Evidence map›Paper›PMID 36906728›Full record

ArticleTargeted oncology2023

Long-Term Real-World Outcomes and Safety of Vemurafenib and Vemurafenib + Cobimetinib Therapy in Patients with BRAF-Mutated Melanoma.

Karolina Piejko, Bożena Cybulska-Stopa, Marcin Ziętek, Robert Dziura, Łukasz Galus, Natasza Kempa-Kamińska, Barbara Ziółkowska, Ewa Rutkowska, Tomasz Kopciński, Tomasz Kubiatowski and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Targeted oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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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

16 authors at 5 institutions in 2 countries.

Karolina Piejko *Department of Clinical Oncology, Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Garncarska 11, 31-115, Cracow, Poland.
Bożena Cybulska-Stopa *Department of Clinical Oncology, Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Garncarska 11, 31-115, Cracow, Poland. bcybulskastopa@vp.pl.ORCID http://orcid.org/0000-0002-0975-850X
Marcin ZiętekDepartment of Surgical Oncology, Wroclaw Comprehensive Cancer Center, Wroclaw, Poland.
Robert DziuraClinical Oncology Department, Holy Cross Cancer Center, Kielce, Poland.
Łukasz GalusDepartment of Medical and Experimental Oncology, University of Medical Sciences, Poznan, Poland.
Natasza Kempa-KamińskaDepartment of Clinical Oncology, Wroclaw Comprehensive Cancer Center, Wroclaw, Poland.
Barbara ZiółkowskaII Clinic of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.
Ewa RutkowskaClinical Oncology Department, Holy Cross Cancer Center, Kielce, Poland.
Tomasz KopcińskiDepartment of Clinical Oncology, Clinical Oncology Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Cracow Branch, Garncarska 11, 31-115, Cracow, Poland.
Tomasz KubiatowskiWarmian-Masurian Cancer Center of The Ministry of The Interior and Administration's Hospital, Olsztyn, Poland.
Wiesław BalMaria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.
Rafał SuwińskiII Clinic of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.
Jacek MackiewiczDepartment of Medical and Experimental Oncology, University of Medical Sciences, Poznan, Poland.
Grażyna Kamińska-WinciorekDepartment of Bone Marrow Transplantation and Hematology-Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.
Anna M Czarnecka *Clinical Oncology Department, Holy Cross Cancer Center, Kielce, Poland.
Piotr Rutkowski *Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
The Maria Sklodowska-Curie National Research Institute of Oncology · PLHoly Cross University · PLPoznan University of Medical Sciences · PLWroclaw Medical University · PLWrocław University of Science and Technology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCombined treatment with BRAFi and/or MEK inhibitors (MEKi) improves outcomes in advanced melanoma patients in comparison with monotherapy.

objectiveWe aim to report real-world treatment efficacy and safety of vemurafenib (V) and vemurafenib + cobimetinib (V + C) from 10 years of practice. PATIENTS AND

methodsA total of 275 consecutive patients with unresectable or metastatic BRAF mutated melanoma started first-line V or V + C treatment between 1 October 2013 and 31 December 2020. Survival analyses were performed using the Kaplan-Meier method, and Log-rank and Chi-square tests were used for comparison between groups.

resultsThe estimated median overall survival (mOS) was 10.3 months in the V group, and 12.3 months in the V + C group (p = 0.0005; HR = 1.58, 95% CI 1.2-2.1), although the latter group of patients had lactate dehydrogenase elevated numerically more often. Estimated median progression-free survival (mPFS) was 5.5 months in the V group, and 8.3 months in the V + C group (p = 0.0002; HR = 1.62, 95% CI 1.3-2.1). Complete response, partial response, stable disease, and progressive disease as best responses were recorded in the V/V + C groups in 7%/10%, 52%/46%, 26%/28%, and 15%/16% of patients, respectively. The numbers of patients with any grade of adverse effects were similar in both groups.

conclusionsWe confirmed significant improvement in the mOS and mPFS of unresectable and/or metastatic BRAF mutated-melanoma patients treated outside clinical trials with V + C as compared with V, with no major increase in toxicity for the combination.

Indexed as

MelanomaSkin NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsAzetidinesHumansMutationPiperidinesProto-Oncogene Proteins B-rafVemurafenibAzetidinesBRAF protein, humancobimetinibPiperidinesProto-Oncogene Proteins B-rafVemurafenib

Identifiers

PMID36906728
PMCPMC10042754
OpenAlexW4323923214

What OpenQuestion holds

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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.