Evidence map›Paper›PMID 38109296›Full record

ArticleThe oncologist2024

Efficacy and Safety of Panitumumab in Patients With RAF/RAS-Wild-Type Glioblastoma: Results From the Drug Rediscovery Protocol.

Ilse A C Spiekman, Birgit S Geurts, Laurien J Zeverijn, Gijs F de Wit, Vincent van der Noort, Paul Roepman, Wendy W J de Leng, Anne M L Jansen, Benno Kusters, Laurens V Beerepoot and 8 more

Abstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Auger electron-emitting EGFR-targeted and non-targeted [EJNMMI radiopharmacy and chemistry · 2025
    Article
  6. 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

18 authors.

Ilse A C SpiekmanDepartment of Medical Oncology, Erasmus MC Cancer Institute, Erasmus MC, Rotterdam, The Netherlands.ORCID 0009-0008-9827-1138
Birgit S GeurtsOncode Institute, Utrecht, The Netherlands.
Laurien J ZeverijnOncode Institute, Utrecht, The Netherlands.
Gijs F de WitOncode Institute, Utrecht, The Netherlands.
Vincent van der NoortDepartment of Biometrics, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0002-4910-4535
Paul RoepmanHartwig Medical Foundation, Amsterdam, The Netherlands.ORCID 0000-0003-1566-0258
Wendy W J de LengDepartment of Pathology, University Medical Cancer Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-2911-6018
Anne M L JansenDepartment of Pathology, University Medical Cancer Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-8793-0563
Benno KustersDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Laurens V BeerepootDepartment of Internal Medicine, ETZ Hospital (Elisabeth-TweeSteden Ziekenhuis), Tilburg, The Netherlands.ORCID 0000-0002-3040-4626
Filip Y F L de VosDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-9082-5991
Derk-Jan A de GrootDepartment of Medical Oncology, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-8306-6835
Jan Willem B de GrootIsala Oncology Center, Isala, Zwolle, The Netherlands.ORCID 0000-0002-1043-5011
Ann HoebenDivision of Medical Oncology, Department of Internal Medicine, GROW School of Oncology and Development Biology, Maastricht University Center+, Maastricht, The Netherlands.ORCID 0000-0003-0155-3005
Jan ButerDepartment of Medical Oncology, Amsterdam University Medical Center, Location VuMC, Amsterdam, The Netherlands.ORCID 0000-0002-2929-1070
Hans A J GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-9270-8636
Emile E VoestOncode Institute, Utrecht, The Netherlands.ORCID 0000-0001-8249-9586
Henk M W VerheulDepartment of Medical Oncology, Erasmus MC Cancer Institute, Erasmus MC, Rotterdam, The Netherlands.

Funding

Dutch Cancer Society 10014
6 · The paper itself

Abstract

backgroundThe prognosis of malignant primary high-grade brain tumors, predominantly glioblastomas, is poor despite intensive multimodality treatment options. In more than 50% of patients with glioblastomas, potentially targetable mutations are present, including rearrangements, altered splicing, and/or focal amplifications of epidermal growth factor receptor (EGFR) by signaling through the RAF/RAS pathway. We studied whether treatment with the clinically available anti-EGFR monoclonal antibody panitumumab provides clinical benefit for patients with RAF/RAS-wild-type (wt) glioblastomas in the Drug Rediscovery Protocol (DRUP).

methodsPatients with progression of treatment refractory RAF/RASwt glioblastoma were included for treatment with panitumumab in DRUP when measurable according to RANO criteria. The primary endpoints of this study are clinical benefit (CB: defined as confirmed objective response [OR] or stable disease [SD] ≥ 16 weeks) and safety. Patients were enrolled using a Simon-like 2-stage model, with 8 patients in stage 1 and up to 24 patients in stage 2 if at least 1 in 8 patients had CB in stage 1.

resultsBetween 03-2018 and 02-2022, 24 evaluable patients were treated. CB was observed in 5 patients (21%), including 2 patients with partial response (8.3%) and 3 patients with SD ≥ 16 weeks (12.5%). After median follow-up of 15 months, median progression-free survival and overall survival were 1.7 months (95% CI 1.6-2.1 months) and 4.5 months (95% CI 2.9-8.6 months), respectively. No unexpected toxicities were observed.

conclusionsPanitumumab treatment provides limited CB in patients with recurrent RAF/RASwt glioblastoma precluding further development of this therapeutic strategy.

Indexed as

GlioblastomaPanitumumabAdultAgedAntineoplastic Agents, ImmunologicalBrain NeoplasmsFemaleHumansMaleMiddle Agedraf Kinasesras ProteinsAntineoplastic Agents, ImmunologicalPanitumumabraf Kinasesras ProteinsDRUP trialglioblastomapanitumumabprecision medicineRAF/RAS-wildtype

Identifiers

PMID38109296
PMCPMC11067815

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.