Evidence map›Paper›PMID 41904738›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Incidence and management of pyrexia syndrome in patients treated with dabrafenib and trametinib: a retrospective study.

Justin Komisarof, Jayesh Menon, Aryn Andrzejewski, Deborah Mulford

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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

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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

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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. Review
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

4 authors.

Justin KomisarofBaylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA. Justin.komisarof@bcm.edu.
Jayesh MenonUniversity of Rochester Medical Center, Rochester, NY, USA.
Aryn AndrzejewskiUniversity of Rochester Medical Center, Rochester, NY, USA.
Deborah MulfordUniversity of Rochester Medical Center, Rochester, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe combination of dabrafenib and trametinib has been used to treat a variety of cancers featuring BRAF mutations. The most common adverse effect is pyrexia syndrome. We aimed to determine the incidence of pyrexia syndrome and severe/complicated pyrexia syndrome and investigate outcomes associated with pyrexia syndrome as well as pyrexia management.

methodsIn this retrospective cohort study, individuals who received dabrafenib and trametinib from 2015 to 2022 at a large academic medical center were identified. Chart review was performed to determine if patients developed pyrexia syndrome, the severity of pyrexia syndrome, time of onset of pyrexia, time on treatment, how pyrexia was managed, and why treatment was discontinued.

results88 patients were included in the final analysis. 34 patients (38.6%) developed pyrexia syndrome and 14 patients (15.9%) developed severe/complicated pyrexia syndrome. Most patients who developed pyrexia syndrome did so in their first month of treatment. Patients who developed pyrexia syndrome were more likely to discontinue treatment due to an adverse event than patients who did not (32.3% vs 22.2%). Patients who developed pyrexia syndrome spent a longer mean period on treatment (16.9 months) than patients who did not (9.0 months). Pyrexia syndrome was managed with dose modifications and interruptions and several agents including steroids, antipyretics, and colchicine.

conclusionPyrexia syndrome is a common adverse event in patients on dabrafenib and trametinib. Patients who develop pyrexia syndrome unexpectedly stayed on treatment longer in our cohort, highlighting the importance of early recognition and supportive management to maintain patients on therapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDrug FeverFeverImidazolesOximesPyridonesPyrimidinonesAdultAgedCohort StudiesFemaleHumansIncidenceMaleMiddle AgedNeoplasmsdabrafenibImidazolesOximesPyridonesPyrimidinonestrametinibBRAFV600EDabrafenib and trametinibPyrexiaSevere/complicated pyrexiaTargeted therapy

Identifiers

PMID41904738
PMCPMC13033457

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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.