Evidence map›Paper›PMID 33646525›Full record

ArticleJournal of neuro-oncology2021

Clinical, radiological and genomic features and targeted therapy in BRAF V600E mutant adult glioblastoma.

Mary Jane Lim-Fat, Kun Wei Song, J Bryan Iorgulescu, Brian M Andersen, Deborah A Forst, Justin T Jordan, Elizabeth R Gerstner, David A Reardon, Patrick Y Wen, Isabel Arrillaga-Romany

Open access · greenAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Efficacy and safety of dabrafenib plus trametinib in pediatric versus adult gliomas: a systematic review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  2. Pooled it
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  4. Trial
  5. Article
  6. Article
  7. Central Nervous System Tumors in Adolescents and Young Adults.Current neurology and neuroscience reports · 2025
    Review
  8. MEK Inhibition in Glioblastoma: Current Perspectives and Future Directions.International journal of molecular sciences · 2025
    Review
  9. Review
  10. A Synopsis of Biomarkers in Glioblastoma: Past and Present.Current issues in molecular biology · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Molecular Profiling in Neuro-Oncology: Where We Are, Where We're Heading, and How We Ensure Everyone Can Come Along.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2023
    Article
  15. Article
  16. PredictingTranslational cancer research · 2022
    Article
  17. Article
  18. Article
  19. Molecular and Circulating Biomarkers in Patients with Glioblastoma.International journal of molecular sciences · 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

10 authors at 4 institutions in 2 countries.

Mary Jane Lim-FatDivision of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, M4N 3M5, Canada. maryjane.limfat@sunnybrook.ca.ORCID http://orcid.org/0000-0002-4317-5770
Kun Wei SongDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
J Bryan IorgulescuDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Brian M AndersenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Deborah A ForstDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Justin T JordanDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
Elizabeth R GerstnerDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA.
David A ReardonCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Patrick Y WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, 02115, USA.
Isabel Arrillaga-RomanyDepartment of Neurology, Massachusetts General Hospital, Boston, MA, 02114, USA. iarrillaga@mgh.harvard.edu.
Massachusetts General Hospital · USBrigham and Women's Hospital · USCenter for Neuro-Oncology · USSunnybrook Health Science Centre · CA

Funding

Training Program in Nervous System TumorsK12CA090354 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PLOTKIN, SCOTT R · 2001 to 2025
$16.3M
NCI NIH HHS K12 CA090354
6 · The paper itself

Abstract

purposeAlthough uncommon, detection of BRAF V600E mutations in adult patients with glioblastoma has become increasingly relevant given the widespread application of molecular diagnostics and encouraging therapeutic activity of BRAF/MEK inhibitors.

methodsWe performed a retrospective study of adult glioblastoma patients treated at Dana-Farber Cancer Institute/Brigham and Women's Hospital or Massachusetts General Hospital from January 2011 to July 2019 with an identified BRAF V600E mutation by either immunohistochemistry or molecular testing. Patient characteristics, molecular genomics, and preoperative MRI were analyzed.

resultsNineteen glioblastoma patients were included, with median age at diagnosis of 41-years-old (range 22-69). Only 1/18 was IDH1/2-mutant; 10/17 had MGMT unmethylated tumors. The most common additional molecular alterations were CDKN2A/2B biallelic loss/loss-of-function (10/13, 76.9%), polysomy 7 (8/12, 66.7%), monosomy 10 (5/12, 41.7%), PTEN biallelic loss/loss-of-function (5/13, 38.5%) and TERT promoter mutations (5/15, 33.3%). Most tumors were well-circumscribed (11/14) and all were contrast-enhancing on MRI. Twelve patients eventually developed subependymal or leptomeningeal dissemination. Six patients were treated with BRAF/MEK inhibition following disease progression after standard of care therapy, with 4/6 patients showing partial response or stable disease as best response. Median time to progression after BRAF/MEK inhibition was 6.0 months (95% CI 1.2-11.8). Grade 1 skin rash was present in 2 patients, but no other adverse events were reported. Median OS for the entire cohort was 24.1 months (95% CI 15.7-38.9).

conclusionUnderstanding the natural history and features of BRAF V600E glioblastoma may help better identify patients for BRAF/MEK inhibition and select therapeutic strategies.

Indexed as

GlioblastomaAdultAgedFemaleGenomicsHumansMiddle AgedMitogen-Activated Protein Kinase KinasesMutationProtein Kinase InhibitorsProto-Oncogene Proteins B-rafRetrospective StudiesYoung AdultBRAF protein, humanMitogen-Activated Protein Kinase KinasesProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAFBRAF inhibitorGlioblastomaMEK inhibitorMolecular targeted therapy

Identifiers

PMID33646525
PMCPMC8415171
OpenAlexW3135143898

What OpenQuestion holds

Textmetadata
LicenceTDM
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.