Evidence map›Paper›PMID 40694535›Full record

ArticleCancer research2025

Combination of the MTA-Cooperative PRMT5 Inhibitor BMS-986504 and KRAS Inhibitors Is an Effective Treatment Strategy for MTAP-Deleted KRAS-Mutant Pancreatic Cancer.

Kristina Drizyte-Miller, Lars D Engstrom, Jeffrey A Klomp, Clint A Stalnecker, Addison G Stamey, Khalilah E Taylor, Mallory K Roach, Ryan Robb, Laura M Waters, Andrew Calinisan and 14 more

Abstract read
In one paragraph

Article in Cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
  2. Review
  3. RAS-targeted therapies for pancreatic cancer.ESMO gastrointestinal oncology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Targeting ClassicalCancers · 2026
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. 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

24 authors.

Kristina Drizyte-MillerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0001-7049-2934
Lars D EngstromMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0001-8196-9427
Jeffrey A KlompDepartment of Medicine, Michigan State University, Grand Rapids, Michigan.ORCID 0000-0002-5243-6987
Clint A StalneckerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-0570-4416
Addison G StameyLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0009-0004-8346-4683
Khalilah E TaylorLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0009-0003-2136-2713
Mallory K RoachDepartment of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0009-0006-9634-7755
Ryan RobbDepartment of Pharmacology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0001-7661-7902
Laura M WatersMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0009-0127-1631
Andrew CalinisanMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0008-7349-9080
Seamus DeganLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-8028-2081
Wen-Hsuan ChangLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-5751-6345
Xousaen M HeluMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0003-2215-146X
David NguyenMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0001-8068-8719
Elisa BaldelliCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0002-6288-4599
Mariaelena PierobonCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0003-2084-1029
Emanuel F PetricoinCenter for Applied Proteomics and Molecular Medicine, George Mason University, Manassas, Virginia.ORCID 0000-0001-8787-5990
David M BriereMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0006-3868-0859
Jill HallinMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0002-8443-7116
James G ChristensenMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0000-0003-1835-0335
Kirsten L BryantLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0003-4026-0942
Adrienne D CoxLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-4901-2454
Peter OlsonMirati Therapeutics, Inc., a Bristol Myers Squibb Company, San Diego, California.ORCID 0009-0008-5164-8102
Channing J DerLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-7751-2747

