Evidence map›Paper›PMID 33910927›Full record

ArticleCancer discovery2021

Reducing Skin Toxicities from EGFR Inhibitors with Topical BRAF Inhibitor Therapy.

Mario E Lacouture, Zev A Wainberg, Anisha B Patel, Milan J Anadkat, Salomon M Stemmer, Einat Shacham-Shmueli, Egmidio Medina, Galit Zelinger, Noa Shelach, Antoni Ribas

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT07463365 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 1, Open-Label Clinical Trial to Assess the Safety, Tolerability, and Preliminary Efficacy Study of Topically Administered LUT017 Gel for Cutaneous Wound Healing

TypeinterventionalSponsorAntoni RibasRan2026 to 2027Enrolled18ConditionsVenous Leg Ulcer, Chronic Non-Healing Cutaneous Wounds, VLUArmsLUT017 gel
NCT07463378 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 1, Open-Label Clinical Trial to Assess the Safety, Tolerability, and Preliminary Efficacy Study of a Single Dose of Topically Administered LUT017 Gel for Cutaneous Wound Healing in Volunteers With Healthy Skin

TypeinterventionalSponsorAntoni RibasRan2026 to 2027Enrolled9ConditionsWound Healing, Acute Skin WoundsArmsLUT017,Topical BRAF inhibitor
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

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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 7 institutions in 2 countries.

Mario E LacoutureMemorial Sloan Kettering Cancer Center (MSKCC), New York, New York. aribas@mednet.ucla.edu lacoutuM@mskcc.org.
Zev A WainbergUniversity of California, Los Angeles (UCLA) and Jonsson Comprehensive Cancer Center, Los Angeles, California.
Anisha B PatelThe University of Texas MD Anderson Cancer Center (MDACC), Houston, Texas.ORCID 0000-0002-5372-784X
Milan J AnadkatWashington University School of Medicine, St. Louis, Missouri.
Salomon M StemmerDavidoff Center, Rabin Medical Center, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Einat Shacham-ShmueliChaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Egmidio MedinaUniversity of California, Los Angeles (UCLA) and Jonsson Comprehensive Cancer Center, Los Angeles, California.
Galit ZelingerLutris-Pharma, Tel Aviv, Israel.
Noa ShelachLutris-Pharma, Tel Aviv, Israel.
Antoni RibasUniversity of California, Los Angeles (UCLA) and Jonsson Comprehensive Cancer Center, Los Angeles, California. aribas@mednet.ucla.edu lacoutuM@mskcc.org.
University of California, Los Angeles · USRDD Pharma (Israel) · ILMemorial Sloan Kettering Cancer Center · USRabin Medical Center · ILSheba Medical Center · ILThe University of Texas MD Anderson Cancer Center · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
SEAL (Stopping Atopic dermatitis and ALlergy) Study: Prevent allergy by enhancing the skin barrierU01AI147462 · NIAID · STANFORD UNIVERSITY · PI Mary Johnson, GIDEON LACK · 2020 to 2026
$14.0M
Project 3: Modeling and overcoming resistance to melanoma immunotherapyP01CA244118 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MORICEAU, GATIEN P · 2020 to 2024
$12.8M
Next Generation Cancer Immunotherapies to Defeat MelanomaR35CA197633 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTONI RIBAS · 2015 to 2026
$10.4M
Identification of pathways to mitigate Immune-Related Adverse Events with Cancer Immunotherapy U01AR077511 · NIAMS · NATIONAL JEWISH HEALTH · PI KERN, JEFFREY A, LACOUTURE, MARIO · 2020 to 2024
$3.1M
NCI NIH HHS P01 CA244118NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016042NCI NIH HHS R35 CA197633NIAID NIH HHS U01 AI147462NIAMS NIH HHS U01 AR077511
6 · The paper itself

Abstract

Treatment of cancer with EGFR inhibitors is limited by on-target skin toxicities induced by inhibition of the MAPK pathway. BRAF inhibitors are known to paradoxically activate the MAPK downstream of EGFR, which we confirmed using human skin keratinocytes. We then conducted a phase I clinical trial testing the hypothesis that topical therapy with the BRAF inhibitor LUT014 could improve skin toxicities induced by EGFR inhibitors. Ten patients with metastatic colorectal cancer who had developed acneiform rash while being treated with cetuximab or panitumumab were enrolled in three cohorts. LUT014 was well tolerated, and there were no dose-limiting toxicities. The acneiform rash improved in the 6 patients who started with grade 2 rash in the low and intermediate cohorts. We conclude that topical LUT014 is safe and efficacious in improving rash from EGFR inhibitors, consistent with the mechanism of action inducting paradoxical MAPK activation. SIGNIFICANCE: BRAF inhibitor topical therapy could avoid dose reductions of EGFR inhibitors, locally treating the main dose-limiting skin toxicity of this class of agents.

Indexed as

Acneiform EruptionsAntineoplastic Agents, ImmunologicalColorectal NeoplasmsDermatologic AgentsProto-Oncogene Proteins B-rafAdministration, CutaneousAdultAgedCetuximabErbB ReceptorsFemaleHumansIsoquinolinesMaleMiddle AgedPanitumumabAntineoplastic Agents, ImmunologicalBRAF protein, humanCetuximabDermatologic AgentsEGFR protein, humanErbB ReceptorsIsoquinolinesLUT014PanitumumabProto-Oncogene Proteins B-raf

Identifiers

PMID33910927
PMCPMC8418997
OpenAlexW3157924436

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.