Evidence map›Paper›PMID 37887535›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

The Combined Therapy of Cabozantinib, Crizotinib, and Osimertinib in a Lung Cancer Patient with Acquired MET Amplification and Resistance Mutations.

Balázs Jóri, Christine Vössing, Judith Pirngruber, Eva Maria Willing, Kathrin Arndt, Markus Falk, Markus Tiemann, Lukas C Heukamp, Petra Hoffknecht

Open access · goldAbstract readCase Reports
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Exploring treatment options in cancer: Tumor treatment strategies.Signal transduction and targeted therapy · 2024
    Review
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.

Balázs JóriLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.ORCID 0000-0003-1281-9526
Christine VössingLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.
Judith PirngruberLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.
Eva Maria WillingLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.ORCID 0000-0002-5202-9214
Kathrin ArndtLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.
Markus FalkLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.ORCID 0000-0001-5511-9146
Markus TiemannInstitut für Hämatopathologie Hamburg, Fangdieckstraße 75A, 22547 Hamburg, Germany.
Lukas C HeukampLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.
Petra HoffknechtLungenkrebsmedizin Oldenburg, Georgstraße 12, 26121 Oldenburg, Germany.
Institut für Hämatopathologie Hamburg · DEKlinikum Oldenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EGFR-mutant lung cancers develop a wide range of potential resistance alterations under therapy with the third-generation EGFR tyrosine kinase inhibitor osimertinib. MET amplification ranks among the most common acquired resistance alterations and is currently being investigated as a therapeutic target in several studies. Nevertheless, targeted therapy of MET might similarly result in acquired resistance by point mutations in MET, which further expands therapeutic and diagnostic challenges. Here, we report a 50-year-old male patient with EGFR-mutant lung adenocarcinoma and stepwise acquired resistance by a focal amplification of MET followed by D1246N (D1228N), D1246H (D1228H), and L1213V (L1195V) point mutations in MET, all detected by NGS. The patient successfully responded to the combined and sequential treatment of osimertinib, osimertinib/crizotinib, and third-line osimertinib/cabozantinib. This case highlights the importance of well-designed, sequential molecular diagnostic analyses and the personalized treatment of patients with acquired resistance.

Indexed as

Lung NeoplasmsAcrylamidesAnilidesAniline CompoundsCrizotinibDrug Resistance, NeoplasmErbB ReceptorsHumansIndolesMaleMiddle AgedMutationProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyridinesPyrimidinesAcrylamidesAnilidesAniline CompoundscabozantinibCrizotinibErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsProto-Oncogene Proteins c-metPyridinesPyrimidinescabozantinibc-METcopy number callingcrizotinibD1228HD1228ND1246HD1246Nfocal amplificationhybrid captureL1195VL1213VNGSosimertinibresistancesequential therapy

Identifiers

PMID37887535
PMCPMC10605877
OpenAlexW4387105833

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.