Evidence map›Paper›PMID 40709016›Full record

ArticleNeuro-oncology advances

Selumetinib in pediatric patients with neurofibromatosis type 1 and plexiform neurofibroma: Propensity score analysis of SPRINT vs. natural history control arm.

Ayo Adeyemi, Andrea M Gross, Andrea Baldwin, Eva Dombi, Brigitte C Widemann, Kyaw Joe Sint

2 registry-linked trialsAbstract read
In one paragraph

Article in Neuro-oncology advances. 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT00924196 active not recruitingnot on this map

Natural History Study and Longitudinal Assessment of Children, Adolescents, and Adults With Neurofibromatosis Type 1

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2008Enrolled259ConditionsNeurofibromatosis Type 1, Malignant Peripheral Nerve Sheath Tumor, Plexiform Neurofibroma, Optic Glioma
NCT01362803 phase1 / phase2active not recruitingnot on this map

A Phase I/II Study of the Mitogen Activated Protein Kinase (MEK) 1 Inhibitor Selumetinib (AZD6244; Hydrogen Sulfate in Children With Neurofibromatosis Type 1 (NF1) and Inoperable Plexiform Neurofibromas (PN)

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2011 to 2032Enrolled99ConditionsNeurofibromatosis 1, Neurofibromatosis Type 1, NF1, Neurofibroma, PlexiformArmsAZD6244
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

6 authors.

Ayo AdeyemiHealth Economics and Outcomes Research, Alexion, AstraZeneca Rare Disease, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-6987-027X
Andrea M GrossPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.
Andrea BaldwinClinical Research Directorate, Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA.
Eva DombiPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-5323-6995
Brigitte C WidemannPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-9198-7175
Kyaw Joe SintHealth Economics and Outcomes Research, Alexion, AstraZeneca Rare Disease, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Selumetinib is approved in children aged ≥ 2 years (USA) with neurofibromatosis type 1 (NF1) and symptomatic, inoperable plexiform neurofibromas (PN) based on data from SPRINT (NCT01362803). This analysis estimated PN progression risk with selumetinib in SPRINT versus age-matched patients from the National Cancer Institute NF1 Natural History (NH) study (NCT00924196), accounting for differences in baseline characteristics using propensity score (PS) methods. Methods: Differences in baseline characteristics between the cohorts were assessed. PSs based on age, sex, race, weight, height, and PN (location, volume, and progression status) were used in 1:1 PS matching without replacement, stabilized inverse probability of treatment weighting (sIPTW), and 1:2 PS matching with replacement as sensitivity analyses. The effect of selumetinib (maximum follow-up 5.6 years) on progression risk was evaluated using univariate and multivariable Cox models (adjusted for baseline characteristics) of progression-free survival. Results: Before PS matching, patient baseline characteristics ( Conclusions: Reduction in risk of NF1-related PN progression with selumetinib was consistent with direct comparison and statistically significant, robust, and comparable across PS methods. Trial registration: ClinicalTrials.gov, NCT01362803. Registered May 27, 2011, https://clinicaltrials.gov/study/NCT01362803.

Indexed as

effect of treatmentneurofibromatosis type 1plexiform neurofibromaspropensity score analysisselumetinib

Identifiers

PMID40709016
PMCPMC12288023

What OpenQuestion holds

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LicenceCC BY-NC
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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.