Evidence map›Paper›PMID 42169926›Full record

ArticleJournal of gastrointestinal oncology2026

Brain metastasis from KRAS wild-type pancreatic cancer and organoid correlates: a case report.

Fatim M Kouassi, Hardik Patel, Elias-Ramzey Karnoub, Caitlin F Tsang, Julien Hohenleitner, Olca Basturk, Deepthi Budagavi, Madonna Moza, Fiyinfolu Balogun, Amber N Habowski and 2 more

Abstract readCase Reports
In one paragraph

Article in Journal of gastrointestinal oncology, 2026. 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

12 authors.

Fatim M KouassiCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0009-0006-8404-9742
Hardik PatelCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0009-0002-9242-1795
Elias-Ramzey KarnoubDavid M. Rubenstein Center for Pancreatic Cancer Research, New York, NY, USA.ORCID https://orcid.org/0000-0003-0823-1519
Caitlin F TsangCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0009-0001-1396-5245
Julien HohenleitnerCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0000-0002-7459-8450
Olca BasturkDavid M. Rubenstein Center for Pancreatic Cancer Research, New York, NY, USA.ORCID https://orcid.org/0000-0003-2747-1366
Deepthi BudagaviCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.
Madonna MozaStony Brook University Hospital, Stony Brook, NY, USA.
Fiyinfolu BalogunDavid M. Rubenstein Center for Pancreatic Cancer Research, New York, NY, USA.ORCID https://orcid.org/0000-0003-4703-1560
Amber N Habowski *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0000-0003-1107-3208
David A Tuveson *Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.ORCID https://orcid.org/0000-0002-8017-2712
Kenneth H Yu *David M. Rubenstein Center for Pancreatic Cancer Research, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Single-Cell Biology Shared ResourceP30CA045508 · NCI · COLD SPRING HARBOR LABORATORY · PI John Edward Moses · 1987 to 2026
$118.9M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA045508
6 · The paper itself

Abstract

Background: Although pancreatic cancer is an aggressive malignancy with a propensity for metastatic spread, brain metastases (BrMs) remain exceptionally rare (<1% incidence). Case Description: We present a case of BrMs in a 69-year-old pancreatic cancer patient. This patient initially presented with a history of chronic pancreatitis, abdominal and back pain, and significant weight loss. After the diagnostic biopsy confirmed pancreatic cancer, the patient was enrolled onto the PASS-01 clinical trial and was treated with standard of care chemotherapy before progressing and developing BrMs 10 months after cancer diagnosis. The BrMs were removed via craniotomy, and the patient also underwent radiation and chemotherapy before enrolling onto the MYTHIC clinical trial for PKMYT1 inhibitor, RP-6306. Successful generation of a BrM-derived organoid line enabled high-throughput drug screening, which recapitulated the patient's clinical resistance to standard therapies [gemcitabine/nab-paclitaxel, 5-fluorouracil (5-FU)], and showed sensitivity to afatinib, everolimus and RMC-6236. Conclusions: This case report demonstrates the importance of precision medicine to characterize patient tumor and identify actionable targets and potential therapies. Physicians should also be aware that

Indexed as

brain metastasis (BrM)Case reportorganoidspancreatic cancerprecision medicine

Identifiers

PMID42169926
PMCPMC13187984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.