Evidence map›Paper›PMID 39900989›Full record

ArticleNPJ precision oncology2025

MDM2 inhibition is associated with the emergence of TP53-altered clonal hematopoiesis.

Vishesh Khanna, Gohar Eslami, Rochelle Reyes, Robert Diep, Sebastian Fernandez-Pol, Henning Stehr, Carlos Jose Suarez, Harlan Pinto, James M Ford, Tian Yi Zhang and 1 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. Milademetan in Advanced Solid Tumors with MDM2 Amplification and Wild-type TP53: Preclinical and Phase II Clinical Trial Results.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. 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

11 authors.

Vishesh KhannaDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.ORCID http://orcid.org/0000-0001-8930-7401
Gohar EslamiDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Rochelle ReyesDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Robert DiepStanford Cancer Institute, Stanford, CA, 94305, USA.
Sebastian Fernandez-PolDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Henning StehrDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Carlos Jose SuarezDepartment of Pathology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Harlan PintoDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
James M FordDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.ORCID http://orcid.org/0000-0002-2513-7025
Tian Yi ZhangStanford Cancer Institute, Stanford, CA, 94305, USA.
Christopher T ChenDivision of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA. ctjchen@stanford.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Murine double minute 2 (MDM2) inhibitors have shown promising activity in TP53-wild type tumors and are under active investigation across a spectrum of malignancies. Herein, we report a 51-year-old female with MDM2-amplified, TP53-wild type adenoid cystic carcinoma who was treated with a MDM2 inhibitor and developed persistent pancytopenia despite drug discontinuation. Her pancytopenia was associated with 20 distinct pathogenic TP53 mutations in peripheral blood and bone marrow not present in drug-resistant tumor tissue. Plasma TP53 mutations were similarly detected among 4 other patients treated at our institution, with the number of mutations correlating strongly with duration of treatment. This case suggests that MDM2 inhibitors are associated with TP53 clonal hematopoiesis, which may confer a risk of subsequent myeloid malignancy. As multiple MDM2 inhibitor trials are ongoing, our findings underscore the need for further investigation into the potential long-term deleterious effects of these inhibitors in the hematopoietic stem and progenitor compartment.

Identifiers

PMID39900989
PMCPMC11790943

What OpenQuestion holds

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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.