Evidence map›Paper›PMID 29039591›Full record

ArticleOncology reports2017

Dabrafenib in patients with recurrent, BRAF V600E mutated malignant glioma and leptomeningeal disease.

Michael C Burger, Michael W Ronellenfitsch, Nadja I Lorenz, Marlies Wagner, Martin Voss, David Capper, Theophilos Tzaridis, Ulrich Herrlinger, Joachim P Steinbach, Gabriele Stoffels and 5 more

Abstract read
In one paragraph

Article in Oncology reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

40 citing papers in PubMed.

  1. BRAF Inhibition inJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Trial
  2. Article
  3. Article
  4. Leptomeningeal Disease: Current Approaches and Future Directions.Current neurology and neuroscience reports · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Regulation of TORC1 by MAPK Signaling Determines Sensitivity and Acquired Resistance to Trametinib in Pediatric BRAFV600E Brain Tumor Models.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

15 authors.

Michael C BurgerDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.
Michael W RonellenfitschDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.
Nadja I LorenzDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.
Marlies WagnerInstitute of Neuroradiology, Goethe-University Hospital, Frankfurt, Germany.
Martin VossDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.
David CapperDepartment of Neuropathology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Theophilos TzaridisDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Bonn, Germany.
Ulrich HerrlingerDivision of Clinical Neurooncology, Department of Neurology, University of Bonn Medical Center, Bonn, Germany.
Joachim P SteinbachDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.
Gabriele StoffelsInstitute of Neuroscience and Medicine, Research Center Jülich, Jülich, Germany.
Karl-Josef LangenInstitute of Neuroscience and Medicine, Research Center Jülich, Jülich, Germany.
Christian BrandtsDepartment of Medicine, Hematology/Oncology, Goethe-University Hospital, Frankfurt, Germany.
Christian SenftDepartment of Neurosurgery, Goethe-University Hospital, Frankfurt, Germany.
Patrick N HarterInstitute of Neurology (Edinger-Institute), Goethe-University, Frankfurt, Germany.
Oliver BährDr. Senckenberg Institute of Neurooncology, Goethe-University Hospital, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BRAF V600E mutations occur frequently in malignant melanoma, but are rare in most malignant glioma subtypes. Besides, more benign brain tumors such as ganglioglioma, dysembryoblastic neuroepithelial tumours and supratentorial pilocytic astrocytomas, only pleomorphic xanthoastrocytomas (50-78%) and epitheloid glioblastoma (50%) regularly exhibit BRAF mutations. In the present study, we report on three patients with recurrent malignant gliomas harbouring a BRAF V600E mutation. All patients presented with markedly disseminated leptomeningeal disease at recurrence and had progressed after radiotherapy and alkylating chemotherapy. Therefore, estimated life expectancy at recurrence was a few weeks. All three patients received dabrafenib as a single agent and all showed a complete or nearly complete response. Treatment is ongoing and patients are stable for 27 months, 7 months and 3 months, respectively. One patient showed a dramatic radiologic and clinical response after one week of treatment. We were able to generate an ex vivo tumor cell culture from CSF in one patient. Treatment of this cell culture with dabrafenib resulted in reduced cell density and inhibition of ERK phosphorylation in vitro. To date, this is the first series on adult patients with BRAF-mutated malignant glioma and leptomeningeal dissemination treated with dabrafenib monotherapy. All patients showed a dramatic response with one patient showing an ongoing response for more than two years.

Indexed as

AdultCell Line, TumorGliomaHumansImidazolesMaleMAP Kinase Signaling SystemMeningeal NeoplasmsMiddle AgedMutationNeoplasm Recurrence, LocalOximesPhosphorylationProto-Oncogene Proteins B-rafBRAF protein, humandabrafenibImidazolesOximesProto-Oncogene Proteins B-raf

Identifiers

PMID29039591
PMCPMC5783574

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.