Evidence map›Paper›PMID 31906956›Full record

ArticleBMC cancer2020

Crizotinib-induced osteitis mimicking bone metastasis in a stage IV ALK-rearranged NSCLC patient: a case report.

F Guisier, N Piton, M Bellefleur, N Delberghe, G Avenel, E Angot, O Vittecoq, M Ould-Slimane, H Morisse-Pradier, M Salaun and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC cancer, 2020. 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
0.8field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 2 institutions in 1 country.

F GuisierService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France. florian.guisier@chu-rouen.fr.ORCID http://orcid.org/0000-0002-8166-7303
N PitonService d'anatomie et cytologie pathologiques, CHU Charles Nicolle, Rouen, France.
M BellefleurService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France.
N DelbergheService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France.
G AvenelService de rhumatologie, CHU Charles Nicolle, Rouen, France.
E AngotService d'anatomie et cytologie pathologiques, CHU Charles Nicolle, Rouen, France.
O VittecoqService de rhumatologie, CHU Charles Nicolle, Rouen, France.
M Ould-SlimaneService d'orthopédie et traumatologie, CHU Charles Nicolle, Rouen, France.
H Morisse-PradierService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France.
M SalaunService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France.
L ThibervilleService de pneumologie, oncologie thoracique et soins intensifs respiratoires, CHU Charles Nicolle, Rouen, France.
Hôpital Charles-Nicolle · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTargeted therapies are a standard of care for first-line treatment of Anaplastic lymphoma kinase (ALK)-rearranged non small cell lung cancer (NSCLC). Giving the rapid pace of drug discovery and development in this area, reporting of adverse effects of ALK inhibitors is crucial. Here, we report a case of osteitis induced by an ALK inhibitor mimicking bone metastasis, a previously undescribed side effect of crizotinib. CASE PRESENTATION: A 31-year-old woman with stage IV ALK-rearranged NSCLC presented with back pain after 3 months of crizotinib treatment. Diagnostic work-up showed osteitis on the 4th and 5th thoracic vertebrae, anterior soft tissue infiltration and epiduritis, without any sign of infection. Spinal cord decompression, histological removal and osteosynthesis were performed. Histologic examination showed necrosis with abundant peripheral neutrophils, no microorganism nor malignant cell. Symptoms and Computarized Tomography-abnormalities rapidly diseappeared after crizotinib withdrawal and did not recur after ceritinib onset.

conclusionsThis is the first report of crizotinib-induced osteitis. Crizotinib differs from other ALK inhibitors as it targets other kinases as well, which may have been responsible for the osteitis. Crizotinib can induce rapidly extensive osteitis, which can mimic tumor progression.

Indexed as

AdultAnaplastic Lymphoma KinaseAntineoplastic AgentsBone NeoplasmsCarcinoma, Non-Small-Cell LungCrizotinibFemaleHumansLung NeoplasmsOsteitisProtein Kinase InhibitorsPyrimidinesSulfonesTomography, X-Ray ComputedALK protein, humanAnaplastic Lymphoma KinaseAntineoplastic AgentsceritinibCrizotinibProtein Kinase InhibitorsPyrimidinesSulfonesALK inhibitorsALK-rearranged NSCLCCeritinibCrizotinibDrug toxicityOsteitis

Identifiers

PMID31906956
PMCPMC6945627
OpenAlexW2999559274

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.