Evidence map›Paper›PMID 35977349›Full record

SynthesisJCO precision oncology2022

Clinical Activity of Mitogen-Activated Protein Kinase-Targeted Therapies in Patients With Non-V600 BRAF-Mutant Tumors.

Matthew Dankner, Yifan Wang, Rouhi Fazelzad, Benny Johnson, Caroline A Nebhan, Ibiayi Dagogo-Jack, Nathaniel J Myall, Georg Richtig, Jillian W P Bracht, Marco Gerlinger and 19 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JCO precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
3.9field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. International journal of molecular sciences · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Braf-Mutant Melanomas: Biology and Therapy.Current oncology (Toronto, Ont.) · 2024
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

29 authors at 17 institutions in 8 countries.

Matthew DanknerLady Davis Institute, Segal Cancer Centre, Jewish General Hospital, McGill University, Montréal, Québec, Canada.ORCID 0000-0003-4869-5895
Yifan WangRosalind and Morris Goodman Cancer Institute, McGill University, Montréal, Québec, Canada.ORCID 0000-0003-2821-1953
Rouhi FazelzadLibrary and Information Services, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-8316-7759
Benny JohnsonThe University of Texas MD Anderson Cancer Center, Houston, TX.
Caroline A NebhanVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-9402-7284
Ibiayi Dagogo-JackMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA.ORCID 0000-0003-0781-9257
Nathaniel J MyallDivision of Oncology, Stanford University, Stanford, CA.
Georg RichtigDivision of Oncology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-4437-4413
Jillian W P BrachtQuirón-Dexus University Institute, Barcelona, Spain.ORCID 0000-0001-9552-3960
Marco GerlingerBarts Cancer Institute, Queen Mary University of London and St Bartholomew's Hospital, London, United Kingdom.
Eiji ShinozakiJapanese Foundation for Cancer Research Cancer Institute Hospital, Tokyo, Japan.ORCID 0000-0002-7448-5894
Takayuki YoshinoDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0002-0489-4756
Daisuke KotaniDepartment of Gastroenterology and Gastrointestinal Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0002-4196-555X
Jason R FangusaroAflac Cancer Center, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-3099-5259
Oliver GautschiUniversity of Bern and Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Julien MazieresCentre Hospitalier Universitaire de Toulouse, Toulouse, France.ORCID 0000-0002-5921-7613
Jeffrey A SosmanDepartment of Medicine, Northwestern University, Chicago, IL.
Scott KopetzThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-9647-3416
Vivek SubbiahThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-6064-6837
Michael A DaviesThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-0977-0912
Anna L GrooverBioMed Valley Discoveries, Kansas City, MO.
Ryan J SullivanMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA.ORCID 0000-0001-5344-6645
Keith T FlahertyMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA.ORCID 0000-0002-3402-0478
Douglas B JohnsonVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-6390-773X
Andrea BenedettiDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.
David W CesconDivision of Medical Oncology, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-1080-0998
Anna SpreaficoDivision of Medical Oncology, University of Toronto, Toronto, Ontario, Canada.
George ZogopoulosRosalind and Morris Goodman Cancer Institute, McGill University, Montréal, Québec, Canada.ORCID 0000-0002-0482-7086
April A N RoseLady Davis Institute, Segal Cancer Centre, Jewish General Hospital, McGill University, Montréal, Québec, Canada.ORCID 0000-0002-9845-4603
The University of Texas MD Anderson Cancer Center · USUniversity Health Network · CAHarvard University · USMcGill University Health Centre · CANational Cancer Center Hospital East · JPVanderbilt University Medical Center · USCentre Hospitalier Universitaire de Toulouse · FREmory University · USHospital Universitario Dexeus · ESJapanese Foundation For Cancer Research · JPJewish General Hospital · CAMcGill University · CAMedical University of Graz · ATNorthwestern University · USStanford University · USSt Bartholomew's Hospital · GBUniversity of Bern · CH

Funding

The University of Texas MD Anderson Cancer Center SPORE in MelanomaP50CA221703 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DAVIES, MICHAEL · 2019 to 2023
$10.3M
NCI NIH HHS P50 CA221703
6 · The paper itself

Abstract

purposeNon-V600 mutations comprise approximately 35% of all BRAF mutations in cancer. Many of these mutations have been identified as oncogenic drivers and can be classified into three classes according to molecular characteristics. Consensus treatment strategies for class 2 and 3 BRAF mutations have not yet been established.

methodsWe performed a systematic review and meta-analysis with published reports of individual patients with cancer harboring class 2 or 3 BRAF mutations from 2010 to 2021, to assess treatment outcomes with US Food and Drug Administration-approved mitogen-activated protein kinase (MAPK) pathway targeted therapy (MAPK TT) according to BRAF class, cancer type, and MAPK TT type. Coprimary outcomes were response rate and progression-free survival.

resultsA total of 18,167 studies were screened, identifying 80 studies with 238 patients who met inclusion criteria. This included 167 patients with class 2 and 71 patients with class 3 BRAF mutations. Overall, 77 patients achieved a treatment response. In both univariate and multivariable analyses, response rate and progression-free survival were higher among patients with class 2 compared with class 3 mutations, findings that remain when analyses are restricted to patients with melanoma or lung primary cancers. MEK ± BRAF inhibitors demonstrated greater clinical activity in class 2 compared with class 3 BRAF-mutant tumors than BRAF or EGFR inhibitors.

conclusionThis meta-analysis suggests that MAPK TTs have clinical activity in some class 2 and 3 BRAF-mutant cancers. BRAF class may dictate responsiveness to current and emerging treatment strategies, particularly in melanoma and lung cancers. Together, this analysis provides clinical validation of predictions made on the basis of a mutation classification system established in the preclinical literature. Further evaluation with prospective clinical trials is needed for this population.

Indexed as

Lung NeoplasmsMelanomaHumansMitogen-Activated Protein KinasesProspective StudiesProtein Kinase InhibitorsProto-Oncogene Proteins B-rafUnited StatesBRAF protein, humanMitogen-Activated Protein KinasesProtein Kinase InhibitorsProto-Oncogene Proteins B-raf

Identifiers

PMID35977349
PMCPMC10530862
OpenAlexW4292265616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.