Dataset Information

Association of white matter hyperintensities with long-term EGFR-TKI treatment and prediction of progression risk.

ABSTRACT:

Purpose

The purpose of this study was to test the hypothesis that brain white matter hyperintensities (WMH) are more common in patients receiving epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) and identify clinical risk factors associated with WMH.

Experimental design

This multiple-center, prospective cohort study was conducted from March 2017 to July 2020. Two groups of patients with non-small cell lung cancer (NSCLC) who received or did not receive EGFR-TKI were included and followed up for more than 24 months. The progression of WMH was defined as an increase of ≥1 point on the Fazekas visual rating scale between the baseline and at the 2-year follow-up. A modified Poisson regression model was performed to evaluate risk factors on increased WMH load.

Results

Among 286 patients with NSCLC, 194 (68%) patients with NSCLC who received EGFR-TKI and 92 (32%) patients with NSCLC without EGFR-TKI treatment were analyzed. Modified Poisson regression analysis showed that EGFR-TKI treatment was independently associated with the WMH progression (EGFR-TKI: aRR 2.72, 95% confidence interval [CI] 1.46-5.06, p = .002). Interleukin (IL)-2, IL-4, and IL-10 were associated with increased WMH in the adjusted model (IL-2: aRR 1.55 [95% CI 1.06-2.25], p = .023; IL-4: aRR 1.66 [95% CI 1.13-2.43], p = .010; IL-10: aRR 1.48 [95% CI 1.06-2.06], p = .020).

Conclusion

Patients with NSCLC who received EGFR-TKI may be at higher risk of developing WMH or worsening of WMH burden. The impact of increased WMH lesions in these patients is to be further assessed. IL-2, IL-4, and IL-10 may be used as potential biomarkers to monitor the risk of increased WMH burden.

SUBMITTER: Yang H

PROVIDER: S-EPMC10726800 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Association of white matter hyperintensities with long-term EGFR-TKI treatment and prediction of progression risk.

Yang Hang H Meng Rui R Jiang Junjie J Luo Yan Y Deng Xiaolin X Yang Sibo S Chen Shengcai S Wu Jiehong J Wan Yan Y Li Yanan Y Jin Huijuan H He Quanwei Q Wang David D Chang Jiang J Yang Kunyu K Zhou Yifan Y Hu Bo B

Brain and behavior 20231206 12

<h4>Purpose</h4>The purpose of this study was to test the hypothesis that brain white matter hyperintensities (WMH) are more common in patients receiving epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) and identify clinical risk factors associated with WMH.<h4>Experimental design</h4>This multiple-center, prospective cohort study was conducted from March 2017 to July 2020. Two groups of patients with non-small cell lung cancer (NSCLC) who received or did not receive EGFR-TK ...[more]

PMID: 38054663

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Dataset Information

Association of white matter hyperintensities with long-term EGFR-TKI treatment and prediction of progression risk.

Purpose

Experimental design

Results

Conclusion

Publications

Association of white matter hyperintensities with long-term EGFR-TKI treatment and prediction of progression risk.

Similar Datasets

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