Evidence map›Paper›PMID 39998657›Full record

ArticleCancer chemotherapy and pharmacology2025

Real-world pharmacokinetics of trametinib in pediatric low-grade glioma.

Laurie Pagnot, Isaline Granger, Jérôme Guitton, Bertrand Favier, Antony Ceraulo, Cécile Faure-Conter, Pierre Leblond, Michael Philippe

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Article in Cancer chemotherapy and pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Efficacy and safety of trametinib use in pediatric brain tumors in a low- to middle-income country.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    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

8 authors.

Laurie PagnotDepartment of Clinical Pharmacy and Oncology, Centre Leon Bérard, Lyon, France.
Isaline GrangerDepartment of Clinical Pharmacy and Oncology, Centre Leon Bérard, Lyon, France.
Jérôme GuittonBiochemistry and Pharmacology-Toxicology Laboratory, Lyon Sud Hospital, Pierre Bénite, France.
Bertrand FavierDepartment of Clinical Pharmacy and Oncology, Centre Leon Bérard, Lyon, France.
Antony CerauloInstitute of Pediatric Hematology and Oncology (IHOPe), Centre Léon Bérard, Lyon, France.
Cécile Faure-ConterInstitute of Pediatric Hematology and Oncology (IHOPe), Centre Léon Bérard, Lyon, France.
Pierre LeblondInstitute of Pediatric Hematology and Oncology (IHOPe), Centre Léon Bérard, Lyon, France.
Michael PhilippeDepartment of Clinical Pharmacy and Oncology, Centre Leon Bérard, Lyon, France. michael.philippe@lyon.unicancer.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTrametinib, a MEK1/2 inhibitor, has emerged as a promising treatment for pediatric patients with low-grade gliomas (LGG). However, trametinib exhibits significant inter-individual pharmacokinetic (PK) variability, and studies in adults demonstrated an exposure-efficacy relationship. This study aimed to evaluate the PK profile of trametinib in pediatric routine care and explore potential exposure-outcome relationships.

methodsWe analyzed PK data from 65 blood samples from 19 children receiving trametinib, either as single agent or in combination with dabrafenib. A trough concentration (Cmin) range of 8-15 ng/mL was considered, based on average exposure reported in the largest pediatric study.

resultsThe mean Cmin was 8.82 ng/ml, with 64.6% of samples falling within the predefined target range, while 35.4% were below it. Regarding tolerance, 84.2% of patients experienced treatment-related toxicities, predominantly skin and subcutaneous tissue disorders. Efficacy data were limited.

conclusionThese findings underscore the necessity of therapeutic drug monitoring in pediatric patients to optimize treatment efficacy and minimize toxicity, highlighting trametinib's potential for personalized dosing strategies in this population.

Indexed as

Brain NeoplasmsGliomaProtein Kinase InhibitorsPyridonesPyrimidinonesAdolescentAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolDrug MonitoringFemaleHumansImidazolesInfantMaleOximesdabrafenibImidazolesOximesProtein Kinase InhibitorsPyridonesPyrimidinonestrametinibLow-grade gliomaPediatric cancerPharmacokineticsTrametinib

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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.