Evidence map›Paper›PMID 33842645›Full record

ArticleAnnals of translational medicine2021

Non-small cell lung cancer with MET exon 14 skipping alteration responding to immunotherapy: a case report.

Zhuxing Chen, Feng Zhu, Caichen Li, Jianfu Li, Bo Cheng, Shan Xiong, Ran Zhong, Wenhua Liang, Jianxing He

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Annals of translational medicine, 2021. 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
0.4field-weighted citation impact, top 39% 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, 5 citations in OpenAlex.

  1. Review
  2. Article
  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

9 authors at 2 institutions in 1 country.

Zhuxing ChenDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Feng ZhuDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Caichen LiDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Jianfu LiDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Bo ChengDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Shan XiongDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Ran ZhongDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Wenhua LiangDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Jianxing HeDepartment of Thoracic Surgery/Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory and National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Guangzhou Medical University · CNFirst Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunotherapy has been proved to be a promising candidate for advanced non-small cell lung cancer (NSCLC). Despite MET mutations are regarded as an independent factor of programmed death ligand 1 (PD-L1) high expression, the efficacy of immune checkpoint inhibitors (ICIs) across NSCLC harboring Mesenchymal-epithelial transition factor exon 14 skipping alteration (METex14) is still uncleared. Moreover, when the resistance of PD-1 antibody occurs, the questions of how to interpret the resistance and how to overcome the resistance are worth exploring. We report a case of NSCLC with METex14 developed a right femoral metastasis after responding well to neoadjuvant immunotherapy, a successful lobectomy, and adjuvant immunotherapy. The subsequent attempts of MET targeted inhibitor, concurrent chemoradiotherapy, and notably programmed cell death protein 1 (PD-1) antibody plus vascular endothelial growth factor receptor tyrosine kinase inhibitor (VEGFR-TKI) failed to prevent disease progression. However, a regimen of anti-PD-1 plus anti-cytotoxic t-lymphocyte associated protein 4 (CTLA-4) reversed the progression to a complete response. This case shows that METex14 had a significant response to immunotherapy, which would be especially beneficial for those who developed targeted therapy resistance. Importantly, this is the first case reporting that salvage CTLA-4 antibody and PD-1 antibody could reverse the progression in NSCLC harboring METex14 when the anti-PD-1 resistance occurred.

Indexed as

cytotoxic t-lymphocyte associated protein 4 (CTLA-4)immunotherapyMET exon 14 skipping alterationNon-small cell lung cancer (NSCLC)programmed cell death protein 1

Identifiers

PMID33842645
PMCPMC8033371
OpenAlexW3136625407

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.