Evidence map›Paper›PMID 41396681›Full record

ArticleThe oncologist2025

Precision targeted-immunotherapy for BRAF V600E and MET-amplified biliary tract cancer: two case reports.

Xin He, Sidong Xie, Changchang Jia, Xiangyuan Wu, Zhanhong Chen, Tiantian Wang

Abstract readCase Reports
In one paragraph

Article in The oncologist, 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

6 authors.

Xin HeDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Sidong XieDepartment of Radiology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Changchang JiaBiotherapy Centre, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Xiangyuan WuDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Zhanhong ChenDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Tiantian WangDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.ORCID 0000-0003-0336-091X

Funding

Natural Science Foundation of Guangdong Province 2021A1515010887Natural Science Foundation of Guangdong Province 2022A1515012650Science and Technology Program of Guangzhou 202201020427Science and Technology Program of Guangzhou 2024A03J0919
6 · The paper itself

Abstract

backgroundBiliary tract cancer (BTC), as a relatively rare tumor, carries a poor prognosis. While immunotherapy combined with chemotherapy can extend survival, response rates remain low. Targeted therapies tailored to specific genetic mutations may improve outcomes when paired with immune checkpoint inhibitors. This report examines 2 cases of advanced BTC with distinct genetic alterations, treated with targeted therapy and immune checkpoint inhibitors, to assess efficacy and feasibility. CASE PRESENTATION: A 45-year-old patient with a BRAF V600E-mutated intrahepatic cholangiocarcinoma received dabrafenib, trametinib, and durvalumab. This led to significant tumor reduction, enabling complete surgical resection with clear margins. Postoperative analysis showed a major pathological response. A 39-year-old patient with MET-amplified gallbladder cancer was treated with tepotinib, durvalumab, and chemotherapy, resulting in metastases regression and successful tumor downstaging. Surgery achieved no evidence of disease.

conclusionsCombining targeted therapies with immune checkpoint inhibitors showed promising results in 2 patients with advanced BTC driven by specific genetic mutations. Significant tumor reduction and successful surgeries suggest this approach may improve resectability and outcomes. These cases highlight the potential of personalized treatment guided by genetic profiling. Further research is needed to confirm these findings and explore broader applications for this strategy.

Indexed as

Biliary Tract NeoplasmsImmunotherapyProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-metHumansMolecular Targeted TherapyMutationPrecision MedicineBRAF protein, humanMET protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins c-metbiliary tract cancerBRAF V600E mutationMET amplificationprecision targeted–immunotherapy

Identifiers

PMID41396681
PMCPMC12715304

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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.