Evidence map›Paper›PMID 38327758›Full record

ArticleJournal of immunotherapy and precision oncology2024

Proton Craniospinal Irradiation with Immunotherapy in Two Patients with Leptomeningeal Disease from Melanoma.

Ugur Sener, Mason Webb, William G Breen, Bryan J Neth, Nadia N Laack, David Routman, Paul D Brown, Anita Mahajan, Kelsey Frechette, Arkadiusz Z Dudek and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of immunotherapy and precision oncology, 2024. 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
1.8field-weighted citation impact, top 14% 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, 7 citations in OpenAlex.

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

18 authors at 1 institution in 1 country.

Ugur SenerDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-3919-7408
Mason WebbDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0003-4775-9164
William G BreenDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Bryan J NethDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Nadia N LaackDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
David RoutmanDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Paul D BrownDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Anita MahajanDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Kelsey FrechetteDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Arkadiusz Z DudekDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Svetomir N MarkovicDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Matthew S BlockDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Robert R McWilliamsDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Anastasios DimouDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Lisa A KottschadeDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Heather N MontaneDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Sani H KizilbashDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Jian L CampianDepartment of Oncology, Mayo Clinic, Rochester, MN, USA.
Mayo 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

Introduction: Proton craniospinal irradiation (pCSI) is a treatment option for leptomeningeal disease (LMD), which permits whole neuroaxis treatment while minimizing toxicity. Despite this, patients inevitably experience progression. Adding systemic therapy to pCSI may improve outcomes. Methods: In this single-institution retrospective case series, we present the feasibility of treatment with pCSI (30Gy, 10 fractions) and an immune checkpoint inhibitor (ICI) in two sequential patients with LMD from melanoma. Results: The first patient developed LMD related to Conclusion: Adding an ICI to pCSI is feasible for patients with LMD and demonstrates a tolerable toxicity profile. While prospective evaluation is ultimately warranted, pCSI with ICI may confer survival benefits, even after prior ICI.

Indexed as

craniospinal irradiationimmune checkpoint inhibitorsimmunotherapyleptomeningeal diseaseproton therapy

Identifiers

PMID38327758
PMCPMC10846635
OpenAlexW4387651804

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.