Evidence map›Paper›PMID 36598023›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

Safety and Efficacy of Mek Inhibitors in the Treatment of Plexiform Neurofibromas: A Retrospective Study.

Antonella Cacchione, Francesco Fabozzi, Andrea Carai, Giovanna Stefania Colafati, Giada Del Baldo, Sabrina Rossi, Martino Diana, Giacomina Megaro, Giuseppe Maria Milano, Marina Macchiaiolo and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

18 authors at 4 institutions in 2 countries.

Antonella CacchioneDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Francesco FabozziDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.ORCID 0000-0002-3906-4410
Andrea CaraiNeurosurgery Unit, Department of Neuroscience, 9342Bambino Gesù Children's Hospital, Rome, Italy.
Giovanna Stefania ColafatiDepartment of Imaging, 586724Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.
Giada Del BaldoDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Sabrina RossiPathology Unit, Department of Laboratories, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Martino DianaDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Giacomina MegaroDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Giuseppe Maria MilanoDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Marina MacchiaioloRare Diseases and Medical Genetics Unit, Academic Department of Pediatrics, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Alessandro CrocoliSurgery Department, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Maria Antonietta De IorisDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Luigi BoccutoHealthcare Genetics Program, School of Nursing, College of Behavioral, Social and Health Sciences, 47810Clemson University, Clemson, SC, USA.
Domitilla Elena SeccoPsD of Department of Paediatric Haematology/Oncology, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Mario ZamaSurgery Department, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Emanuele AgoliniLaboratory of Medical Genetics, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Paolo TomàDepartment of Imaging, 586724Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.
Angela MastronuzziDepartment of Hematology/Oncology, Cell Therapy, Gene Therapies and Hemopoietic Transplant, 586724Bambino Gesù Children's Hospital, Rome, Italy.
Bambino Gesù Children's Hospital · ITClemson University · USSaint Camillus International University of Health and Medical Sciences · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlexiform neurofibromas (PN) represent the main cause of morbidity in patients affected by Neurofibromatosis Type 1 (NF1). Until recently, surgery has been the main treatment option in these patients, but it is burdened with a low efficacy rate and a high incidence of side effects as well as recurrence. In recent years, MEK inhibitors (MEKi) such as selumetinib and trametinib have shown great promise.

methodsWe retrospectively describe a single center cohort of NF1 patients affected by PN1 and treated with MEKi since 2019 to 2021. Patients recruited in the study were affected by PN that were not eligible to complete surgical excision, symptomatic or with major cosmetic deformation or functional neurological deficits.

resultsMost patients experienced improvement in clinical symptoms and quality of life, with reduction or stabilization of lesions. However, no complete response was achieved. The most common adverse effects involved the skin, affecting every patient. Importantly, no life-threatening adverse effects occurred.

conclusionsIn our experience, MEKi treatment has been shown to be both safe and effective in improving symptomatology and quality of life.

Indexed as

Neurofibroma, PlexiformNeurofibromatosis 1HumansMitogen-Activated Protein Kinase KinasesProtein Kinase InhibitorsQuality of LifeRetrospective StudiesMitogen-Activated Protein Kinase KinasesProtein Kinase Inhibitorscancer-prone diseasesMEK inhibitorsneurofibromatosis type 1pediatric cancer predispositionplexiform neurofibromaselumetinibtrametinib

Identifiers

PMID36598023
PMCPMC9830579
OpenAlexW4313543888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.