Evidence map›Paper›PMID 31839677›Full record

Trial reportBritish journal of cancer2020

Dual-specificity protein phosphatase DUSP4 regulates response to MEK inhibition in BRAF wild-type melanoma.

Avinash Gupta, Christopher Towers, Frances Willenbrock, Roz Brant, Darren Richard Hodgson, Alan Sharpe, Paul Smith, Anthony Cutts, Anna Schuh, Ruth Asher and 6 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. DUSP4 promotes anti-tumor CD8Nature communications · 2026
    Article
  3. Article
  4. Distinct molecular subtypes of KRASClinical and translational medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Mitogen-Activated Protein Kinase Phosphatases: No Longer Undruggable?Annual review of pharmacology and toxicology · 2023
    Review
  12. Investigating the Role of DUSP4 in Uveal Melanoma.Translational vision science & technology · 2022
    Article
  13. 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
  14. Dual-specificity phosphatases: therapeutic targets in cancer therapy resistance.Journal of cancer research and clinical oncology · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  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

16 authors at 6 institutions in 1 country.

Avinash GuptaDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK. avinash.gupta@christie.nhs.uk.
Christopher TowersDepartment of Oncology, Old Road Campus Research Building, University of Oxford, Oxford, UK.
Frances WillenbrockDepartment of Oncology, Old Road Campus Research Building, University of Oxford, Oxford, UK.
Roz BrantTranslational Science, Oncology iMED, AstraZeneca, Macclesfield, UK.
Darren Richard HodgsonTranslational Science, Oncology iMED, AstraZeneca, Macclesfield, UK.
Alan SharpeOncology iMED, AstraZeneca, Cambridge, UK.
Paul SmithCancer BioSciences, AstraZeneca, Cambridge, UK.
Anthony CuttsMolecular Diagnostics Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Anna SchuhDepartment of Oncology, Old Road Campus Research Building, University of Oxford, Oxford, UK.
Ruth AsherDepartment of Cellular Pathology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Kevin MyersExperimental Cancer Medicine Centre, Oxford, UK.
Sharon LoveCentre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Linda CollinsOncology Clinical Trials Office, University of Oxford, Oxford, UK.
Adelyn WiseOncology Clinical Trials Office, University of Oxford, Oxford, UK.
Mark Roy MiddletonDepartment of Oncology, Old Road Campus Research Building, University of Oxford, Oxford, UK.
Valentine Moya MacaulayDepartment of Oncology, Old Road Campus Research Building, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-8659-0192
AstraZeneca (United Kingdom) · GBUniversity of Oxford · GBNational Institute for Health Research · GBJohn Radcliffe Hospital · GBNuffield Orthopaedic Centre · GBThe Christie NHS Foundation Trust · GB

Funding

Cancer Research UK 14189
6 · The paper itself

Abstract

backgroundAiming to improve treatment options for BRAF wild-type melanoma, we previously conducted the DOC-MEK study of docetaxel with MEK inhibitor (MEKi) selumetinib or placebo, revealing trends to prolongation of progression-free survival (hazard ratio 0.75, P = 0.130), and improved response rates (32% vs 14%, P = 0.059) with docetaxel plus selumetinib. NRAS status did not associate with outcome. Here, the aim was to identify novel biomarkers of response to MEKi.

methodsA MEK 6 gene signature was quantified using NanoString and correlated with clinical outcomes. Two components of the gene signature were investigated by gene silencing in BRAF/NRAS wild-type melanoma cells.

resultsIn melanomas of patients on the selumetinib but not the placebo arm, two gene signature components, dual-specificity protein phosphatase 4 (DUSP4) and ETS translocation variant 4 (ETV4), were expressed more highly in responders than non-responders. In vitro, ETV4 depletion inhibited cell survival but did not influence sensitivity to MEKi selumetinib or trametinib. In contrast, DUSP4-depleted cells showed enhanced cell survival and increased resistance to both selumetinib and trametinib.

conclusionsETV4 and DUSP4 associated with clinical response to docetaxel plus selumetinib. DUSP4 depletion induced MEKi resistance, suggesting that DUSP4 is not only a biomarker but also a mediator of MEKi sensitivity. CLINICAL

trial registrationDOC-MEK (EudraCT no: 2009-018153-23).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBenzimidazolesDocetaxelDrug Resistance, NeoplasmDual-Specificity PhosphatasesHumansMAP Kinase Kinase KinasesMelanomaMitogen-Activated Protein Kinase PhosphatasesProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-etsTranscriptomeAZD 6244BenzimidazolesBRAF protein, humanDocetaxelDual-Specificity PhosphatasesDUSP4 protein, humanETV4 protein, humanMAP Kinase Kinase KinasesMitogen-Activated Protein Kinase PhosphatasesProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-ets

Identifiers

PMID31839677
PMCPMC7028919
OpenAlexW2996025685

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.