Evidence map›Paper›PMID 32999660›Full record

ArticleCase reports in oncology

Rapid Improvement of the Performance Status and Reduction of the Tumor Size in KRAS-Mutated Colorectal Cancer Patient Receiving Binimetinib, Hydroxychloroquine, and Bevacizumab.

Sergey V Orlov, Magaripa A Urtenova, Maria A Sviridenko, Denis V Nesterov, Tatiana N Sokolova, Evgeny N Imyanitov

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Current status of molecular diagnostics for lung cancer.Exploration of targeted anti-tumor therapy · 2024
    Review
  3. Review
  4. Towards precision oncology with patient-derived xenografts.Nature reviews. Clinical oncology · 2022
    Review
  5. Clinical Translation of Combined MAPK and Autophagy Inhibition inInternational journal of molecular sciences · 2021
    Review
  6. Molecular testing for colorectal cancer: Clinical applications.World journal of gastrointestinal oncology · 2021
    Review
  7. Cancer Therapy Guided by Mutation Tests: Current Status and Perspectives.International journal of molecular sciences · 2021
    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

6 authors at 3 institutions in 1 country.

Sergey V OrlovDepartment of Oncology, I.P. Pavlov Medical University, Saint Petersburg, Russian Federation.
Magaripa A UrtenovaDepartment of Oncology, I.P. Pavlov Medical University, Saint Petersburg, Russian Federation.
Maria A SviridenkoDepartment of Oncology, I.P. Pavlov Medical University, Saint Petersburg, Russian Federation.
Denis V NesterovDepartment of Roentgenology, N.N. Petrov Institute of Oncology, Saint Petersburg, Russian Federation.
Tatiana N SokolovaDepartment of Tumor Growth Biology, N.N. Petrov Institute of Oncology, Saint Petersburg, Russian Federation.
Evgeny N ImyanitovDepartment of Oncology, I.P. Pavlov Medical University, Saint Petersburg, Russian Federation.
First Pavlov State Medical University of St. Petersburg · RUInstitute of Oncology NN Petrov · RUNorth-Western State Medical University named after I.I. Mechnikov · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Activating RAS mutations occur in more than a half of colorectal cancers (CRCs). RAS-mutated CRCs are notoriously difficult to treat given that they are characterized by the aggressive disease course and the lack of appropriate targeted therapies. Recent preclinical studies demonstrated that RAS-mutated cells escape from therapeutic MEK inhibition by the development of autophagy, and this escape may be prevented by the administration of an antimalarial drug, hydroxychloroquine. The available clinical data are limited to a single case observation involving a patient with KRAS-mutated pancreatic cancer. Here, we report a woman with KRAS G12D-mutated CRC, whose tumor did not respond to conventional therapy. The combination of binimetinib, hydroxychloroquine, and bevacizumab was administered as a last-hope option. The patient experienced rapid improvement of the performance status. The tumor lumps demonstrated 17% reduction in the size within the first 6 weeks of the therapy. This report calls for evaluation of the efficacy of a combination of MEK inhibitors and hydroxychloroquine, possibly with the addition of bevacizumab, in chemotherapy-resistant patients with RAS-mutated cancers.

Indexed as

BevacizumabBinimetinibColorectal cancerHydroxychloroquineKRAS mutation

Identifiers

PMID32999660
PMCPMC7506371
OpenAlexW3066919427

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.