Evidence map›Paper›PMID 35598186›Full record

ReviewCancer chemotherapy and pharmacology2022

Efficacy and toxicity of vemurafenib and cobimetinib in relation to plasma concentrations, after administration via feeding tube in patients with BRAF-mutated thyroid cancer: a case series and review of literature.

J M van Berge Henegouwen, H van der Wijngaart, L J Zeverijn, L R Hoes, M Meertens, A D R Huitema, L A Devriese, M Labots, H M W Verheul, E E Voest and 1 more

Registry-linked trialOpen access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Cancer chemotherapy and pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02925234 (A Dutch National Study on Behalf of the CPCT to Facilitate Patient Access to Commercially Available, Targeted Anti-cancer Drugs to Determine the Potential Efficacy in Treatment of Advanced Cancers With a Known Molecular Profile), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 36% 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.

NCT02925234 phase2recruitingnot on this map

A Dutch National Study on Behalf of the CPCT to Facilitate Patient Access to Commercially Available, Targeted Anti-cancer Drugs to Determine the Potential Efficacy in Treatment of Advanced Cancers With a Known Molecular Profile

TypeinterventionalSponsorThe Netherlands Cancer InstituteRan2016 to 2027Enrolled1,550ConditionsCancer, Tumors, Neoplasm, NeoplasiaArmsPanitumumab, Olaparib, Dabrafenib, Nilotinib, Trametinib
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
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

11 authors at 5 institutions in 1 country.

J M van Berge HenegouwenDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
H van der WijngaartDepartment of Medical Oncology, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
L J ZeverijnDepartment of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
L R HoesDepartment of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
M MeertensDepartment of Pharmacy and Pharmacology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
A D R HuitemaDepartment of Pharmacy and Pharmacology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
L A DevrieseDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
M LabotsDepartment of Medical Oncology, Amsterdam University Medical Center, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.
H M W VerheulDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
E E VoestDepartment of Molecular Oncology and Immunology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
H GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands. A.J.Gelderblom@lumc.nl.ORCID 0000-0001-9270-8636
The Netherlands Cancer Institute · NLAmsterdam University Medical Centers · NLLeiden University Medical Center · NLRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe combination of vemurafenib, a proto-oncogene B-Raf inhibitor (BRAFi) and cobimetinib, an inhibitor of mitogen-activated protein kinase kinase (MEKi) has shown to improve survival in patients with BRAF V600-mutated melanoma. BRAF mutations are also frequently detected driver mutations in other tumor types, including thyroid carcinoma. Since thyroid carcinoma is not a labeled indication for BRAF/MEKi, a cohort for patients with BRAF V600-mutated thyroid carcinoma was opened within the Drug Rediscovery Protocol (DRUP), a national ongoing pan-cancer multi-drug trial, in which patients receive off-label treatment with approved drugs based on their molecular tumor profile.

resultsHere, we present two patients with BRAF-mutated thyroid carcinoma, who were successfully treated with vemurafenib/cobimetinib administered via a feeding tube. Plasma concentrations of vemurafenib and cobimetinib were determined. A partial response was observed in both patients, but they experienced significant toxicity.

conclusionOur cases show that vemurafenib/cobimetinib treatment is effective in BRAF V600-mutated thyroid carcinoma, also when administered via a feeding tube. Although serious side effects occurred in both patients, we hypothesize that this was not attributable to the administration route. Therefore, administration of vemurafenib/cobimetinib by feeding tube is feasible and effective.

trial registrationClinical trial identification: NCT02925234.

Indexed as

Antineoplastic AgentsAzetidinesPiperidinesSkin NeoplasmsThyroid NeoplasmsVemurafenibHumansProto-Oncogene Proteins B-rafAntineoplastic AgentsAzetidinesBRAF protein, humancobimetinibPiperidinesProto-Oncogene Proteins B-rafVemurafenibCase seriesCobimetinibFeeding tubePlasma concentrationsThyroid carcinomaVemurafenib

Identifiers

PMID35598186
PMCPMC9300506
OpenAlexW4281254079

What OpenQuestion holds

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LicenceCC BY
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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.