Evidence map›Paper›PMID 42155032›Full record

Trial reportNeuro-oncology2026

TRAM-01: A phase 2 study of trametinib for pediatric patients with neurofibromatosis type 1 and plexiform neurofibromas.

Dorsa Sadat Kiaei, Maxime Caru, Valérie Larouche, Emma Clini, Deepika Pugalenthi Saravanan, Sarah Lippé, Yves Théoret, Jean-Claude Décarie, Uri Tabori, Cynthia Hawkins and 25 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Neuro-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. TheCancers · 2024
    Review
  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

35 authors.

Dorsa Sadat KiaeiDepartment of Neurosciences, University of Montreal, CHU Sainte-Justine, Montreal, Canada.ORCID 0000-0001-9336-3887
Maxime CaruDepartment of Pediatrics, Division of Hematology and Oncology, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania, USA.ORCID 0000-0003-2904-9185
Valérie LaroucheDepartment of Pediatrics, Division of Hematology-Oncology, CHU de Québec-Université Laval, Québec, Canada.
Emma CliniDepartment of Neurosciences, University of Montreal, CHU Sainte-Justine, Montreal, Canada.ORCID 0009-0007-3000-241X
Deepika Pugalenthi SaravananDepartment of Pediatrics, Division of Hematology and Oncology, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania, USA.
Sarah LippéDepartment of Psychology, Université de Montréal, Montréal, Canada.ORCID 0000-0002-4430-1644
Yves ThéoretDepartment of Pharmacology, CHU Sainte Justine, Montreal, Canada.ORCID 0000-0002-2353-860X
Jean-Claude DécarieMedical Imaging Department, CHU Sainte-Justine, Montreal, Canada.ORCID 0000-0002-5911-0357
Uri TaboriDepartment of Pediatrics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-5019-2683
Cynthia HawkinsDepartment of Pathology, Hospital for Sick Children, Toronto, Canada.ORCID 0000-0003-2618-4402
Benjamin EllezamDepartment of Pathology, CHU Sainte Justine, Montreal, Canada.ORCID 0000-0002-8716-7924
Luis H OspinaDepartment of Ophthalmology, CHU Sainte Justine, Montreal, Canada.ORCID 0000-0002-9447-2695
Léandra DesjardinsDepartment of Psychology, Université de Montréal, Montréal, Canada.ORCID 0000-0002-0455-169X
Marie-Élaine MétrasCentre de recherche Azrieli, CHU Sainte-Justine, Montreal, Canada.ORCID 0000-0002-8342-6116
Serge SultanDepartment of Psychology, Université de Montréal, Montréal, Canada.
Édith CantinDepartment of Psychology, CHU de Québec-Université Laval, Québec, Canada.
Marie-Ève RouthierDepartment of Psychology, CHU de Québec-Université Laval, Québec, Canada.
Chantal MaillouxDepartment of Psychology, Université de Montréal, Montréal, Canada.
Marie-Claude BertrandDepartment of Psychology, Université de Montréal, Montréal, Canada.
Karim EstephanDepartment of Neurosciences, University of Montreal, CHU Sainte-Justine, Montreal, Canada.ORCID 0009-0007-3604-0089
Tara McKeownDivision of Hematology Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Stéphanie VairyDepartment of Pediatrics, Division of Pediatric Hematology-Oncology, CHU Sherbrooke, Québec, Canada.ORCID 0000-0001-8107-9969
Geneviève LegaultDepartment of Pediatrics, Division of Neurology, Montreal Children's Hospital, Québec, Canada.
Samuele RenziDepartment of Pediatrics, Division of Hematology-Oncology, CHU de Québec-Université Laval, Québec, Canada.
Éric BouffetDepartment of Pediatrics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6832-6539
Vijay RamaswamyDepartment of Pediatrics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6557-895X
Hallie ColtinDepartment of Hematology-Oncology, CHU Sainte-Justine, Montreal, Canada.
Lucie Lafay-CousinDepartment of Hematology-Oncology, Alberta Children's Hospital, Alberta, Canada.
Juliette HukinDepartment of pediatrics, Division of Hematology-Oncology, B.C. Children's Hospital, University of British Columbia, Canada.ORCID 0000-0002-8727-8456
Mélanie AlvesDepartment of Neurosciences, University of Montreal, CHU Sainte-Justine, Montreal, Canada.
Tiffany RentDivision of Pediatric Hematology-Oncology, IWK Health Centre, Halifax, Nova Scotia, Canada.ORCID 0009-0000-7707-7397
Craig ErkerDivision of Pediatric Hematology-Oncology, IWK Health Centre, Halifax, Nova Scotia, Canada.ORCID 0000-0003-1394-7167
Nada JabadoDepartments of Pediatrics and Human Genetics, Division of Pediatric Hematology-Oncology, McGill University Health Center, Montreal, Canada.ORCID 0000-0003-2485-3692
Mathieu DehaesCentre de recherche Azrieli, CHU Sainte-Justine, Montreal, Canada.ORCID 0000-0001-9852-6761
Sébastien PerreaultDepartment of Neurosciences, University of Montreal, CHU Sainte-Justine, Montreal, Canada.ORCID 0000-0002-4417-7698

Funding

CHU Sainte-JustineCIHR
6 · The paper itself

Abstract

backgroundPlexiform neurofibromas (PNs) are observed in up to 50% of patients with neurofibromatosis type 1 (NF1). Trametinib has been used widely to treat PNs but limited data has been reported on its efficacy within a clinical trial. We conducted a phase 2 trial with trametinib for patients with NF1 and inoperable PNs.

methodsPatients with NF1 and inoperable PNs aged ≥1 month to ≤25 years when starting trametinib were eligible. Patients received trametinib once daily orally continuously for a maximum of 18 cycles of 28 days. Patients completed patient-reported outcome measures. Response evaluations were performed after cycle 3, 6, 12 and at the end of treatment and then every 6 months. The PN volumes were centrally quantified using a semi-automatic 3D segmentation method.

resultsForty-six patients were recruited. The median age was 11.1 years (range 0.7-19.8). The median baseline tumor volume was 104.6 ml (range 16.3 to 650.1 ml). Volumetric assessment demonstrated an overall response rate (volume decrease of ≥20%) in 47.8% (22/46) of patients. Median volume change was -19.3% (range -80.5 to 3.5). Forty-one patients (89.1%) completed the planned treatment. The 3 years progression free survival and the event free survival were respectively 73.1% (95% CI 53.3%-85.5%) and 47.1% (95% CI 28.8-63.5).

conclusionsWe report outcomes and volumetric response of PNs treated with trametinib within a phase 2 trial. Based on these results, trametinib is effective and overall well tolerated.

Indexed as

Antineoplastic AgentsNeurofibroma, PlexiformNeurofibromatosis 1Protein Kinase InhibitorsPyridonesPyrimidinonesAdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMalePrognosisAntineoplastic AgentsProtein Kinase InhibitorsPyridonesPyrimidinonestrametinibclinical trialMEK inhibitorneurofibromatosis type 1plexiform neurofibromatrametinib

Identifiers

PMID42155032
PMCPMC13550690

What OpenQuestion holds

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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.