Evidence map›Paper›PMID 34480077›Full record

ArticleNPJ precision oncology2021

Targeting extracellular and juxtamembrane FGFR2 mutations in chemotherapy-refractory cholangiocarcinoma.

Michael Bitzer, Stephan Spahn, Sepideh Babaei, Marius Horger, Stephan Singer, Klaus Schulze-Osthoff, Pavlos Missios, Sergios Gatidis, Dominik Nann, Sven Mattern and 11 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 30 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

21 authors at 4 institutions in 2 countries.

Michael BitzerDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany. michael.bitzer@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-4463-8263
Stephan SpahnDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.
Sepideh BabaeiDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.
Marius HorgerDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tübingen, Germany.
Stephan SingerInstitute of Pathology and Neuropathology, Eberhard-Karls University, Tübingen, Germany.
Klaus Schulze-OsthoffCluster of Excellence, Image Guided and Functionally Instructed Tumor Therapies, Eberhard-Karls University, Tübingen, Germany.
Pavlos MissiosDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.
Sergios GatidisDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tübingen, Germany.
Dominik NannInstitute of Pathology and Neuropathology, Eberhard-Karls University, Tübingen, Germany.
Sven MatternInstitute of Pathology and Neuropathology, Eberhard-Karls University, Tübingen, Germany.
Veit SchebleDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.
Konstantin NikolaouDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls University, Tübingen, Germany.
Sorin Armeanu-EbingerInstitute of Medical Genetics and Applied Genomics, Eberhard-Karls University, Tübingen, Germany.
Martin SchulzeCeGaT GmbH and Praxis für Humangenetik, Tübingen, Germany.
Christopher SchroederInstitute of Medical Genetics and Applied Genomics, Eberhard-Karls University, Tübingen, Germany.
Saskia BiskupCeGaT GmbH and Praxis für Humangenetik, Tübingen, Germany.
Janina BehaCenter for Personalized Medicine, Eberhard-Karls University, Tübingen, Germany.
Manfred ClaassenDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.ORCID http://orcid.org/0000-0002-4583-9083
Kristina RuhmCenter for Personalized Medicine, Eberhard-Karls University, Tübingen, Germany.
Antti PosoCluster of Excellence, Image Guided and Functionally Instructed Tumor Therapies, Eberhard-Karls University, Tübingen, Germany.ORCID http://orcid.org/0000-0003-4196-4204
Nisar P MalekDepartment of Internal Medicine I, Eberhard-Karls University, Tübingen, Germany.
University of Tübingen · DEGerman Cancer Research Center · DEPraxis für Humangenetik Tübingen · DEUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intrahepatic cholangiocarcinoma (iCCA) has emerged as a promising candidate for precision medicine, especially in the case of activating FGFR2 gene fusions. In addition to fusions, a considerable fraction of iCCA patients reveals FGFR2 mutations, which might lead to uncontrolled activation of the FGFR2 pathway but are mostly of unknown functional significance. A current challenge for molecular tumor boards (MTB) is to predict the functional consequences of such FGFR2 alterations to guide potential treatment decisions. We report two iCCA patients with extracellular and juxtamembrane FGFR2 mutations. After in silico investigation of the alterations and identification of activated FGFR2 downstream targets in tumor specimens by immunohistochemistry and transcriptome analysis, the MTB recommended treatment with an FGFR-inhibiting tyrosine kinase inhibitor. Both patients developed a rapidly detectable and prolonged partial response to treatment. These two cases suggest an approach to characterize further detected FGFR2 mutations in iCCA to enable patients´ selection for a successful application of the FGFR -inhibiting drugs.

Identifiers

PMID34480077
PMCPMC8417271
OpenAlexW3197182204

What OpenQuestion holds

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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.