Evidence map›Paper›PMID 41986720›Full record

ArticleNature2026

Prospective evaluation of genomics-guided off-label treatment.

K Verkerk, A C Spiekman, S F Haj Mohammad, F A J Verbeek, H Timmer, M A van Maren, L J Zeverijn, B S Geurts, V van der Noort, P Roepman and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02925234 (A Dutch National Study on Behalf of the CPCT to Facilitate Patient Access to Commercially Available, Targeted Anti-cancer Drugs to Determine the Potential Efficacy in Treatment of Advanced Cancers With a Known Molecular Profile), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02925234 phase2recruitingnot on this map

A Dutch National Study on Behalf of the CPCT to Facilitate Patient Access to Commercially Available, Targeted Anti-cancer Drugs to Determine the Potential Efficacy in Treatment of Advanced Cancers With a Known Molecular Profile

TypeinterventionalSponsorThe Netherlands Cancer InstituteRan2016 to 2027Enrolled1,550ConditionsCancer, Tumors, Neoplasm, NeoplasiaArmsPanitumumab, Olaparib, Dabrafenib, Nilotinib, Trametinib
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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.

K VerkerkDepartment of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-5882-4980
A C Spiekman *Department of Medical Oncology, Erasmus Medical Center, Rotterdam, The Netherlands.
S F Haj Mohammad *Department of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
F A J Verbeek *Department of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
H Timmer *Department of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0009-0002-3822-7326
M A van Maren *Department of Medical Oncology, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0009-0009-8799-4821
L J ZeverijnDepartment of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
B S GeurtsDepartment of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
V van der NoortBiometrics Department, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-4910-4535
P RoepmanHartwig Medical Foundation, Amsterdam, The Netherlands.
A M L JansenDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
W W J de LengDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
H GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0001-9270-8636
H M W VerheulDepartment of Medical Oncology, Erasmus Medical Center, Rotterdam, The Netherlands.
E E VoestDepartment of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. e.voest@nki.nl.ORCID http://orcid.org/0000-0001-8249-9586
DRUP Trial Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anticancer drugs are frequently used off-label for tumours that are genetically similar to the approved indication. However, outcomes are rarely captured systematically, limiting evidence-based decision-making and risking repeated futile treatment. The Drug Rediscovery Protocol (DRUP; ClinicalTrials.gov ID: NCT02925234 ) prospectively evaluates such off-label use in patients in the Netherlands with advanced solid tumours who lack standard treatment options and harbour actionable genomic alterations

Indexed as

Antineoplastic AgentsGenomicsNeoplasmsOff-Label UseAdultAgedFemaleHumansMaleMiddle AgedNetherlandsProgression-Free SurvivalProspective StudiesTreatment OutcomeAntineoplastic Agents

Identifiers

PMID41986720
PMCPMC13171434

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Registered trials

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.