Evidence map›Paper›PMID 41329731›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

A targeted combination therapy achieves effective pancreatic cancer regression and prevents tumor resistance.

Vasiliki Liaki, Sara Barrambana, Myrto Kostopoulou, Carmen G Lechuga, Elena Zamorano-Dominguez, Domingo Acosta, Lucia Morales-Cacho, Ruth Álvarez, Pian Sun, Blanca Rosas-Perez and 14 more

RetractedAbstract readRetracted Publication
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Progress in the application ofAnnals of nuclear medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Vasiliki Liaki *Experimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Sara Barrambana *Experimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Myrto KostopoulouExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Carmen G LechugaExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Elena Zamorano-DominguezExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Domingo AcostaExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Lucia Morales-CachoExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Ruth ÁlvarezExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.ORCID 0000-0003-0141-4881
Pian SunExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Blanca Rosas-PerezExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Rebeca BarreroExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Silvia Jiménez-ParradoExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Alejandra López-GarcíaExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Marta San RomanExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Juan Carlos López-GilExperimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.
Matthias DrostenCentro de Investigación Biomédica en Red Cancer (CIBERONC), Madrid 28029, Spain.ORCID 0000-0002-3205-456X
Bruno SainzCentro de Investigación Biomédica en Red Cancer (CIBERONC), Madrid 28029, Spain.ORCID 0000-0003-4829-7651
Monica MusteanuCentro de Investigación Biomédica en Red Cancer (CIBERONC), Madrid 28029, Spain.ORCID 0000-0002-1753-3765
Eduardo CaleirasHistopathology Unit, Biotechnology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.ORCID 0000-0001-8768-3630
Nelson DusettiCentre de Recherche en Cancérologie de Marseille, INSERM U1068, CNRS UMR 7258, Aix-Marseille Université and Institut Paoli-Calmettes; Parc Scientifique et Technologique de Luminy, Marseille 13288, France.ORCID 0000-0002-6161-8483
Valeria PoliMolecular Biotechnology Center and Department of Molecular Biotechnology and Health Sciences, University of Turin, Turin 101214, Italy.ORCID 0000-0002-3739-3966
Francisco Sánchez-BuenoDepartment of Surgery, Hospital Clinico Universitario Virgen de la Arrixaca and Instituto Murciano de Investigación Biomédica, Murcia 30120, Spain.
Carmen Guerra *Experimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.ORCID 0000-0002-3891-046X
Mariano Barbacid *Experimental Oncology Group, Tumor Biology Program, Centro Nacional de Investigaciones Oncológicas, Madrid 28029, Spain.ORCID 0000-0002-1480-2624

Funding

EC | European Research Council (ERC) ERC-AG/695566-THERACANMEC | Agencia Estatal de Investigación (AEI) PID2021-124106OB-I00; MCIU/AEI/10.13039/501100011033MEC | Agencia Estatal de Investigación (AEI) PLEC2022-009255; MCIU/AEI/10.13039/501100011033
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) has one of the lowest cancer survival rates. Recent studies using RAS inhibitors have opened the door to more efficacious therapies, although their beneficial effect is still limited mainly due to the rapid appearance of tumor resistance. Here, we demonstrate that genetic ablation of three independent nodes involved in downstream (RAF1), upstream (EGFR), and orthogonal (STAT3) KRAS signaling pathways leads to complete and permanent regression of orthotopic PDACs induced by KRAS/TP53 mutations. Likewise, a combination of selective inhibitors of KRAS (RMC-6236/daraxonrasib), EGFR family (afatinib), and STAT3 (SD36) induced the complete regression of orthotopic PDAC tumors with no evidence of tumor resistance for over 200 d posttreatment. This combination therapy also led to significant regression of genetically engineered mouse tumors as well as patient-derived tumor xenografts (PDX) in the absence of tumor relapses. Of importance, this combination therapy was well tolerated. In sum, these results should guide the development of new clinical trials that may benefit PDAC patients.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalDrug Resistance, NeoplasmPancreatic NeoplasmsAnimalsCell Line, TumorErbB ReceptorsHumansMiceMolecular Targeted TherapyProto-Oncogene Proteins p21(ras)Signal TransductionSTAT3 Transcription FactorTumor Suppressor Protein p53Xenograft Model Antitumor AssaysErbB ReceptorsKRAS protein, humanProto-Oncogene Proteins p21(ras)STAT3 Transcription FactorTumor Suppressor Protein p53KRAS, RAF1, EGFR, STAT3MRTX1133, RMC-6236/daraxonrasib, afatinib, SD36Pancreatic Ductal Adenocarcinoma (PDAC)targeted therapytumor regression and resistance

Identifiers

PMID41329731
PMCPMC12704802

What OpenQuestion holds

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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.