Evidence map›Paper›PMID 41840019›Full record

ArticleNPJ precision oncology2026

MEK inhibition in adult patients with pilocytic astrocytomas.

Konstantinos Rounis, Anna Falk Delgado, Christopher Illies, Alia Shamikh, Theresa Wangerid, Margret Jensdottir, Jiri Bartek, Oscar Persson, Max Albert Hietala, Signe Friesland and 2 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2026. 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

12 authors.

Konstantinos RounisKarolinska Comprehensive Cancer Center, Solna, Sweden. konstantinos.rounis@ki.se.
Anna Falk DelgadoDepartment of Neuroradiology, Karolinska University Hospital, Solna, Sweden.
Christopher IlliesDepartment of Oncology-Pathology, Karolinska University Hospital, Stockholm, Sweden.
Alia ShamikhDepartment of Oncology-Pathology, Karolinska University Hospital, Stockholm, Sweden.
Theresa WangeridDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Margret JensdottirDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
Jiri BartekDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
Oscar PerssonDepartment of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden.
Max Albert HietalaDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.
Signe FrieslandKarolinska Comprehensive Cancer Center, Solna, Sweden.
Hanna CarstensKarolinska Comprehensive Cancer Center, Solna, Sweden.
Giuseppe StragliottoDepartment of Neurology, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pilocytic astrocytomas (PAs) are rare primary brain tumors in adults and exhibit worse outcomes compared with pediatric cases. Surgery is the primary therapeutic approach, whereas radiation therapy (RT) is reserved for symptomatic recurrence but is associated with substantial long-term toxicity. PAs are characterized by the activation of the mitogen-activated protein kinase (MAPK) signaling pathway and Mitogen-activated protein kinase kinase (MEK) inhibitors have demonstrated effectivity in pediatric populations, though data in adults remain limited. We retrospectively analyzed data of five adult patients (ages 30-79), four with PAs and one with PA with anaplastic transformation, that were administered trametinib, a MEK1/2 inhibitor. All tumors harbored somatic NF-1 mutations, with one germline NF-1 case. According to RANO 2.0 criteria, three patients achieved partial responses and two had stable disease, with neurological improvement in two cases. Median progression-free survival was 16.65 months, supporting MEK inhibition as an effective treatment strategy in adult PAs.

Identifiers

PMID41840019
PMCPMC13022286

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