Evidence map›Paper›PMID 42371484›Full record

ArticleRespirology case reports2026

Initial Dose Tarlatamab-Associated Tumour Lysis Syndrome in Small Cell Lung Cancer: A Case Report.

Katsuhiko Shibata, Hiromu Tanaka, Yusuke Arai, Yusuke Watanuki, Takashi Kokubo, Yo Watanabe, Shingo Nakayama, Takahiro Asami, Takashi Inoue

Abstract read
In one paragraph

Article in Respirology case reports, 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. 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

9 authors.

Katsuhiko ShibataDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Hiromu TanakaDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.ORCID https://orcid.org/0000-0002-5299-3978
Yusuke AraiDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Yusuke WatanukiDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Takashi KokuboDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Yo WatanabeDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Shingo NakayamaDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Takahiro AsamiDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.
Takashi InoueDepartment of Internal Medicine Sano Kosei General Hospital Tochigi Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumour lysis syndrome (TLS) in solid tumours is rare but may occur in small-cell lung cancer (SCLC) with a high tumour burden. We report a case of fatal TLS following tarlatamab treatment for relapsed SCLC. A 61-year-old woman with limited-stage SCLC developed recurrence with extensive liver metastases after chemoradiotherapy and durvalumab consolidation therapy. Owing to rapid disease progression, an initial 1-mg step-up dose of tarlatamab was administered as second-line treatment. On Day 2, the patient developed mild cytokine release syndrome, which improved with dexamethasone. On Day 6, she suddenly developed respiratory failure and impaired consciousness. Laboratory findings, including elevated lactate dehydrogenase, potassium, phosphorus and uric acid levels with acute kidney injury, suggested TLS and she died later that day. This case demonstrates that tarlatamab can induce fatal TLS even after a single 1-mg dose. Patients with SCLC with extensive liver metastases require careful monitoring and aggressive strategies for TLS prevention.

Indexed as

cytokine storm syndromeimmune checkpoint blockadeimmune tolerancesmall‐cell lung carcinomatumour lysis syndrome

Identifiers

PMID42371484
PMCPMC13310580

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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.