Evidence map›Paper›PMID 39721695›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Alternating Administration of Osimertinib for Leptomeningitis and Docetaxel Plus Ramucirumab for Lung Adenocarcinoma Resistant to Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors.

Haruka Tomizawa, Atsuto Mouri, Satsuki Mikoshiba, Kasumi Tsukamoto, Yukiko Abe, Miku Oda, Maya Tsuchiya, Takashi Yamana, Kozo Suhara, Mitsuhiro Kamimura

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. 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. 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

10 authors.

Haruka TomizawaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Atsuto MouriDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Satsuki MikoshibaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Kasumi TsukamotoDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Yukiko AbeDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Miku OdaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Maya TsuchiyaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Takashi YamanaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Kozo SuharaDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.
Mitsuhiro KamimuraDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Traditionally, leptomeningitis (LM) has been considered untreatable and terminal, but the development of epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) has significantly improved the prognosis of patients with EGFR mutations. However, non-LM lesions occasionally progress or recur, even when the LM is successfully controlled with EGFR-TKIs, and treatment of such cases remains unclear. We herein report a patient with advanced non-small-cell lung cancer (NSCLC) who was treated with an EGFR-TKI for LM and cytotoxic chemotherapy for EGFR-TKI-resistant pulmonary lesions. The patient survived for almost four years after the diagnosis of LM, suggesting that this treatment may be beneficial in advanced NSCLC with EGFR-TKI-sensitive LM and EGFR-TKI-resistant extracranial lesions.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLung NeoplasmsAcrylamidesAdenocarcinoma of LungAniline CompoundsAntibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungDocetaxelDrug Resistance, NeoplasmErbB ReceptorsHumansIndolesProtein Kinase InhibitorsPyrimidinesRamucirumabTyrosine Kinase InhibitorsAcrylamidesAniline CompoundsAntibodies, Monoclonal, HumanizedDocetaxelEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesRamucirumabTyrosine Kinase Inhibitorscarcinomatous meningitischemotherapynon-small-cell lung cancersalvage therapy

Identifiers

PMID39721695
PMCPMC12287570

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.