Funding

Integrated Training in Cancer Model SystemsT32CA009156 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J. · 1985 to 2020
$19.7M
SToP Cancer SPORE: Developmental Research ProgramP50CA257911 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Jen Jen Yeh · 2022 to 2026
$12.9M
Washington University SPORE in Pancreatic CancerP50CA196510 · NCI · WASHINGTON UNIVERSITY · PI HAWKINS, WILLIAM G · 2016 to 2020
$10.9M
Project 4: The role of codon bias in RAS tumorigenesisP01CA203657 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GRAVES, LEE M · 2016 to 2020
$7.9M
Targeting undruggable RAS for cancer treatmentR35CA232113 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J. · 2018 to 2024
$6.3M
PREDOCTORAL TRAINING IN PHARMACOLOGICAL SCIST32GM007040 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS, ROBERT A · 1985 to 2019
$6.0M
BIOLOGICAL ACTIVITY OF RAS ONCOGENESR01CA042978 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DER, CHANNING J. · 1986 to 2017
$5.9M
CANCER CELL BIOLOGY TRAINING PROGRAMT32CA071341 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CHANNING J. DER, Yuliya Pylayeva-Gupta · 1996 to 2026
$5.0M
Mechanistic dissection and inhibitor targeting of autophagy in RAS driven cancersR37CA251877 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BRYANT, KIRSTEN L · 2020 to 2025
$2.5M
Identification of synthetic lethal interactors in pancreatic cancerU01CA199235 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COX, ADRIENNE D, DER, CHANNING J. · 2015 to 2019
$2.5M
Defining the contributions of WT RAS in RAS-mutant lung cancerF32CA232529 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STALNECKER, CLINT A · 2018 to 2021
$193k
Mechanistic examination and inhibitor targeting of nutrient scavenging for the treatment of pancreatic cancerF31CA284869 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ryan Robb · 2024 to 2026
$122k
American Association for Cancer Research (AACR) 15-70-25-BRYAAmerican Association for Cancer Research (AACR) 15-90-25-DERAmerican Cancer Society (ACS) PF-22-066-01-TBEAmerican Cancer Society (ACS) PF-23-1072348-01-CDPNational Cancer Institute (NCI) F31CA284869National Cancer Institute (NCI) F32CA232529National Cancer Institute (NCI) P01CA203657National Cancer Institute (NCI) P50CA196510National Cancer Institute (NCI) P50CA257911National Cancer Institute (NCI) R01CA42978National Cancer Institute (NCI) R35CA232113National Cancer Institute (NCI) R37CA251877National Cancer Institute (NCI) T32CA009156National Cancer Institute (NCI) T32CA071341National Cancer Institute (NCI) U01CA199235National Institute of General Medical Sciences (NIGMS) T32GM007040NCI NIH HHS F31 CA284869NCI NIH HHS F32 CA232529NCI NIH HHS P01 CA203657NCI NIH HHS P50 CA196510NCI NIH HHS P50 CA257911NCI NIH HHS R01 CA042978NCI NIH HHS R35 CA232113NCI NIH HHS R37 CA251877NCI NIH HHS T32 CA009156NCI NIH HHS T32 CA071341NCI NIH HHS U01 CA199235NIGMS NIH HHS T32 GM007040Pancreatic Cancer Action Network (PCAN) 15-70-25-BRYAPancreatic Cancer Action Network (PCAN) 15-90-25-DERPancreatic Cancer Action Network (PCAN) 22-WG-DERBSky Foundation (THE SKY FOUNDATION)U.S. Department of Defense (DOD) W81XWH2110692U.S. Department of Defense (DOD) W81XWH2110693
6 · The paper itself

Abstract

Protein arginine methyltransferase 5 (PRMT5) is a synthetic lethal target in MTAP-deleted (MTAP-del) cancers. The MTA-cooperative PRMT5 inhibitor BMS-986504 exhibited potent and selective antitumor activity in MTAP-del preclinical models and demonstrated activity in MTAP-del patients without the toxicity associated with previous PRMT5 inhibitors. In this study, we focused on pancreatic ductal adenocarcinoma (PDAC), ∼22% of which are MTAP-del, and demonstrated that BMS-986504 suppressed PRMT5 function and cell growth in MTAP-del cells and xenograft models. CRISPR/Cas9 loss-of-function screens implicated cotargeting KRAS as a combination strategy. Concurrent inhibition of PRMT5 and KRASG12C/D enhanced and prolonged suppression of PDAC growth. RNA sequencing analysis revealed that PRMT5 inhibition disrupted RNA splicing of genes essential for PDAC growth. Although PRMT5 and KRAS regulated distinct transcriptomes, they converged on pathways governing cancer cell growth and expression of PDAC-essential genes. These findings provide rationale for combined inhibition of PRMT5 and KRAS in MTAP-del/KRAS-mutant PDAC. SIGNIFICANCE: MTAP deletion and mutational activation of KRAS create therapeutic vulnerabilities for MTA-cooperative PRMT5 and mutant-selective KRAS inhibitors, respectively, providing the rationale for their combination therapy for MTAP-deleted, KRAS-mutant pancreatic cancer. See related article by Knoll et al., p. 3518.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalPancreatic NeoplasmsProtein-Arginine N-MethyltransferasesProto-Oncogene Proteins p21(ras)AnimalsCell Line, TumorCell ProliferationFemaleHumansMiceMice, NudeMutationXenograft Model Antitumor AssaysKRAS protein, humanPRMT5 protein, humanProtein-Arginine N-MethyltransferasesProto-Oncogene Proteins p21(ras)

Identifiers

PMID40694535
PMCPMC12717533

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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.