Evidence map›Paper›PMID 39894491›Full record

ReviewInternal medicine (Tokyo, Japan)2025

Successful Switch to Afatinib and Osimertinib Rechallenge with Corticosteroids after Osimertinib-induced Interstitial Lung Disease: A Case Report and Literature Review.

Masaaki Yanai, Tomohiro Sakamoto, Naoki Uetani, Takafumi Nonaka, Tatsuya Nakada, Shuichi Matsuoka, Shiro Moriyama, Yasuhiko Teruya, Yoshihiro Funaki, Tomoya Harada and 4 more

Abstract readCase ReportsReview
In one paragraph

Review 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. Article
  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

14 authors.

Masaaki YanaiDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Tomohiro SakamotoDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Naoki UetaniDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Takafumi NonakaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Tatsuya NakadaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Shuichi MatsuokaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Shiro MoriyamaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Yasuhiko TeruyaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Yoshihiro FunakiDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Tomoya HaradaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Naoki KinoshitaDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Kosuke YamaguchiDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Masahiro KodaniDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.
Akira YamasakiDivision of Respiratory Medicine and Rheumatology, Tottori University Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are highly effective against EGFR-mutant non-small-cell lung carcinoma but can cause serious adverse events, such as interstitial lung disease (ILD). Treatment strategies for osimertinib-induced ILD are not well established. Cytotoxic anticancer drugs are considered first, although several cases of successful rechallenge with EGFR-TKIs have been reported. We herein report a 67-year-old woman with symptomatic osimertinib-induced ILD who was switched to afatinib and later rechallenged with osimertinib and corticosteroids. Neither treatment resulted in ILD relapse, suggesting that these may be viable treatment options when alternative treatments are limited.

Indexed as

AcrylamidesAdrenal Cortex HormonesAfatinibAniline CompoundsAntineoplastic AgentsLung Diseases, InterstitialAgedCarcinoma, Non-Small-Cell LungErbB ReceptorsFemaleHumansIndolesLung NeoplasmsProtein Kinase InhibitorsPyrimidinesTreatment OutcomeAcrylamidesAdrenal Cortex HormonesAfatinibAniline CompoundsAntineoplastic AgentsErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesepidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI)interstitial lung disease (ILD)non-small-cell lung carcinoma (NSCLC)osimertinibrechallenge

Identifiers

PMID39894491
PMCPMC12425573

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.