Evidence map›Paper›PMID 37491842›Full record

ArticleCNS oncology2023

Proton craniospinal irradiation with bevacizumab and pembrolizumab for leptomeningeal disease: a case report.

Mason J Webb, William G Breen, Nadia N Laack, Konstantinos Leventakos, Jian L Campian, Ugur Sener

Open access · goldAbstract readCase Reports
In one paragraph

Article in CNS oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Leptomeningeal Disease: Current Approaches and Future Directions.Current neurology and neuroscience reports · 2025
    Review
  5. Review
  6. Review
  7. 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

6 authors at 2 institutions in 1 country.

Mason J WebbDepartment of Hematology & Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0003-4775-9164
William G BreenDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Nadia N LaackDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Konstantinos LeventakosDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Jian L CampianDepartment of Oncology, Division of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Ugur SenerDepartment of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

Leptomeningeal disease (LMD) remains a challenging condition with a dismal prognosis. In this case study, we report partial response of LMD in a patient with metastatic large cell neuroendocrine carcinoma following treatment with proton craniospinal irradiation (CSI), bevacizumab, and pembrolizumab. Two years after the initial diagnosis, he presented with LMD. He underwent proton CSI with bevacizumab followed by combination therapy with pembrolizumab and bevacizumab. He had a partial disease response with progression-free survival after LMD diagnosis of 4.6 months. He unfortunately developed pembrolizumab induced hypophysitis, after which he experienced rapid neurologic clinical progression. Overall, this novel combination led to a durable partial response which warrants prospective evaluation.

Indexed as

Craniospinal IrradiationProtonsAntibodies, Monoclonal, HumanizedBevacizumabHumansMaleAntibodies, Monoclonal, HumanizedBevacizumabpembrolizumabProtonsbevacizumabcombination therapyimmune checkpoint inhibitorleptomeningeal diseasepembrolizumabproton craniospinal irradiation

Identifiers

PMID37491842
PMCPMC10410687
OpenAlexW4385263749

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.