Evidence map›Paper›PMID 33580193›Full record

ArticleNPJ precision oncology2021

Impressive response to dabrafenib, trametinib, and osimertinib in a metastatic EGFR-mutant/BRAF V600E lung adenocarcinoma patient.

Maurício Fernando Silva Almeida Ribeiro, Franciele Hinterholz Knebel, Fabiana Bettoni, Rodrigo Saddi, Karina Perez Sacardo, Felipe Sales Nogueira Amorim Canedo, João Victor Machado Alessi, Andrea Kazumi Shimada, José Flávio Gomes Marin, Anamaria Aranha Camargo and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Therapeutic strategies to overcomeFrontiers in oncology · 2024
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  11. Article
  12. PretreatedJTO clinical and research reports · 2023
    Article
  13. Review
  14. Review
  15. Article
  16. Characteristics of and Treatment Strategies for AdvancedJTO clinical and research reports · 2022
    Article
  17. Review
  18. Article
  19. Minimal residual disease inFrontiers in oncology · 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

11 authors at 1 institution in 1 country.

Maurício Fernando Silva Almeida Ribeiro *Oncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil. mauricio.fsaribeiro@hsl.org.br.ORCID http://orcid.org/0000-0002-5602-164X
Franciele Hinterholz Knebel *Molecular Oncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Fabiana BettoniMolecular Oncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Rodrigo SaddiOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Karina Perez SacardoOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Felipe Sales Nogueira Amorim CanedoOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
João Victor Machado AlessiOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Andrea Kazumi ShimadaOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
José Flávio Gomes MarinNuclear Medicine Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Anamaria Aranha CamargoMolecular Oncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.
Artur KatzOncology Center, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 91, 01308-050, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-1811-1169
Hospital Sírio-Libanês · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The survival outcomes of the FLAURA trial support osimertinib as the new standard of care for untreated patients harboring activating mutations in the epidermal growth factor receptor (EGFR). Despite the initial response, disease progression invariably occurs. Although uncommon, BRAF V600E mutation arises as a unique mechanism of resistance, and thus far, no prospective studies are available to support concurrent EGFR/BRAF blockade. We report a case of impressive radiological and ctDNA response under dabrafenib, trametinib, and osimertinib in an advanced EGFR-mutant lung adenocarcinoma patient who developed BRAF V600E as one of the acquired resistance mechanisms to second-line osimertinib. Moreover, the patient experienced remarkable clinical improvement and good tolerance to combination therapy. The present case suggests the importance of prospective studies evaluating both efficacy and safety of the combination in later line settings and points towards the potential of ctDNA to monitor resistance mechanisms and treatment benefit in clinical practice.

Identifiers

PMID33580193
PMCPMC7880994
OpenAlexW3126609859

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.