Evidence map›Paper›PMID 41278402›Full record

ArticleJTO clinical and research reports2025

Genetic Characteristics of Disease Flare After Lenvatinib Discontinuation in Patients With Thymic Carcinoma: A Brief Report.

Tomoaki Nakamura, Tatsuya Yoshida, Ken Masuda, Jun Sato, Yuki Shinno, Yuji Matsumoto, Yusuke Okuma, Yasushi Goto, Hidehito Horinouchi, Noboru Yamamoto and 1 more

Abstract read
In one paragraph

Article in JTO clinical and research reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Tomoaki NakamuraDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Tatsuya YoshidaDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Ken MasudaDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Jun SatoDepartment of Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.
Yuki ShinnoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yuji MatsumotoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yusuke OkumaDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yasushi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Hidehito HorinouchiDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Noboru YamamotoDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yuichiro OheDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Lenvatinib, an orally administered multitargeted kinase inhibitor, has exhibited antitumor activity against several cancer types, including thymic carcinomas. Although "disease flare" (a rapid worsening of the tumor on the discontinuation of lenvatinib) has been reported, such cases are rare in thymic carcinoma. Understanding this phenomenon is clinically significant, as it may cause rapid deterioration requiring urgent therapeutic intervention and patient death. This retrospective study aimed to determine the frequency and characteristics of disease flares in patients with thymic carcinoma. Methods: We retrospectively reviewed the records of patients with thymic carcinoma who received lenvatinib between January 2018 and March 2024 at the National Cancer Center Hospital in Tokyo, Japan. Patients were categorized into flare and nonflare groups, with their characteristics, clinical outcomes, and genetic profiles compared. Results: Of the 52 patients, four patients (8%) experienced disease flares after lenvatinib failure. Baseline characteristics according to the presence of disease flares after discontinuation revealed no significant differences. All four patients experienced increased pleural effusions within 1 week of lenvatinib discontinuation. Progression-free survival ( Conclusions: The discontinuation of lenvatinib in patients with thymic carcinoma caused disease flare in 8% of cases, with

Indexed as

Disease flareKIT mutationKMT2C mutationLenvatinibThymic carcinoma

Identifiers

PMID41278402
PMCPMC12629877

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