Evidence map›Paper›PMID 30101917›Full record

ArticleInternal medicine (Tokyo, Japan)2018

An Acquired Epidermal Growth Factor Receptor T790M Mutation after the Addition of Bevacizumab to Preceding Erlotinib Monotherapy in a Lung Cancer Patient with Leptomeningeal Metastases.

Kazuo Tsuchiya, Masato Karayama, Hideki Yasui, Hironao Hozumi, Yuzo Suzuki, Kazuki Furuhashi, Noriyuki Enomoto, Tomoyuki Fujisawa, Yutaro Nakamura, Naoki Inui and 1 more

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 1 institution in 1 country.

Kazuo TsuchiyaSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Masato KarayamaSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Hideki YasuiSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Hironao HozumiSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Yuzo SuzukiSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Kazuki FuruhashiSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Noriyuki EnomotoSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Tomoyuki FujisawaSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Yutaro NakamuraSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Naoki InuiSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Takafumi SudaSecond Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 53-year-old man with advanced lung adenocarcinoma harboring epidermal growth factor receptor (EGFR) exon 19 deletion received erlotinib. After 12 months of disease control with erlotinib monotherapy, leptomeningeal metastases (LM) occurred. A cerebrospinal fluid examination demonstrated a pre-existing EGFR exon 19 deletion. Bevacizumab was combined with erlotinib, and the LM improved. After six months of combination therapy, however, the LM was exacerbated. A re-examination of the cerebrospinal fluid revealed a T790M mutation and exon 19 deletion. Osimertinib was administered, and the LM improved. The combination of bevacizumab and erlotinib was effective for erlotinib-resistant LM and resulted in the expression of a newly acquired T790M mutation, which enabled successful treatment with osimertinib.

Indexed as

Gene DeletionAcrylamidesAdenocarcinoma of LungAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabErbB ReceptorsErlotinib HydrochlorideExonsHumansIndolesLung NeoplasmsMaleMeningeal CarcinomatosisMiddle AgedPiperazinesAcrylamidesAniline CompoundsBevacizumabEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideIndolesosimertinibPiperazinesPyrimidinesbevacizumabEGFRleptomeningeal metastaseslung cancerosimertinib

Identifiers

PMID30101917
PMCPMC6306543
OpenAlexW2885601937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.