Evidence map›Paper›PMID 31123682›Full record

ArticleWorld journal of clinical cases2019

Crizotinib-induced acute fatal liver failure in an Asian

Ying Zhang, Yan-Yan Xu, Yi Chen, Jin-Na Li, Ying Wang

Abstract readCase Reports
In one paragraph

Article in World journal of clinical cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Ying ZhangDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China.
Yan-Yan XuDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China.
Yi ChenDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China.
Jin-Na LiDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China.
Ying WangDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China. wang_ying@sj-hospital.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrizotinib-induce hepatotoxicity is rare and non-specific, and severe hepatotoxicity can develop into fatal liver failure. Herein, we report a case of fatal crizotinib-induced liver failure in a 37-year-old Asian patient. CASE SUMMARY: The patient complained of dyspnea and upper abdominal pain for a week in August 2017. He was diagnosed with anaplastic lymphoma kinase-rearranged lung adenocarcinoma combined with multiple distant metastases. Crizotinib was initiated as a first-line treatment at a dosage of 250 mg twice daily. No adverse effects were seen until day 46. On day 55, he was admitted to the hospital with elevated liver enzymes aspartate aminotransferase (AST) (402 IU/L), alanine aminotransferase (ALT) (215 IU/L) and total bilirubin (145 μmol/L) and was diagnosed with crizotinib-induced fulminant liver failure. Despite crizotinib discontinuation and intensive supportive therapy, the level of AST (1075 IU/L), ALT (240 IU/L) and total bilirubin (233 μmol/L) continued to rapidly increase, and he died on day 60.

conclusionPhysicians should be aware of the potential fatal adverse effects of crizotinib.

Indexed as

ALK rearrangementCase reportCrizotinib hepatotoxicityFatal liver failureLiver metastasesLung adenocarcinoma

Identifiers

PMID31123682
PMCPMC6511925

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