Evidence map›Paper›PMID 19917871›Full record

GuidelineJournal of clinical oncology : official journal of the American Society of Clinical Oncology2009

American Society of Clinical Oncology Clinical Practice Guideline update on chemotherapy for stage IV non-small-cell lung cancer.

Christopher G Azzoli, Sherman Baker, Sarah Temin, William Pao, Timothy Aliff, Julie Brahmer, David H Johnson, Janessa L Laskin, Gregory Masters, Daniel Milton and 10 more

Registry-linked trialOpen access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03976518 (Phase II, Open-label Study of Atezolizumab in a Cohort of Pretreated, Advanced Non-small Cell Lung Cancer), which is not on this map. Cited by 247 papers, 22 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
247citing papers in PubMed, 22 pooled it
77.4field-weighted citation impact, top 1% of its field
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.

NCT03976518 phase2completednot on this mapstarted 2019, after this paper: background citation

Phase II, Open-label Study of Atezolizumab in a Cohort of Pretreated, Advanced Non-small Cell Lung Cancer (NSCLC) Patients With Rare Histological Subtypes (CHANCE Trial).

TypeinterventionalSponsorGruppo Oncologico Italiano di Ricerca ClinicaRan2019 to 2024Enrolled43ConditionsNon-Small Cell Lung CancerArmsAtezolizumab
3 · Its place in the literature

Who cites it

247 citing papers in PubMed, 22 syntheses or guidelines pooled it, 913 citations in OpenAlex.

  1. Pooled it
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  7. Systemic Therapy for Stage IV Non-Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2015
    Guideline
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  12. Guideline
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  16. Therapeutic vaccination for non-small-cell lung cancer: a meta-analysis.Medical oncology (Northwood, London, England) · 2014
    Pooled it
  17. Guideline
  18. Guideline
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187 more citing papers are in PubMed but not listed here.

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

20 authors at 1 institution in 1 country.

Christopher G AzzoliAmerican Society of Clinical Oncology, 2318 Mill Rd, Suite 800, Alexandria, VA 22314, USA.
Sherman Baker
Sarah Temin
William Pao
Timothy Aliff
Julie Brahmer
David H Johnson
Janessa L Laskin
Gregory Masters
Daniel Milton
Luke Nordquist
David G Pfister
Steven Piantadosi
Joan H Schiller
Reily Smith
Thomas J Smith
John R Strawn
David Trent
Giuseppe Giaccone
American Society of Clinical Oncology
Virginia Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this article is to provide updated recommendations for the treatment of patients with stage IV non-small-cell lung cancer. A literature search identified relevant randomized trials published since 2002. The scope of the guideline was narrowed to chemotherapy and biologic therapy. An Update Committee reviewed the literature and made updated recommendations. One hundred sixty-two publications met the inclusion criteria. Recommendations were based on treatment strategies that improve overall survival. Treatments that improve only progression-free survival prompted scrutiny of toxicity and quality of life. For first-line therapy in patients with performance status of 0 or 1, a platinum-based two-drug combination of cytotoxic drugs is recommended. Nonplatinum cytotoxic doublets are acceptable for patients with contraindications to platinum therapy. For patients with performance status of 2, a single cytotoxic drug is sufficient. Stop first-line cytotoxic chemotherapy at disease progression or after four cycles in patients who are not responding to treatment. Stop two-drug cytotoxic chemotherapy at six cycles even in patients who are responding to therapy. The first-line use of gefitinib may be recommended for patients with known epidermal growth factor receptor (EGFR) mutation; for negative or unknown EGFR mutation status, cytotoxic chemotherapy is preferred. Bevacizumab is recommended with carboplatin-paclitaxel, except for patients with certain clinical characteristics. Cetuximab is recommended with cisplatin-vinorelbine for patients with EGFR-positive tumors by immunohistochemistry. Docetaxel, erlotinib, gefitinib, or pemetrexed is recommended as second-line therapy. Erlotinib is recommended as third-line therapy for patients who have not received prior erlotinib or gefitinib. Data are insufficient to recommend the routine third-line use of cytotoxic drugs. Data are insufficient to recommend routine use of molecular markers to select chemotherapy.

Indexed as

Carcinoma, Non-Small-Cell LungHumansLung NeoplasmsNeoplasm Staging

Identifiers

PMID19917871
PMCPMC2793036
OpenAlexW2119366998

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.