Evidence map›Paper›PMID 40624157›Full record

ArticleNPJ precision oncology2025

Exceptional response to the ATR inhibitor, camonsertib, in a patient with ALT+ metastatic melanoma.

Natalie Y L Ngoi, Ian M Silverman, Adrienne Johnson, Chenfeng Meng, Joseph D Schonhoft, Michal Zimmermann, Danielle Ulanet, Hyeyeon Kim, Carlos Torrado, Carolina Salguero and 5 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

15 authors.

Natalie Y L NgoiDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ian M SilvermanRepare Therapeutics, Cambridge, MA, USA.
Adrienne JohnsonRepare Therapeutics, Cambridge, MA, USA.
Chenfeng MengRepare Therapeutics, Cambridge, MA, USA.
Joseph D SchonhoftRepare Therapeutics, Cambridge, MA, USA.
Michal ZimmermannRepare Therapeutics, St-Laurent, QC, Canada.
Danielle UlanetRepare Therapeutics, Cambridge, MA, USA.
Hyeyeon KimRepare Therapeutics, St-Laurent, QC, Canada.
Carlos TorradoDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Carolina SalgueroDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Christian Valladolid BrownDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jordi RodonDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Victoria RimkunasRepare Therapeutics, Cambridge, MA, USA.
Maria KoehlerRepare Therapeutics, Cambridge, MA, USA.
Timothy A YapDepartment of Investigational Cancer Therapeutics (Phase 1 Clinical Trials Program), Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. tyap@mdanderson.org.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
Transcriptomic mechanisms underlying the immune modulating function and therapeutic efficacy of PARP inhibitorsR01CA255074 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI YAP, TIMOTHY ANTHONY · 2021 to 2025
$1.8M
NCI Cancer Center Support P30CA016672NCI Cancer Center Support Grant CA016672NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA255074NIH HHS 1R01CA255074U.S. Department of Defense W81XWH-21-1-0282_OC200482U.S. Department of Defense W81XWH2210504_BC211174
6 · The paper itself

Abstract

A key hallmark of cancer tumorigenesis is the maintenance of telomere length, which occurs canonically through the reactivation of telomerase. Alternative lengthening of telomeres (ALT) is an atypical, non-canonical telomere maintenance mechanism that uses homologous recombination (HR) to maintain telomere length and is associated with replication stress and defects in genome maintenance. In preclinical models, ALT positivity (ALT+) sensitizes tumor cells to ataxia telangiectasia and Rad3-related (ATR) inhibitors. Camonsertib is a novel potent, and highly selective ATR inhibitor that is synthetic lethal with genomic alterations affecting HR and DNA damage response (DDR). Here we describe a case of confirmed clinical and molecular response to pharmacological ATR inhibition through camonsertib, in a patient with ALT+ metastatic melanoma. To our knowledge, this is the first clinical report of synthetic lethal targeting of a confirmed ALT+ tumor with an ATR inhibitor.

Identifiers

PMID40624157
PMCPMC12234790

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.