Evidence map›Paper›PMID 29222604›Full record

Trial reportCancer chemotherapy and pharmacology2018

Model based analysis of the heterogeneity in the tumour size dynamics differentiates vemurafenib, dabrafenib and trametinib in metastatic melanoma.

Hitesh B Mistry, David Orrell, Raluca Eftimie

Abstract readClinical Trial, Phase III
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
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  6. Review
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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

3 authors.

Hitesh B MistryCentre for Drug Disease Modelling and Simulation, Manchester Pharmacy School, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. hitesh.mistry@manchester.ac.uk.ORCID 0000-0002-9683-1903
David OrrellSystems Forecasting, 330 Spadina Road, Toronto, ON, M5R 2V9, Canada.
Raluca EftimieDepartment of Mathematics, University of Dundee, Dundee, DD1 4HN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeExplore the heterogeneity in dynamics of tumour response to vemurafenib, dabrafenib and trametinib using routinely collected clinical trial imaging data.

methodsTime-series imaging data from the phase III studies of vemurafenib, dabrafenib and trametinib were collected through a data repository. A mathematical model based on basic mechanisms of tumour growth was placed within a statistical modelling framework to analyse the data.

resultsThe analysis revealed: (1) existence of homogeneity in drug response and resistance development within a patient; (2) tumour shrinkage rate does not relate to rate of resistance development; (3) vemurafenib and dabrafenib, two BRAF inhibitors, have different variability in tumour shrinkage rates.

conclusionsOverall these results show how analysis of the dynamics of individual lesions can shed light on the within and between patient differences in tumour shrinkage and resistance rates, which could be used to gain a macroscopic understanding of tumour heterogeneity.

Indexed as

AlgorithmsAntineoplastic AgentsDrug Resistance, NeoplasmHumansImidazolesMelanomaModels, TheoreticalNeoplasm MetastasisNeoplasm Recurrence, LocalOximesProto-Oncogene Proteins B-rafPyridonesPyrimidinonesSkin NeoplasmsVemurafenibAntineoplastic AgentsBRAF protein, humandabrafenibImidazolesOximesProto-Oncogene Proteins B-rafPyridonesPyrimidinonestrametinibVemurafenibHeterogeneityImagingMelanomaPharmacology

Identifiers

PMID29222604
PMCPMC5778167

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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.