Evidence map›Paper›PMID 37428397›Full record

ArticlePituitary2023

Dabrafenib as a diagnostic and therapeutic strategy for the non-surgical management of papillary craniopharyngioma.

Andrew L Lin, Viviane Tabar, Robert J Young, Eliza B Geer

Open access · greenAbstract readCase Reports
In one paragraph

Article in Pituitary, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Targeted therapy of papillary craniopharyngioma.Medical oncology (Northwood, London, England) · 2025
    Review
  6. Article
  7. Targeted treatment for craniopharyngioma.Journal of neuro-oncology · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. 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

4 authors at 1 institution in 1 country.

Andrew L LinDepartment of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. lina1@mskcc.org.ORCID http://orcid.org/0000-0003-0659-261X
Viviane TabarDepartment of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Robert J YoungDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eliza B GeerDepartment of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Molecular biomarkers of future aggressive behavior in pituitary tumorsR21CA280469 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LIN, ANDREW · 2023 to 2024
$445k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA280469NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposePapillary craniopharyngiomas can cause considerable morbidity due to mass effect and potential surgical complications. These tumors are known to harbor BRAF V600 mutations, which make them exquisitely sensitive to BRAF inhibitors.

methodsThe patient is a 59 year old man with a progressive suprasellar lesion that was radiographically consistent with a papillary craniopharyngioma. He was consented to an Institution Review Board-approved protocol, which permits sequencing of cell free DNA in plasma and the collection and reporting of clinical data.

resultsThe patient declined surgical resection and was empirically treated with dabrafenib at 150 mg twice daily. Treatment response was demonstrated after 19 days, confirming the diagnosis. After achieving a near complete response after 6.5 months on drug, a decision was made to deescalate treatment to dabrafenib 75 mg twice daily with subsequent tumor stability for 2.5 months.

conclusionPatients with a suspected papillary craniopharyngioma can be challenged with dabrafenib as a potentially effective diagnostic and therapeutic strategy, given that rapid regression with dabrafenib is only observed in tumors harboring a BRAF V600 mutation. Further work is needed to explore the optimal regimen and dose of the targeted therapy.

Indexed as

CraniopharyngiomaPituitary NeoplasmsHumansImidazolesMaleMiddle AgedMutationOximesProto-Oncogene Proteins B-rafdabrafenibImidazolesOximesProto-Oncogene Proteins B-rafBRAF inhibitorCraniopharyngiomaPapillary craniopharyngiomaTargeted therapy

Identifiers

PMID37428397
PMCPMC10766168
OpenAlexW4383710962

What OpenQuestion holds

Textmetadata
LicenceTDM
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.