Evidence map›Paper›PMID 38501390›Full record

ArticleBritish journal of haematology2024

Clinical, radiological and molecular responses to combination chemotherapy with MAPK pathway inhibition in relapsed and refractory Langerhans cell histiocytosis.

Vivekanudeep Karri, Howard Lin, Jessica Velazquez, Akanksha Batajoo, Deevyashali Parekh, Whitney Stanton, Harshal Abhyankar, Nader K El-Mallawany, Jennifer Agrusa, Olive Eckstein and 7 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in British journal of haematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT07022834 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Real-world Investigation of the Combination of Darafenib or Trametinib and Clofarabine in the Treatment of High-risk, Recurrent, or Refractory Pediatric Patients With Langerhans Cell Histiocytosis.

TypeinterventionalSponsorWest China Second University HospitalRan2025 to 2030Enrolled20ConditionsLangerhans Cell Histiocytosis (LCH)ArmsDabrafenib or Trametinib and Clofarabine
NCT07431060 narecruitingnot on this mapstarted 2026, after this paper: background citation

Modified LCH-III Regimen Versus Modified LCH-III Regimen Combined With Luvometinib in the Treatment of Multisystem Pediatric Langerhans Cell Histiocytosis: A Multicenter, Open-Label, Randomized Controlled Clinical Trial

TypeinterventionalSponsorWest China Second University HospitalRan2026 to 2030Enrolled120ConditionsLangerhans Cell Histiocytosis (LCH)ArmsPrednisone, Vincristine, Mercaptopurine, Luvometinib
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Cell-free BRAFHaematologica · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. 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

17 authors at 5 institutions in 1 country.

Vivekanudeep KarriTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Howard LinTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Jessica VelazquezTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Akanksha BatajooTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Deevyashali ParekhTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Whitney StantonTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Harshal AbhyankarTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Nader K El-MallawanyTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Jennifer AgrusaTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.
Olive EcksteinTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-1895-8810
Nitya GulatiDepartment of Pediatrics, Weill Cornell Medical College, New York, New York, USA.ORCID https://orcid.org/0000-0001-9243-9544
Jeffrey SchwartzStuder Family Children's Hospital Pediatric Blood and Cancer, Pensacola, Florida, USA.
Wendy Woods-SwaffordUnity Point Health, Blank Children's Hospital Cancer and Blood Disorders Clinic, Des Moines, Iowa, USA.
Jaime BoydPediatra Hematólogo y Oncólogo at Consultorios Royal Center, Panamá City, Panama.
Anikit SahaPrisma Health Cancer Institute, Greenville, South Carolina, USA.
Carl E AllenTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0002-6625-739X
Kenneth L McClainTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-0725-6263
Baylor College of Medicine · USCenter for Cancer and Blood Disorders · USCornell University · USPrisma Health · USUnityPoint Health · US

Funding

ERK control of Dendritic Cell Differentiation, Homeostasis and DiseaseR01CA154947 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CARL E ALLEN, MIRIAM MERAD · 2011 to 2026
$7.0M
The Clinical Translational Research Certificate of Added Qualification ProgramT32GM136554 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI Melissa Suter, IGNATIA B VAN DEN VEYVER · 2020 to 2026
$3.0M
NCI NIH HHS R01 CA154947NIGMS NIH HHS T32 GM136554NIH HHS R01 CA154947
6 · The paper itself

Abstract

Optimal therapeutic approaches for advanced Langerhans cell histiocytosis (LCH) are not known. We assessed the safety and efficacy of combined chemotherapy with MAPK pathway inhibition in 10 patients with refractory systemic disease and/or LCH-associated neurodegeneration. Overall response rate was 9/10 (90%) for the entire cohort: 5/5 (100%) for patients with systemic disease and 6/7 (86%) for patients with central nervous system disease. BRAFV600E+ peripheral blood fraction decreased in 5/6 (83%). Toxicities included fever, skin rash, myalgias, neuropathy, cytopenias and hypocalcaemia. Prospective trials are required to optimize combination strategies, determine potential to achieve cure and compare outcomes to chemotherapy or MAPK inhibitor monotherapy.

Indexed as

Histiocytosis, Langerhans-CellMAP Kinase Signaling SystemProtein Kinase InhibitorsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleProto-Oncogene Proteins B-rafRecurrenceTreatment OutcomeBRAF protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins B-rafchemotherapyLangerhans cell histiocytosisMAPK inhibitionmyeloid neoplasia

Identifiers

PMID38501390
PMCPMC12700493
OpenAlexW4392971145

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.