Evidence map›Paper›PMID 39271557›Full record

ArticleDiscover oncology2024

New findings on the incidence and management of CNS adverse reactions in ALK-positive NSCLC with lorlatinib treatment.

Fanfan Chu, Wenxi Zhang, Hong Hu

Abstract read
In one paragraph

Article in Discover oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Olanzapine enabled rechallenge after lorlatinib-induced psychosis: A case report.PCN reports : psychiatry and clinical neurosciences · 2025
    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

3 authors.

Fanfan ChuDepartment of Admission Preparation Center, College of Medicine, QianTang Campus of Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang, China.
Wenxi ZhangDepartment of Admission Preparation Center, College of Medicine, QianTang Campus of Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, Zhejiang, China.
Hong HuDepartment of Medical Oncology, College of Medicine, QianTang Campus of Sir Run Run Shaw Hospital, Zhejiang University, No. 368, Xiasha Road, Hangzhou, Zhejiang, China. cffhh2011@zju.edu.cn.

Funding

the CSCO-BMS Cancer Immunotherapy Research Foundation Grant No. Y-BMS2019-098the CSCO-Xinda Cancer Immunotherapy Research Foundation Grant No. Y-XD2019-225
6 · The paper itself

Abstract

To explore the presentation and control of CNS adverse reactions in patients with ALK-positive NSCLC treated with lorlatinib. This study includes a retrospective case report from Sir Run Run Shaw Hospital on a lorlatinib-treated patient with CNS adverse reactions and a systematic literature review of similar cases until January 2023. The report detailed a case of a 74-year-old male with Grade III CNS adverse reactions 25 days after starting lorlatinib, which were reversible with dose modification and pharmacotherapy. The review indicated a 19.39% occurrence rate of such reactions, with a 17% improvement rate post-dose adjustment. CNS adverse reactions frequently occur in ALK-positive NSCLC patients on lorlatinib, yet they are reversible with appropriate management. Research should continue to optimize treatment protocols to decrease these reactions' frequency.

Indexed as

ALK-positiveCNS toxicityLorlatinibManagement strategiesNSCLC

Identifiers

PMID39271557
PMCPMC11399364

What OpenQuestion holds

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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.