Evidence map›Paper›PMID 40178693›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2025

Zolbetuximab-related gastritis: a case report of the patient with prolonged gastrointestinal symptoms.

Yuya Sugiyama, Hiroki Tanabe, Shion Tachibana, Kohei Iribe, Sayaka Yuzawa, Hiroyuki Iwaki, Yukinori Yoshida, Mikihiro Fujiya

Abstract readCase Reports
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  4. Review
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  8. Gallbladder edema as a clue to zolbetuximab-associated protein-losing enteropathy in gastric cancer: a case report.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  9. Article
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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

8 authors.

Yuya SugiyamaDepartment of Gastroenterology, Sunagawa City Hospital, Sunagawa, Hokkaido, Japan.
Hiroki TanabeDivision of Gastroenterology, Department of Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan. tant@asahikawa-med.ac.jp.ORCID 0000-0001-9029-5081
Shion TachibanaDepartment of Gastroenterology, Sunagawa City Hospital, Sunagawa, Hokkaido, Japan.
Kohei IribeDepartment of Gastroenterology, Sunagawa City Hospital, Sunagawa, Hokkaido, Japan.
Sayaka YuzawaDepartment of Diagnostic Pathology, Asahikawa Medical University Hospital, Asahikawa, Hokkaido, Japan.
Hiroyuki IwakiDepartment of Diagnostic Pathology, Sunagawa City Hospital, Sunagawa, Hokkaido, Japan.
Yukinori YoshidaDepartment of Gastroenterology, Sunagawa City Hospital, Sunagawa, Hokkaido, Japan.
Mikihiro FujiyaDivision of Gastroenterology, Department of Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 73-year-old male patient presented with anemia and was diagnosed with unresectable advanced gastric cancer with distant lymph node metastases. The biopsy specimen showed a poorly differentiated adenocarcinoma. Immunohistochemistry was negative for human epidermal growth factor receptor 2, positive for claudin- 18, and revealed a preserved mismatch repair status. A regimen of capecitabine, oxaliplatin, and zolbetuximab was chosen as the primary chemotherapy regimen. On day 2, the patient started complaining of nausea and decreased appetite, and his symptoms gradually worsened. Esophagogastroduodenoscopy performed on day 11 revealed an erythematous and edematous mucosa with white secretions throughout the stomach. A histopathological examination revealed epithalaxia at the surface and severe inflammatory cell infiltration in the lamina propria. These endoscopic and histological findings indicated zolbetuximab-related gastritis. His symptoms improved three weeks after the discontinuation of chemotherapy. Endoscopic and pathological improvements of the gastritis were confirmed three months after the discontinuation of zolbetuximab. This report describes the first case of prolonged severe gastrointestinal symptoms with severe gastritis caused by zolbetuximab, as demonstrated by endoscopic and histopathological evidence.

Indexed as

AdenocarcinomaGastritisStomach NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsHumansMaleGastric cancerGastritisZolbetuximab

Identifiers

PMID40178693
PMCPMC12174249

What Socratic holds

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LicenceCC BY
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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 Socratic graph.