Evidence map›Paper›PMID 34069952›Full record

ArticleCancers2021

Efficacy of BRAF and MEK Inhibition in Patients with BRAF-Mutant Advanced Melanoma and Germline CDKN2A Pathogenic Variants.

Francesco Spagnolo, Bruna Dalmasso, Enrica Tanda, Miriam Potrony, Susana Puig, Remco van Doorn, Ellen Kapiteijn, Paola Queirolo, Hildur Helgadottir, Paola Ghiorzo

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Pathology and Molecular Biology of Melanoma.Current issues in molecular biology · 2023
    Review
  5. 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.

Francesco SpagnoloMedical Oncology 2, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Bruna DalmassoIRCCS Ospedale Policlinico San Martino, Genetics of Rare Cancers, 16132 Genoa, Italy.ORCID 0000-0002-1534-0521
Enrica TandaMedical Oncology 2, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.
Miriam PotronyMelanoma Unit, Dermatology Department, Hospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, 08007 Barcelona, Spain.ORCID 0000-0003-2766-0765
Susana PuigMelanoma Unit, Dermatology Department, Hospital Clinic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, 08007 Barcelona, Spain.ORCID 0000-0003-1337-9745
Remco van DoornDepartment of Dermatology, Leiden University Medical Center, 2333 Leiden, The Netherlands.
Ellen KapiteijnDepartment of Medical Oncology, Leiden University Medical Center, 2333 Leiden, The Netherlands.ORCID 0000-0002-4814-6426
Paola QueiroloMelanoma, Sarcoma & Rare Tumors Division, European Institute of Oncology (IEO), 20141 Milan, Italy.
Hildur HelgadottirDepartment of Oncology Pathology, Karolinska Institutet and Karolinska University Hospital Solna, 171 64 Stockholm, Sweden.ORCID 0000-0002-0735-4771
Paola GhiorzoIRCCS Ospedale Policlinico San Martino, Genetics of Rare Cancers, 16132 Genoa, Italy.ORCID 0000-0002-3651-8173

Funding

IRCCS Ospedale Policlinico San Martino Ricerca CorrenteItalian Association for Cancer Research IG15460Italian Ministry of Health RF-2016-02362288Swedish Cancer society CAN 2017/503The Cancer Research Funds of Radiumhemmet 194092University of Genoa FRA 2017-2019
6 · The paper itself

Abstract

Inherited pathogenic variants (PVs) in the CDKN2A tumor suppressor gene are among the strongest risk factors for cutaneous melanoma. Dysregulation of the p16/RB1 pathway may intrinsically limit the activity of MAPK-directed therapy due to the interplay between the two pathways. In our study, we assessed, for the first time, whether patients with germline CDKN2A PVs achieve suboptimal results with BRAF inhibitors (BRAFi)+/-MEK inhibitors (MEKi). We compared the response rate of nineteen CDKN2A PVs carriers who received first-line treatment with BRAFi+/-MEKi with an expected rate derived from phase III trials and "real-world" studies. We observed partial response in 16/19 patients (84%), and no complete responses. The overall response rate was higher than that expected from phase III trials (66%), although not statistically significant (

Indexed as

BRAF inhibitorsCDKN2Agenetic counselingMEK inhibitorsmelanomamelanoma susceptibilitytargeted therapy

Identifiers

PMID34069952
PMCPMC8157545

What OpenQuestion holds

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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.