Evidence map›Paper›PMID 32374485›Full record

ArticleThoracic cancer2020

Life-threatening pneumonitis after first-line treatment with osimertinib for primary T790M mutated non-small cell lung cancer.

Maik Häntschel, Johannes Niebling, Almut Häring, Max-Felix Häring, Thorben Groß, Marius Horger, Reimer Riessen, Michael Haap, Richard A Lewis, Michael Böckeler and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  3. Review
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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

11 authors at 2 institutions in 2 countries.

Maik HäntschelDepartment of Internal Medicine VIII, Medical Oncology and Pneumology, Eberhard Karls University, Tübingen, Germany.ORCID 0000-0002-0610-1959
Johannes NieblingDepartment of Internal Medicine II, Oncology, Hematology, Clinical Immunology and Rheumatology, Eberhard Karls University, Tübingen, Germany.
Almut HäringDepartment of Internal Medicine II, Oncology, Hematology, Clinical Immunology and Rheumatology, Eberhard Karls University, Tübingen, Germany.
Max-Felix HäringDepartment of Internal Medicine II, Oncology, Hematology, Clinical Immunology and Rheumatology, Eberhard Karls University, Tübingen, Germany.
Thorben GroßDepartment of Internal Medicine VIII, Medical Oncology and Pneumology, Eberhard Karls University, Tübingen, Germany.
Marius HorgerDepartment of Radiology, University Hospital and Comprehensive Cancer Center Tübingen, Eberhard Karls University, Tübingen, Germany.
Reimer RiessenDepartment of Internal Medicine, Medical Intensive Care Unit, Eberhard Karls University, Tübingen, Germany.
Michael HaapDepartment of Internal Medicine, Medical Intensive Care Unit, Eberhard Karls University, Tübingen, Germany.
Richard A LewisNPARU, University of Worcester, Worcester, UK.
Michael BöckelerDepartment of Internal Medicine VIII, Medical Oncology and Pneumology, Eberhard Karls University, Tübingen, Germany.
Jürgen HetzelDepartment of Internal Medicine VIII, Medical Oncology and Pneumology, Eberhard Karls University, Tübingen, Germany.
University of Tübingen · DEUniversity of Worcester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epithelial growth factor receptor (EGFR) directed tyrosine kinase inhibitor (TKI) treatment is the standard approach in patients with advanced, EGFR-mutated non-small cell lung cancer (NSCLC). Although benefit/risk ratio is favorable for these TKI and side effects are manageable in the vast majority of patients, severe and even life-threatening side effects have been reported. TKI-induced interstitial lung disease (ILD) has been reported for single cases in modest severity, predominantly in EGFR-TKI pretreated patients. Here, we report a case of successful stabilization of a life-threatening ILD in a de novo T790M mutated NSCLC during first-line treatment with osimertinib. As osimertinib will be used more often in many EGFR-positive NSCLC patients in the future, this potentially life-threatening side effect should receive special attention, especially in first-line treatment.

Indexed as

MutationAcrylamidesAgedAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungErbB ReceptorsHumansIndolesLung NeoplasmsPneumoniaProtein Kinase InhibitorsPyrimidinesTreatment OutcomeAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesEpithelial growth factor receptorinterstitial lung diseasepneumonitisside effecttyrosine kinase inhibitor

Identifiers

PMID32374485
PMCPMC7327687
OpenAlexW3022461614

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.