Evidence map›Paper›PMID 32918774›Full record

ArticleThe oncologist2021

Targetable BRAF and RAF1 Alterations in Advanced Pediatric Cancers.

Andrew Rankin, Adrienne Johnson, Alison Roos, Geoffrey Kannan, Jeffrey Knipstein, Nicholas Britt, Mark Rosenzweig, James Haberberger, Dean Pavlick, Eric Severson and 12 more

Open access · greenAbstract read
In one paragraph

Article in The oncologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Molecular features in gangliogliomas: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. VCAN Is Essential for ERK5-Driven Tumorigenesis in Soft Tissue Sarcoma.International journal of biological sciences · 2026
    Article
  6. Review
  7. Dabrafenib in pediatric patients withNeuro-oncology practice · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Paediatric pancreatic acinar cell carcinoma with a novel SEC31A-BRAF fusion gene.Virchows Archiv : an international journal of pathology · 2024
    Article
  13. MOST wanted: navigating the MAPK-OIS-SASP-tumor microenvironment axis in primary pediatric low-grade glioma and preclinical models.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Recurrent TRAK1::RAF1 Fusions in pediatric low-grade gliomas.Brain pathology (Zurich, Switzerland) · 2023
    Article
  18. Article
  19. Cancers · 2022
    Review
  20. 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

22 authors at 5 institutions in 1 country.

Andrew RankinFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Adrienne JohnsonFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Alison RoosFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Geoffrey KannanCenter for Cancer and Blood Disorders, Pediatric Specialists of Virginia, Falls Church, Virginia, USA.
Jeffrey KnipsteinPediatric Hematology/Oncology/BMT, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Nicholas BrittFoundation Medicine Inc., Morrisville, North, Carolina, USA.
Mark RosenzweigFoundation Medicine Inc., Cambridge, Massachusetts, USA.
James HaberbergerFoundation Medicine Inc., Morrisville, North, Carolina, USA.
Dean PavlickFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Eric SeversonFoundation Medicine Inc., Morrisville, North, Carolina, USA.
Jo-Anne VergilioFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Rachel SquillaceFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Rachel ErlichFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Pratheesh SathyanFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Stuart CramerUniversity of South Carolina School of Medicine, Columbia, South Carolina, USA.
David KramWake Forest Pediatric Oncology, Winston-Salem, North Carolina, USA.
Jeffrey RossFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Vince MillerFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Prasanth ReddyFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Brian AlexanderFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Siraj M AliFoundation Medicine Inc., Cambridge, Massachusetts, USA.
Shakti RamkissoonFoundation Medicine Inc., Morrisville, North, Carolina, USA.
Foundation Medicine (United States)Center for Cancer and Blood Disorders · USMedical College of Wisconsin · USSUNY Upstate Medical University · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RAF family protein kinases signal through the MAPK pathway to orchestrate cellular proliferation, survival, and transformation. Identifying BRAF alterations in pediatric cancers is critically important as therapeutic agents targeting BRAF or MEK may be incorporated into the clinical management of these patients. In this study, we performed comprehensive genomic profiling on 3,633 pediatric cancer samples and identified a cohort of 221 (6.1%) cases with known or novel alterations in BRAF or RAF1 detected in extracranial solid tumors, brain tumors, or hematological malignancies. Eighty percent (176/221) of these tumors had a known-activating short variant (98, 55.7%), fusion (72, 40.9%), or insertion/deletion (6, 3.4%). Among BRAF altered cancers, the most common tumor types were brain tumors (74.4%), solid tumors (10.8%), hematological malignancies (9.1%), sarcomas (3.4%), and extracranial embryonal tumors (2.3%). RAF1 fusions containing intact RAF1 kinase domain (encoded by exons 10-17) were identified in seven tumors, including two novel fusions TMF1-RAF1 and SOX6-RAF1. Additionally, we highlight a subset of patients with brain tumor with positive clinical response to BRAF inhibitors, demonstrating the rationale for incorporating precision medicine into pediatric oncology. IMPLICATIONS FOR PRACTICE: Precision medicine has not yet gained a strong foothold in pediatric cancers. This study describes the landscape of BRAF and RAF1 genomic alterations across a diverse spectrum of pediatric cancers, primarily brain tumors, but also encompassing melanoma, sarcoma, several types of hematologic malignancy, and others. Given the availability of multiple U.S. Food and Drug Administration-approved BRAF inhibitors, identification of these alterations may assist with treatment decision making, as described here in three cases of pediatric cancer.

Indexed as

Brain NeoplasmsMelanomaProto-Oncogene Proteins B-rafSarcomaSoft Tissue NeoplasmsChildHumansMutationProto-Oncogene MasProto-Oncogene Proteins c-rafBRAF protein, humanMAS1 protein, humanProto-Oncogene MasProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-rafRaf1 protein, humanBiomarkersBrain neoplasmsLeukemiaPediatricsPrecision medicineProteins B-rafProto-oncogeneTumor

Identifiers

PMID32918774
PMCPMC7794197
OpenAlexW3086537847

What OpenQuestion holds

Textmetadata
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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.