Evidence map›Paper›PMID 30344946›Full record

ArticleOncotarget2018

The efficacy of re-challenge with BRAF inhibitors after previous progression to BRAF inhibitors in melanoma: A retrospective multicenter study.

Julia K Tietze, Andrea Forschner, Carmen Loquai, Heidrun Mitzel-Rink, Lisa Zimmer, Frank Meiss, David Rafei-Shamsabadi, Jochen Utikal, Maike Bergmann, Friedegund Meier and 9 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05501912 (A Phase I, Open-Label, Multicenter, Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-Cancer Activity of ABM-1310 in Patients With BRAF V600-Mutant Advanced Solid Tumors), which is not on this 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
1.6field-weighted citation impact, top 16% 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.

NCT05501912 phase1terminatednot on this mapstarted 2022, after this paper: background citation

A Phase I, Open-Label, Multicenter, Dose Escalation and Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-Cancer Activity of ABM-1310 in Patients With BRAF V600-Mutant Advanced Solid Tumors

TypeinterventionalSponsorABM Therapeutics Shanghai Company LimitedRan2022 to 2024Enrolled20ConditionsAdvanced Solid Tumor, BRAF V600 MutationArmsABM-1310
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Efficacy of rechallenge with BRAF inhibition therapy in patients with advanced BRAFV600 mutant melanoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Pooled it
  2. Longitudinal Genomic Analysis to Fine-tune Targeted Therapy: Results of the Phase II LOGIC 2 Trial in Patients with BRAFV600-Mutant Metastatic Melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  3. Retreatment and rechallenge with BRAF/MEK inhibitors in patients with metastatic melanoma: results from the real-world Spanish Melanoma Registry (GEM-1801).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
  4. Article
  5. Observational
  6. Review
  7. H3K4me3 remodeling induced acquired resistance through O-GlcNAc transferase.Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Melanoma: BRAFi Rechallenge.Medicina (Kaunas, Lithuania) · 2023
    Article
  12. Article
  13. Article
  14. Intermittent treatment of BRAFProceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
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 14 institutions in 1 country.

Julia K TietzeDepartment of Dermatology and Allergy, University Hospital Munich (LMU), 80337 Munich, Germany.
Andrea ForschnerDepartment of Dermatology, Center for Dermatooncology, University Hospital Tübingen, 72076 Tübingen, Germany.
Carmen LoquaiDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.
Heidrun Mitzel-RinkDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.
Lisa ZimmerDepartment of Dermatology, University Hospital Essen, University of Essen, 45147 Essen, Germany.
Frank MeissDepartment of Dermatology and Venereology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, 79104 Freiburg, Germany.
David Rafei-ShamsabadiDepartment of Dermatology and Venereology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, 79104 Freiburg, Germany.
Jochen UtikalSkin Cancer Unit, German Cancer Research Center (DKFZ) and Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, 68167 Mannheim, Germany.
Maike BergmannDepartment of Dermatology, Skin Cancer Center, National Center for Tumor Diseases, Medical Faculty and University Hospital Carl Gustav Carus, TU Dresden, 01307 Dresden, Germany.
Friedegund MeierDepartment of Dermatology, Skin Cancer Center, National Center for Tumor Diseases, Medical Faculty and University Hospital Carl Gustav Carus, TU Dresden, 01307 Dresden, Germany.
Nicole KreuzbergDepartment of Dermatology, University of Cologne, 50937 Cologne, Germany.
Max SchlaakDepartment of Dermatology, University of Cologne, 50937 Cologne, Germany.
Carsten WeishauptDepartment of Dermatology, University of Münster, 48149 Münster, Germany.
Claudia PföhlerDepartment of Dermatology, Saarland University Medical Center, 66421 Homburg/Saar, Germany.
Mirjana ZiemerDepartment of Dermatology, Venereology, and Allergology, University Hospital Leipzig, 04103 Leipzig, Germany.
Michael FluckDepartment of Internal Medical Oncology, Clinic Hornheide, 48157 Münster, Germany.
Jessica RainerDeparment of Dermatology, Klinikum Süd, 86179 Augsburg, Germany.
Markus V HepptDepartment of Dermatology and Allergy, University Hospital Munich (LMU), 80337 Munich, Germany.
Carola BerkingDepartment of Dermatology and Allergy, University Hospital Munich (LMU), 80337 Munich, Germany.
Ludwig-Maximilians-Universität München · DEUniversity Medical Center of the Johannes Gutenberg University Mainz · DEUniversity of Cologne · DEUniversity of Freiburg · DEEssen University Hospital · DEFachklinik Hornheide · DELMU Klinikum · DENational Center for Tumor Diseases · DESaarland University · DEUniversity Hospital Augsburg · DEUniversity Hospital Carl Gustav Carus · DEUniversity Hospital Heidelberg · DEUniversity Hospital Leipzig · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BRAF and MEK inhibition is efficient in patients with BRAF V600-mutated metastatic melanoma, but due to acquired resistance the duration of response (DoR) is often only short-lived. In this retrospective multicenter study with 60 patients suffering from inoperable or metastatic melanoma we evaluated the efficacy of re-challenge with a BRAF inhibitor (BRAF2) with or without MEK-inhibition after progressive disease upon previous treatment with a BRAF inhibitor (BRAF1) with or without MEK inhibition. Treatment with BRAF1 led to a disease control rate (DCR) of 90% with 12% complete responses (CR), 58% partial responses (PR) and 20% stable diseases (SD), the median progression-free survival (PFS) was 9.9 and DoR 10.7 months. BRAF2 with (68%) or without (32%) additional MEK inhibition was initiated after a median interval of 3.4 months. DCR after re-challenge with BRAF2 was 57%, 8% CR, 20% PR and 28% SD, median PFS was 5.0 and DoR 14.0 months. The duration of the treatment interval or the treatment in the interval did not influence the DCR or PFS to BRAF2. The only predictive factor for response to BRAF2 was previous response to BRAF1; all patients with CR to BRAF1 achieved disease control with BRAF2, but only 60% of the patients with PR to BRAF1 (p=0.002). Addition of MEK inhibition to BRAF2 after treatment with BRAF1 as monotherapy did not significantly increase the DCR or PFS compared to patients treated solely with mono- or combination therapy. In conclusion re-challenge with a BRAF inhibitor is a meaningful therapeutic option for patients with BRAF V600-mutated metastatic melanoma.

Indexed as

BRAF-inhibitionBRAFV600 mutationMEK-inhibitionmelanomare-challenge

Identifiers

PMID30344946
PMCPMC6188134
OpenAlexW2893206345

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.