Evidence map›Paper›PMID 42130628›Full record

ArticleFrontiers in oncology2026

Capmatinib targeted therapy in MET-fusion driven radiation induced glioma.

Nolan Ford, Brian J Dlouhy, Jeremy D Greenlee, John M Buatti, Jason Cleppe, Deqin Ma, Kathryn L Eschbacher, Osorio Lopes Abath Neto, Andrew Groves

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Nolan FordCarver College of Medicine, University of Iowa, Iowa City, IA, United States.
Brian J DlouhyDepartment of Neurosurgery, University of Iowa, Iowa City, IA, United States.
Jeremy D GreenleeDepartment of Neurosurgery, University of Iowa, Iowa City, IA, United States.
John M BuattiDepartment of Radiation Oncology, University of Iowa, Iowa City, IA, United States.
Jason CleppeDepartment of Pharmaceutical Care, University of Iowa, Iowa City, IA, United States.
Deqin MaDepartment of Pathology, University of Iowa, Iowa City, IA, United States.
Kathryn L EschbacherDepartment of Pathology, University of Iowa, Iowa City, IA, United States.
Osorio Lopes Abath NetoDepartment of Pathology, University of Iowa, Iowa City, IA, United States.
Andrew GrovesDivision of Hematology/Oncology, University of Iowa Stead Family Children's Hospital, Iowa City, IA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radiation-induced gliomas (RIGs) can occur in regions of the central nervous system (CNS) previously irradiated for primary malignancies including leukemia, medulloblastoma, and ependymoma. Prognosis is uniformly poor despite treatment with standard of care therapy with radiation ± alkylating chemotherapy. Recent studies have shown that a subset of patients have gene fusions in targetable receptor tyrosine kinases (RTKs) including MET, NTRK2, and RAF1. However, clinical response and outcome to targeted therapy in this patient population have not been described. Methods: We report on two patients with a history of childhood medulloblastoma who developed RIGs harboring MET fusions treated with the selective MET inhibitor capmatinib. Clinical, molecular, and radiographic data are shared to report response and overall survival. Side effects of capmatinib were evaluated and described according to Common Terminology Criteria for Adverse Events version 5 (CTCAE v5.0). A comprehensive literature review was performed to describe all published cases of MET-altered RIGs. Results: Both patients were treated with focal re-irradiation followed by off-label capmatinib targeted therapy. Drug treatment was well tolerated in both patients with the only notable side effect being peripheral edema. Magnetic resonance imaging (MRI) showed significant radiographic response [partial response in both as assessed by the Response Assessment in Pediatric Neuro-Oncology (RAPNO) criteria for high-grade glioma (≥50% decrease)]. Unfortunately, both tumors became resistant and progressed. Overall survival (OS) from diagnosis was 11 and 15 months, respectively, while median OS in historical cohorts is ~9 months. We review the characteristics of MET-altered pediatric high-grade glioma using the Open Pediatric Brain Tumor Atlas (Open PBTA) and published series, which suggests that MET fusions may be enriched in RIGs. Discussion: Our two cases highlight the promising CNS penetration and on-target activity of capmatinib in MET-altered glioma; however, the development of rapid resistance emphasizes the pressing need to develop combination and/or new therapies for RIG.

Indexed as

capmatinibhigh grade glioma (HGG)MET fusionMET inhibitorpediatric neuro-oncologytargeted therapy

Identifiers

PMID42130628
PMCPMC13160819

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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.