Evidence map›Paper›PMID 35788692›Full record

ReviewNeuro-oncology2022

MEK inhibitors for neurofibromatosis type 1 manifestations: Clinical evidence and consensus.

Peter M K de Blank, Andrea M Gross, Srivandana Akshintala, Jaishri O Blakeley, Gideon Bollag, Ashley Cannon, Eva Dombi, Jason Fangusaro, Bruce D Gelb, Darren Hargrave and 22 more

Open access · bronzeAbstract readReviewConsensus Statement
In one paragraph

Review in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
10.8field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
  2. Trial
  3. ReNeu: A Pivotal, Phase IIb Trial of Mirdametinib in Adults and Children With Symptomatic Neurofibromatosis Type 1-Associated Plexiform Neurofibroma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
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9 more citing papers are in PubMed but not listed here.

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

32 authors at 20 institutions in 3 countries.

Peter M K de BlankDepartment of Pediatrics, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.ORCID 0000-0001-6623-3040
Andrea M GrossPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0003-1646-4531
Srivandana AkshintalaPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Jaishri O BlakeleyDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-1049-0993
Gideon BollagPlexxikon Inc., Berkeley, California, USA.
Ashley CannonDepartment of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Eva DombiPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0002-5323-6995
Jason FangusaroChildren's Hospital of Atlanta, Emory University and the Aflac Cancer Center, Atlanta, Georgia, USA.
Bruce D GelbDepartment of Pediatrics and Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Darren HargraveDepartment of Oncology, Great Ormond Street Hospital for Children, London, UK.
AeRang KimCenter for Neuroscience and Behavioral Medicine and Center for Cancer and Blood Disorders, Children's National Hospital, Washington, DC, USA.ORCID 0000-0002-7813-5568
Laura J KlesseDepartment of Pediatrics, Division of Hematology/Oncology, UT Southwestern Medical Center, Dallas, Texas, USA.
Mignon LohBenioff Children's Hospital, University of California San Francisco, San Francisco, California, USA.
Staci MartinPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Christopher MoertelDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.
Roger PackerCenter for Neuroscience and Behavioral Medicine and Center for Cancer and Blood Disorders, Children's National Hospital, Washington, DC, USA.
Jonathan M PayneMurdoch Children's Research Institute, The Royal Children's Hospital, Parkville, Victoria, Australia.
Katherine A RauenDepartment of Pediatrics, University of California Davis, Sacramento, California, USA.
Jonathan J RiosCenter for Pediatric Bone Biology and Translational Research, Scottish Rite for Children, Dallas, Texas, USA.
Nathan RobisonChildren's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, California, USA.
Elizabeth K SchorryDepartment of Pediatrics, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Kevin ShannonBenioff Children's Hospital, University of California San Francisco, San Francisco, California, USA.
David A StevensonDepartment of Pediatrics, Division of Medical Genetics, Stanford University, Stanford, California, USA.
Elliot StieglitzBenioff Children's Hospital, University of California San Francisco, San Francisco, California, USA.
Nicole J UllrichDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Karin S WalshCenter for Neuroscience and Behavioral Medicine and Center for Cancer and Blood Disorders, Children's National Hospital, Washington, DC, USA.
Brian D WeissDepartment of Pediatrics, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Pamela L WoltersPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Kaleb YohayDepartment of Neurology and Pediatrics, New York University Grossman School of Medicine, New York, New York, USA.
Marielle E YohePediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Brigitte C WidemannPediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.
Michael J FisherDivision of Oncology, The Children's Hospital of Philadelphia and the University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
National Cancer Institute · USCenter for Cancer and Blood Disorders · USCincinnati Children's Hospital Medical Center · USUniversity of California, San Francisco · USBoston Children's Hospital · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USEmory University · USGreat Ormond Street Hospital · GBJohns Hopkins University · USNew York University · USPediatrics and Genetics · USPlexxikon (United States)Royal Children's Hospital · AUSouthwestern Medical Center · USStanford University · USTexas Scottish Rite Hospital for Children · USUniversity of Alabama at Birmingham · USUniversity of California, Davis · USUniversity of Minnesota · US

Funding

Project 4: Secondary Cancers Among NF1 Cancer SurvivorsU54CA196519 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Yunlong Liu · 2015 to 2026
$26.9M
Therapies for patients with rare tumors and genetic tumor predispositionZIASC010354 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WIDEMANN, BRIGITTE · 2009 to 2025
$19.2M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Mentored Career DevelopmentKL2TR001854 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Elizabeth Rhea Erwin Burner, Amy Elizabeth West · 2016 to 2026
$9.0M
Pediatric Heart Disease: Getting from Mutations to TherapeuticsR35HL135742 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GELB, BRUCE D · 2017 to 2023
$6.1M
NCATS NIH HHS KL2 TR001854NCI NIH HHS U54 CA196519NHLBI NIH HHS R35 HL135742NICHD NIH HHS P50 HD105351
6 · The paper itself

Abstract

The wide variety of clinical manifestations of the genetic syndrome neurofibromatosis type 1 (NF1) are driven by overactivation of the RAS pathway. Mitogen-activated protein kinase kinase inhibitors (MEKi) block downstream targets of RAS. The recent regulatory approvals of the MEKi selumetinib for inoperable symptomatic plexiform neurofibromas in children with NF1 have made it the first medical therapy approved for this indication in the United States, the European Union, and elsewhere. Several recently published and ongoing clinical trials have demonstrated that MEKi may have potential benefits for a variety of other NF1 manifestations, and there is broad interest in the field regarding the appropriate clinical use of these agents. In this review, we present the current evidence regarding the use of existing MEKi for a variety of NF1-related manifestations, including tumor (neurofibromas, malignant peripheral nerve sheath tumors, low-grade glioma, and juvenile myelomonocytic leukemia) and non-tumor (bone, pain, and neurocognitive) manifestations. We discuss the potential utility of MEKi in related genetic conditions characterized by overactivation of the RAS pathway (RASopathies). In addition, we review practical treatment considerations for the use of MEKi as well as provide consensus recommendations regarding their clinical use from a panel of experts.

Indexed as

Mitogen-Activated Protein Kinase KinasesNeurofibroma, PlexiformNeurofibromatosis 1Protein Kinase InhibitorsChildHumansMitogen-Activated Protein Kinase KinasesProtein Kinase Inhibitorslow-grade gliomaMEK inhibitorsneurofibromatosis type 1plexiform neurofibromasRASopathy

Identifiers

PMID35788692
PMCPMC9629420
OpenAlexW4283827625

What OpenQuestion holds

Textmetadata
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.