Shi, Yuan-Xiao Zhu, Laura Bruins, Santiago Barrio, Patrick Jedlowski, Maximilian Merz, Jing Xu and 9 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 173 papers.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed
13.9field-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.

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

173 citing papers in PubMed, 249 citations in OpenAlex.

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113 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

19 authors at 5 institutions in 2 countries.

K Martin KortümDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ; Department of Internal Medicine II, Würzburg University Hospital, Würzburg, Germany;
Elias K MaiMax-Eder Group "Experimental Therapies for Hematologic Malignancies," Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany; Department of Internal Medicine V, and.
Nur H HanafiahMax-Eder Group "Experimental Therapies for Hematologic Malignancies," Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany;
Chang-Xi ShiDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Yuan-Xiao ZhuDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Laura BruinsDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Santiago BarrioDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Patrick JedlowskiDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Maximilian MerzDepartment of Internal Medicine V, and.
Jing XuMax-Eder Group "Experimental Therapies for Hematologic Malignancies," Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany; Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany;
Robert A StewartDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Mindaugas AndrulisInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany;
Anna JauchInstitute of Human Genetics, University of Heidelberg, Heidelberg, Germany;
Jens HillengassDepartment of Internal Medicine V, and.
Hartmut GoldschmidtDepartment of Internal Medicine V, and National Center of Tumor Diseases, Heidelberg, Germany; and.
P Leif BergsagelDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
Esteban BraggioDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ;
A Keith StewartDepartment of Hematology, Mayo Clinic in Arizona, Scottsdale, AZ; Center for Individualized Medicine, Mayo Clinic, Rochester, MN.
Marc S RaabMax-Eder Group "Experimental Therapies for Hematologic Malignancies," Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany; Department of Internal Medicine V, and.ORCID 0000-0003-4181-6922
Mayo Clinic in Arizona · USGerman Cancer Research Center · DEHeidelberg University · DEMayo Clinic · USNational Center for Tumor Diseases · DE

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

In this study, targeted sequencing to screen 50 multidrug refractory multiple myeloma (rMM) patients was performed by using the Multiple Myeloma Mutation Panel. Patients were pretreated with both immunomodulatory drugs (IMiDs) and proteasome inhibitors (PIs), and 88%, 78%, and 68% were refractory to an IMiD, a PI, or both, respectively. The majority of patients had progressive (82%) or refractory (78%) disease immediately before sampling, with 43% being IMiD refractory and 46% being PI refractory in the most recent line of therapy. Compared with newly diagnosed MM, an increased prevalence of mutations in the Ras pathway genes KRAS, NRAS, and/or BRAF (72%), as well as TP53 (26%), CRBN (12%), and CRBN pathway genes (10%) was observed. Longitudinal analyses performed in 3 patients with CRBN mutations at time of IMiD resistance confirmed that these mutations were undetectable at earlier, IMiD-sensitive time points. Furthermore, the functional introduction of these mutations in MM cells conferred lenalidomide resistance in vitro. These data indicate a differential genetic landscape in rMM associated with drug response.

Indexed as

MutationAdaptor Proteins, Signal TransducingAdultAgedAged, 80 and overDrug Resistance, NeoplasmFemaleGTP PhosphohydrolasesHigh-Throughput Nucleotide SequencingHumansMaleMembrane ProteinsMiddle AgedMultiple MyelomaPeptide HydrolasesProto-Oncogene Proteins B-rafAdaptor Proteins, Signal TransducingBRAF protein, humanCRBN protein, humanGTP PhosphohydrolasesKRAS protein, humanMembrane ProteinsNRAS protein, humanPeptide HydrolasesProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)TP53 protein, humanTumor Suppressor Protein p53Ubiquitin-Protein Ligases

Identifiers

PMID27458004
PMCPMC5524534
OpenAlexW2494443970

What OpenQuestion holds

Textmetadata
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.