Evidence map›Paper›PMID 41009492›Full record

ArticleInternational journal of molecular sciences2025

Preclinical Efficacy of the Estrogen Receptor Degrader Fulvestrant in Combination with RAF/MEK Clamp Avutometinib and FAK Inhibitor in a Low-Grade Serous Ovarian Cancer Animal Model with Acquired Resistance to Chemotherapy and Aromatase Inhibitor.

Cem Demirkiran, Stefania Bellone, Victoria M Ettorre, Miranda Mansolf, Tobias Max Philipp Hartwich, Blair McNamara, Michelle Greenman, Yang Yang-Hartwich, Elena Ratner, Niccoló G Santin and 6 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 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. 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

16 authors.

Cem DemirkiranDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-7073-2819
Stefania BelloneDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0001-5909-5292
Victoria M EttorreDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-2439-2534
Miranda MansolfDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Tobias Max Philipp HartwichDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Blair McNamaraDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0003-0228-218X
Michelle GreenmanDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Yang Yang-HartwichDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-0522-9053
Elena RatnerDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Niccoló G SantinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Namrata SethiDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0003-1586-3338
Luca PalmieriDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-9704-3300
Silvia ComaVerastem Oncology, 117 Kendrick Street, Suite 500, Needham, MA 02494, USA.
Jonathan A PachterVerastem Oncology, 117 Kendrick Street, Suite 500, Needham, MA 02494, USA.
Sarah OttumDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.
Alessandro D SantinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, CT 06520, USA.ORCID 0000-0003-4724-9738

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
Integrated genomic analysis of racial disparities in endometrial cancerU01CA176067 · NCI · YALE UNIVERSITY · PI SANTIN, ALESSANDRO D · 2014 to 2018
$1.7M
Deborah Bunn Alley Foundation N/ADiscovery to Cure Foundation N/ADomenic Cicchetti Foundation N/AGuido Berlucchi Foundation N/ANCI NIH HHS CA-16359NCI NIH HHS P30 CA016359NCI NIH HHS U01 CA176067NIH HHS U01 CA176067-01A1Verastem Oncology N/A
6 · The paper itself

Abstract

Low-grade-serous ovarian carcinomas (LGSOC) are rare tumors characterized by a high recurrence rate and limited treatment options. Most LGSOC are estrogen receptor (ER)-positive and demonstrate alterations in the RAS/MAPK pathway. Avutometinib is a dual RAF/MEK clamp, whereas defactinib and VS-4718 are focal adhesion kinase (FAK) inhibitors. Fulvestrant is an ER antagonist/degrader. We assessed the preclinical efficacy of fulvestrant, avutometinib + VS-4718 (FAKi), and the triple combination in a chemotherapy/aromatase inhibitor-resistant LGSOC patient-derived tumor xenograft (PDX) model. Tissue obtained from a LGSOC patient wild-type for KRAS/NRAS/BRAF mutations in progression after chemotherapy/anastrozole was transplanted into female CB17/lcrHsd-Prkdc/SCID mice (PDX-OVA(K)250). The animals were treated with either saline/control, fulvestrant, avutometinib/FAKi, or the triple combination of avutometinib/FAKi/fulvestrant. Avutometinib and FAKi were given five-days on and two-days off through oral gavage. Fulvestrant was administered subcutaneously weekly. Mechanistic studies were performed ex vivo using Western blot assays. Animals treated with the triple combination demonstrated stronger tumor growth inhibition compared to all the other experimental groups including control/saline (

Indexed as

Aromatase InhibitorsDrug Resistance, NeoplasmFulvestrantOvarian NeoplasmsProtein Kinase InhibitorsAnimalsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorDisease Models, AnimalFemaleFocal Adhesion Kinase 1HumansMiceMice, SCIDReceptors, EstrogenXenograft Model Antitumor AssaysAromatase InhibitorsFocal Adhesion Kinase 1FulvestrantProtein Kinase InhibitorsReceptors, EstrogenavutometinibFAK inhibitorfulvestrantlow-grade serous ovarian cancerMEK inhibitor

Identifiers

PMID41009492
PMCPMC12469703

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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.