Evidence map›Paper›PMID 32699976›Full record

ArticleInternational journal of clinical oncology2020

Interim analysis for post-marketing surveillance of dabrafenib and trametinib combination therapy in Japanese patients with unresectable and metastatic melanoma with BRAF V600 mutation.

Yasutomo Teshima, Minako Kizaki, Ryohei Kurihara, Ryosuke Kano, Miki Harumiya

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in International journal of clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Yasutomo TeshimaRe-Examination, Patient Safety Japan Re-Examination, Regulatory Office Japan, Novartis Pharma K.K., Toranomon Hills Mori Tower, 1-23-1, Toranomon, Minato-ku, Tokyo, 105-6333, Japan. yasutomo.teshima@novartis.com.ORCID http://orcid.org/0000-0002-7630-6175
Minako KizakiPVO Japan, Patient Safety Japan, Regulatory Office Japan, Novartis Pharma K.K., Toranomon Hills Mori Tower, 1-23-1, Toranomon, Minato-ku, Tokyo, 105-6333, Japan.
Ryohei KuriharaBiostatistics, Clinical Development, Novartis Pharma K.K., Toranomon Hills Mori Tower, 1-23-1, Toranomon, Minato-ku, Tokyo, 105-6333, Japan.
Ryosuke KanoSolid Tumor Medical Franchise Department, Oncology Medical Affairs Department, Novartis Pharma K.K., Toranomon Hills Mori Tower, 1-23-1, Toranomon, Minato-ku, Tokyo, 105-6333, Japan.
Miki HarumiyaClinical Development of Solid Tumor Oncology Group, Clinical Development Department, Novartis Pharma K.K., Toranomon Hills Mori Tower, 1-23-1, Toranomon, Minato-ku, Tokyo, 105-6333, Japan.
Novartis (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the safety and efficacy of dabrafenib and trametinib combination therapy for BRAF V600 mutation-positive unresectable and metastatic melanoma in over 100 Japanese patients of a real-world clinical setting. PATIENTS: The surveillance period of interim post-marketing surveillance (PMS) analysis was from June 2016 to November 2018, and 112 patients with unresectable and metastatic BRAF V600 melanoma who received dabrafenib and trametinib were enrolled.

resultsThe safety analysis set included 112 patients whom almost all patients had stage IV disease (n = 97, 86.61%) with an Eastern Cooperative Oncology Group performance status 0 or 1 (n = 102, 91.07%), and mean (standard deviation) lactate dehydrogenase level was 354.3 (456.4) U/L (n = 105) at baseline. Median daily dose of dabrafenib was 300.0 mg/day (118-300), and median daily dose of trametinib was 2.00 mg/day (1.0-4.0). Adverse drug reactions (ADRs) were reported in 84 patients (75%), and common ADRs (incidence ≥ 5%) were pyrexia (n = 49, 43.75%), hepatic function abnormal (n = 11, 9.82%), rash and blood creatine phosphokinase increased (n = 9 each, 8.04%), and erythema nodosum (n = 6, 5.36%). Majority of ADRs reported in this study were consistent with that reported in previous trials. In the efficacy analysis set of 110 patients, the objective response rate was 55.45% (95% confidence interval 45.67-64.93%), and median progression-free survival was 384.0 days (251.0 days-not reached).

conclusionsNo new safety or efficacy concerns were observed in this interim PMS analysis in Japanese patients with unresectable and metastatic melanoma with BRAF gene mutation who received dabrafenib and trametinib combination therapy.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsAsian PeopleFemaleFeverHumansImidazolesMaleMelanomaMiddle AgedMutationOximesPregnancyProgression-Free SurvivalBRAF protein, humandabrafenibImidazolesOximesProto-Oncogene Proteins B-rafPyridonesPyrimidinonestrametinibBRAF mutationDabrafenibJapaneseMelanomaReal-worldTrametinib

Identifiers

PMID32699976
PMCPMC7498495
OpenAlexW3045136195

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.