Evidence map›Paper›PMID 31417188›Full record

ArticleBritish journal of cancer2019

Impact of depth of response on survival in patients treated with cobimetinib ± vemurafenib: pooled analysis of BRIM-2, BRIM-3, BRIM-7 and coBRIM.

Karl D Lewis, James Larkin, Antoni Ribas, Keith T Flaherty, Grant A McArthur, Paolo A Ascierto, Brigitte Dréno, Yibing Yan, Matthew Wongchenko, Edward McKenna and 3 more

Abstract read
In one paragraph

Article in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Triplet Strategies in Metastatic Clear Cell Renal Cell Carcinoma: A Worthy Option in the First-Line Setting?American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2023
    Trial
  2. 5-Year Outcomes with Cobimetinib plus Vemurafenib in BRAFV600 Mutation-Positive Advanced Melanoma: Extended Follow-up of the coBRIM Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
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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

13 authors.

Karl D LewisDepartment of Medicine, University of Colorado Comprehensive Cancer Center, Aurora, CO, 80045, USA. karl.lewis@cuanschutz.edu.
James LarkinSkin Unit, The Royal Marsden NHS Foundation Trust, London, SW3 6JJ, UK.
Antoni RibasDepartments of Medicine and Hematology and Oncology, Jonsson Comprehensive Cancer Center at the University of California, Los Angeles, Los Angeles, CA, 90095, USA.
Keith T FlahertyDepartment of Medicine, Massachusetts General Hospital, Boston, MA, 02114, USA.
Grant A McArthurPeter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia.
Paolo A AsciertoCancer Immunotherapy and Innovative Therapy Unit, Istituto Nazionale Tumori Fondazione G. Pascale, Naples, 80131, Italy.
Brigitte DrénoDepartment of Oncology, Nantes University, Nantes, 44093, France.
Yibing YanProduct Development Oncology, Genentech, Inc., South San Francisco, CA, USA.
Matthew WongchenkoProduct Development Oncology, Genentech, Inc., South San Francisco, CA, USA.
Edward McKennaMedical Affairs, Genentech, Inc., South San Francisco, CA, 94080, USA.
Qian ZhuProduct Development Oncology, Genentech, Inc., South San Francisco, CA, USA.
Yong MunProduct Development Oncology, Genentech, Inc., South San Francisco, CA, USA.
Axel HauschildDepartment of Dermatology, University Hospital Schleswig-Holstein, Kiel, D-24105, Germany.

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
NCI NIH HHS P30 CA016042
6 · The paper itself

Abstract

backgroundThis pooled analysis investigated the prognostic value of depth of response in two cohorts of patients with BRAF

methodsThe data were pooled from BRIM-2, BRIM-3, BRIM-7 and coBRIM. Association of depth of response with survival was estimated by Cox proportional hazards regression, adjusted for clinically relevant covariates. Depth of response was analysed in previously identified prognostic subgroups based on disease characteristics and gene signatures.

resultsGreater tumour reduction and longer time to maximal response were significantly associated with longer progression-free survival (PFS) and overall survival (OS) when evaluated as continuous variables. Patients with the deepest responses had long-lasting survival outcomes (median PFS: 14 months; OS: 32 months with vemurafenib; not estimable with cobimetinib plus vemurafenib). Cobimetinib plus vemurafenib improved depth of response versus vemurafenib monotherapy regardless of other prognostic factors, including gene signatures.

conclusionsGreater depth of response was associated with improved survival, supporting its utility as a measure of treatment efficacy in melanoma and further evaluation of its incorporation into existing prognostic models. Cobimetinib plus vemurafenib improved outcomes across quartiles of response regardless of prognostic factors or gene signatures and provided durable survival benefits in patients with deep responses.

Indexed as

Administration, OralAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsAzetidinesClinical Trials as TopicGene ExpressionHumansInjections, IntravenousKaplan-Meier EstimateMelanomaMitogen-Activated Protein Kinase KinasesMulticenter Studies as TopicPiperidinesPlacebosProgression-Free SurvivalProto-Oncogene Proteins B-rafAntineoplastic AgentsAzetidinesBRAF protein, humancobimetinibMitogen-Activated Protein Kinase KinasesPiperidinesPlacebosProto-Oncogene Proteins B-rafVemurafenib

Identifiers

PMID31417188
PMCPMC6889491

What OpenQuestion holds

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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.