Evidence map›Paper›PMID 33939292›Full record

ArticleCancer medicine2021

Trametinib therapy for children with neurofibromatosis type 1 and life-threatening plexiform neurofibroma or treatment-refractory low-grade glioma.

Rebecca Ronsley, Celine D Hounjet, Sylvia Cheng, Shahrad Rod Rassekh, Walter J Duncan, Christopher Dunham, Jane Gardiner, Arvindera Ghag, Jeffrey P Ludemann, David Wensley and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. [Molecular targeted therapy for progressive low-grade gliomas in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  4. Article
  5. How modern treatments have modified the role of surgery in pediatric low-grade glioma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Current State of Pediatric Cardio-Oncology: A Review.Children (Basel, Switzerland) · 2022
    Review
  13. Article
  14. Review
  15. Article
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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

13 authors at 1 institution in 1 country.

Rebecca RonsleyDivision of Hematology, Oncology & BMT, Department of Pediatrics, University of British Columbia, Vancouver, Canada.ORCID 0000-0003-3961-3042
Celine D HounjetFaculty of Medicine, University of British Columbia, Vancouver, Canada.
Sylvia ChengDivision of Hematology, Oncology & BMT, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Shahrad Rod RassekhDivision of Hematology, Oncology & BMT, Department of Pediatrics, University of British Columbia, Vancouver, Canada.ORCID 0000-0001-8005-2641
Walter J DuncanDivision of Pediatric Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Christopher DunhamDivision of Anatomic Pathology, Department of Pathology, University of British Columbia, Vancouver, Canada.
Jane GardinerDivision of Pediatric Ophthalmology, Department of Surgery, University of British Columbia, Vancouver, Canada.
Arvindera GhagDivision of Pediatric Orthopedic Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada.
Jeffrey P LudemannDivision of Pediatric Otolaryngology, Department of Surgery, University of British Columbia, Vancouver, Canada.
David WensleyDivision of Pediatric Respiratory Medicine, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Wingfield RehmusDivision of Dermatology, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Michael A SargentDivision of Pediatric Neuro-Radiology, Department of Radiology, University of British Columbia, Vancouver, Canada.
Juliette HukinDivision of Hematology, Oncology & BMT, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
University of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe a series of children with extensive PNF or treatment refractory PLGG treated on a compassionate basis with trametinib.

methodsWe report on six patients with NF-1 treated with trametinib on a compassionate basis at British Columbia Children's Hospital since 2017. Data were collected retrospectively from the patient record. RAPNO and volumetric criteria were used to evaluate the response of intracranial and extracranial lesions, respectively.

resultsSubjects were 21 months to 14 years old at the time of initiation of trametinib therapy and 3/6 subjects are male. Duration of therapy was 4-28 months at the time of this report. All patients had partial response or were stable on analysis. Two patients with life-threatening PNF had a partial radiographic response in tandem with significant clinical improvement and developmental catch up. One subject discontinued therapy after 6 months due to paronychia and inadequate response. The most common adverse effect (AE) was grade 1-2 paronychia or dermatitis in 5/6 patients. There were no grade 3 or 4 AEs. At the time of this report, five patients remain on therapy.

conclusionTrametinib is an effective therapy for advanced PNF and refractory PLGG in patients with NF-1 and is well tolerated in children. Further data and clinical trials are required to assess tolerance, efficacy and durability of response, and length of treatment required in such patients.

Indexed as

AdolescentAntineoplastic AgentsBrain NeoplasmsBritish ColumbiaChildChild, PreschoolCompassionate Use TrialsDermatitis, AtopicDrug Resistance, NeoplasmFemaleGliomaHumansInfantMaleNeurofibroma, PlexiformNeurofibromatosis 1Antineoplastic AgentsPyridonesPyrimidinonestrametiniblow-grade gliomaneurofibromatosispediatricplexiform neurofibromatrametinib

Identifiers

PMID33939292
PMCPMC8178485
OpenAlexW3157584831

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.