Evidence map›Paper›PMID 42066686›Full record

ArticleESMO open2026

Real-world effectiveness of molecular-matched therapies in salivary gland cancer.

J A M Weijers, N J van Ruitenbeek, A C H van Engen-van Grunsven, C M L Driessen, L A Devriese, M Slingerland, A Hoeben, S F Oosting, W H Schreuder, A Sewnaik and 4 more

Abstract read
In one paragraph

Article in ESMO open, 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. 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

14 authors.

J A M WeijersDepartment of Medical Oncology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
N J van RuitenbeekDepartment of Medical Oncology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
A C H van Engen-van GrunsvenDepartment of Pathology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
C M L DriessenDepartment of Medical Oncology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
L A DevrieseDepartment of Medical Oncology, University Medical Centre Utrecht, Utrecht, Netherlands.
M SlingerlandDepartment of Medical Oncology, Leiden University Medical Centre, Leiden, Netherlands.
A HoebenDivision of Medical Oncology, Department of Internal Medicine, Maastricht UMC+ Comprehensive Cancer Centre, GROW-School of Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, Netherlands.
S F OostingDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands.
W H SchreuderDepartment of Head and Neck Surgery & Oncology, The Netherlands Cancer Institute, Amsterdam, Netherlands.
A SewnaikDepartment of Otorhinolaryngology, Head and Neck Surgery, Erasmus Medical Centre, Rotterdam, Netherlands.
S van HelvertDepartment of Pathology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
J A SchalkenDepartment of Urology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
G W VerhaeghDepartment of Urology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
C M L van HerpenDepartment of Medical Oncology, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands. Electronic address: Carla.vanHerpen@radboudumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSalivary gland cancer (SGC) is a rare cancer comprising over 20 subtypes. Although its molecular landscape is increasingly characterised, real-world data on molecular-matched therapies (MMTs) remain limited, and predictive biomarkers are needed. PATIENTS AND

methodsSince 2017, real-world data of patients with SGC attending the outpatient clinic at Radboud university medical center have been systematically collected. Best overall response to MMT was assessed per RECIST v1.1. Median progression-free survival (mPFS) was estimated using Kaplan-Meier statistics and compared between the molecular subgroups using the log-rank test.

resultsAt data cutoff, the database contained 662 patients with SGC, including 464 patients with recurrent and/or metastatic disease. Among them, 381 patients exhibited ≥1 molecular alteration, of whom 54% received MMT. Among patients with salivary duct carcinoma (SDC), 83% of patients with ≥1 molecular alteration received MMT, compared with 25% with adenoid cystic carcinoma. In 110 patients with SDC, mPFS with any first-line androgen receptor axis-targeted therapy was 5.3 months [95% confidence interval (CI) 3.5-7.2 months] and was significantly longer in HRAS-mutant (19.1 months; 95% CI 11.0-27.2 months; n = 18) versus HRAS-wild-type cases (3.8 months; 95% CI 2.0-5.6 months; n = 64; P = 0.007). With the first human epidermal growth factor receptor 2-targeted therapy given (n = 35), mPFS was 8.5 months (95% CI 6.4-10.6 months), with objective responses in 61% of RECIST-assessable patients (n = 28). Additionally, objective responses were achieved with other MMTs, including vemurafenib/cobimetinib in BRAF V600E-mutant SDC (n = 3), larotrectinib in secretory carcinoma with ETV6::NTRK3 gene fusions (n = 2), and ipilimumab/nivolumab in mucoepidermoid carcinoma with high tumour mutational burden (n = 1).

conclusionsComprehensive molecular testing in SGC may allow access to MMT, with a subset of patients experiencing clinical benefit from this strategy.

Indexed as

Molecular Targeted TherapySalivary Gland NeoplasmsAdultAgedAged, 80 and overCarcinoma, Adenoid CysticFemaleHumansMaleMiddle Agedadenoid cystic carcinomareal-world datasalivary duct carcinomasalivary gland cancersystemic therapytargeted therapy

Identifiers

PMID42066686
PMCPMC13145383

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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.