Evidence map›Paper›PMID 30264293›Full record

Trial reportInvestigational new drugs2019

E6201, an intravenous MEK1 inhibitor, achieves an exceptional response in BRAF V600E-mutated metastatic malignant melanoma with brain metastases.

Hani M Babiker, Sara A Byron, William P D Hendricks, William F Elmquist, Gautham Gampa, Jessica Vondrak, Jessica Aldrich, Lori Cuyugan, Jonathan Adkins, Valerie De Luca and 13 more

Open access · greenAbstract readCase ReportsClinical Trial, Phase IMulticenter Study
In one paragraph

Trial report in Investigational new drugs, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Emerging Studies of Melanoma Brain Metastasis.Current oncology reports · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. MEK Inhibition Suppresses Growth of Atypical Teratoid/Rhabdoid Tumors.Journal of neuropathology and experimental neurology · 2020
    Article
  17. Article
  18. Drug Concentration Asymmetry in Tissues and Plasma for Small Molecule-Related Therapeutic Modalities.Drug metabolism and disposition: the biological fate of chemicals · 2019
    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

23 authors at 4 institutions in 1 country.

Hani M BabikerEarly Phase Clinical Trials Program, University of Arizona Cancer Center, 1515 N. Campbell Ave, Tucson, AZ, 85724, USA. hanibabiker@email.arizona.edu.
Sara A ByronTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
William P D HendricksTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
William F ElmquistDepartment of Pharmaceutics, University of Minnesota, 308 SE Harvard Street, Minneapolis, MN, 55455, USA.
Gautham GampaDepartment of Pharmaceutics, University of Minnesota, 308 SE Harvard Street, Minneapolis, MN, 55455, USA.
Jessica VondrakEarly Phase Clinical Trials Program, University of Arizona Cancer Center, 1515 N. Campbell Ave, Tucson, AZ, 85724, USA.
Jessica AldrichTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Lori CuyuganTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Jonathan AdkinsTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Valerie De LucaTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Raoul TibesHonor Health Research Institute, 10510 N. 92nd Street, #200, Scottsdale, AZ, 85258, USA.
Mitesh J BoradTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Katie MarceauHonor Health Research Institute, 10510 N. 92nd Street, #200, Scottsdale, AZ, 85258, USA.
Thomas J MyersSpirita Oncology, LLC, 2450 Holcombe Blvd., Suite J, Houston, TX, 77021, USA.
Linda J ParadisoSpirita Oncology, LLC, 2450 Holcombe Blvd., Suite J, Houston, TX, 77021, USA.
Winnie S LiangTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Ronald L KornTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Derek CridebringTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Daniel D Von HoffTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
John D CarptenTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
David W CraigTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Jeffrey M TrentTranslational Genomics Research Institute, 445 N. Fifth Street, Phoenix, AZ, 85004, USA.
Michael S GordonHonor Health Research Institute, 10510 N. 92nd Street, #200, Scottsdale, AZ, 85258, USA.
Translational Genomics Research Institute · USHonorHealth · USUniversity of Arizona · USUniversity of Minnesota · US

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MYLES G COCKBURN · 1985 to 2026
$181.4M
NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

Malignant melanoma (MM) exhibits a high propensity for central nervous system dissemination with ~50% of metastatic MM patients developing brain metastases (BM). Targeted therapies and immune checkpoint inhibitors have improved overall survival for MM patients with BM. However, responses are usually of short duration and new agents that effectively penetrate the blood brain barrier (BBB) are needed. Here, we report a MM patient with BM who experienced an exceptional response to E6201, an ATP-competitive MEK1 inhibitor, on a Phase 1 study, with ongoing near-complete response and overall survival extending beyond 8 years. Whole exome and transcriptome sequencing revealed a high mutational burden tumor (22 mutations/Megabase) with homozygous BRAF V600E mutation. Correlative preclinical studies demonstrated broad activity for E6201 across BRAF V600E mutant melanoma cell lines and effective BBB penetration in vivo. Together, these results suggest that E6201 may represent a potential new treatment option for BRAF-mutant MM patients with BM.

Indexed as

Aged, 80 and overAnimalsAntineoplastic AgentsBrainBrain NeoplasmsCell Line, TumorExome SequencingFemaleGene Expression ProfilingHumansLactonesMaleMelanomaMice, KnockoutMutationProtein Kinase Inhibitors14-(ethylamino)-8,9,16-trihydroxy-3,4-dimethyl-3,4,9,19-tetrahydro-1H-2-benzoxacyclotetradecine-1,7(8H)-dioneAntineoplastic AgentsBRAF protein, humanLactonesProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAFBrainInhibitorMEKMelanoma

Identifiers

PMID30264293
PMCPMC7519637
OpenAlexW2894347564

What OpenQuestion holds

Textmetadata
LicenceTDM
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.