Evidence map›Paper›PMID 25609979›Full record

ArticleOncoTargets and therapy2015

Clinical and epidemiological study of EGFR mutations and EML4-ALK fusion genes among Indian patients with adenocarcinoma of the lung.

Dc Doval, K Prabhash, S Patil, H Chaturvedi, C Goswami, Ak Vaid, S Desai, S Dutt, Vh Veldore, N Jambhekar and 5 more

Open access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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.

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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. A systematic review of pharmacoeconomic evaluations of erlotinib in the first-line treatment of advanced non-small cell lung cancer.The European journal of health economics : HEPAC : health economics in prevention and care · 2019
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  19. Lung cancer in the Indian subcontinent.South Asian journal of cancer
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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

15 authors at 5 institutions in 1 country.

Dc DovalRajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
K PrabhashTata Memorial Hospital, Mumbai, India.
S PatilBangalore Institute of Oncology, HCG Group, Bengaluru, India.
H ChaturvediMax Super Speciality Hospital, New Delhi, India.
C GoswamiB. P. Poddar Hospital, Kolkata, India.
Ak VaidMedanta The Medicity, Gurgaon, India.
S DesaiTata Memorial Hospital, Mumbai, India.
S DuttOncquest Laboratories Ltd., New Delhi, India.
Vh VeldoreTriesta Reference Laboratory, HCG Group, Bengaluru, India.
N JambhekarTata Memorial Hospital, Mumbai, India.
A MehtaRajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
D HazarikaTriesta Reference Laboratory, HCG Group, Bengaluru, India.
S AzamRajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.
S GawandePfizer India Ltd., Mumbai, India.
S GuptaCatalyst Clinical Services Pvt. Ltd., New Delhi, India.
Rajiv Gandhi Cancer Institute and Research Centre · INTata Memorial Hospital · INMax Super Speciality Hospital · INMedanta The Medicity · INPfizer (India) · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMutation in the tyrosine kinase domain of epidermal growth factor receptor (EGFR) is a common feature observed in lung adenocarcinoma. A fusion gene between echinoderm microtubule-associated protein-like 4 (EML4) and the intracellular domain of anaplastic lymphoma kinase (ALK), named EML4-ALK, has been identified in a subset of non-small-cell lung cancer (NSCLC) tumors. The objective of this study was to determine the prevalence of EGFR mutations and EML4-ALK fusions in Indian patients with NSCLC (adenocarcinoma) as well as evaluate their clinical characteristics. PATIENTS AND

methodsPatients with NSCLC, adenocarcinoma histology, whose tumors had been tested for EGFR mutational status, were considered for this study. ALK gene rearrangement was detected by fluorescence in situ hybridization using the Vysis ALK Break Apart Rearrangement Probe Kit. ALK mutation was tested in samples that were negative for EGFR mutation.

resultsA total of 500 NSCLC adenocarcinoma patients were enrolled across six centers. There were 337 (67.4%) men and 163 (32.6%) women with a median age of 58 years. One hundred and sixty-four (32.8%) blocks were positive for EGFR mutations, whereas 336 (67.2%) were EGFR wild-type. Of the 336 EGFR-negative blocks, EML4-ALK fusion gene was present in 15 (4.5%) patients, whereas 321 (95.5%) tumors were EML4-ALK negative. The overall incidence of EML4-ALK fusion gene was 3% (15/500).

conclusionThe incidence of EGFR mutations (33%) in this Indian population is close to the reported incidence in Asian patients. EML4-ALK gene fusions are present in lung adenocarcinomas from Indian patients, and the 3% incidence of EML4-ALK gene fusion in EGFR mutation-negative cases is similar to what has been observed in other Western and Asian populations. The mutual exclusivity of EML4-ALK and EGFR mutations suggests implementation of biomarker testing for tumors harboring ALK rearrangements in order to identify patients that can benefit from newer targeted therapies.

Indexed as

CrizotinibNSCLCVysis ALK Break Apart Rearrangement Probe Kit

Identifiers

PMID25609979
PMCPMC4293920
OpenAlexW2072948025

What OpenQuestion holds

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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.