Evidence map›Paper›PMID 26046796›Full record

Trial reportOncotarget2015

Erlotinib is effective in pancreatic cancer with epidermal growth factor receptor mutations: a randomized, open-label, prospective trial.

Jack P Wang, Chen-Yi Wu, Yi-Cheng Yeh, Yi-Ming Shyr, Ying-Ying Wu, Chen-Yu Kuo, Yi-Ping Hung, Ming-Huang Chen, Wei-Ping Lee, Jiing-Chyuan Luo and 2 more

Registry-linked trialOpen access · diamondAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01608841 (The Role of Epidermal Growth Factor Receptor), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 3% 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.

NCT01608841 phase2unknown statusnot on this map

The Role of Epidermal Growth Factor Receptor (EGFR) Mutations in Pancreatic Cancer Patients Receiving Gemcitabine With or Without Erlotinib

TypeinterventionalSponsorTaipei Veterans General Hospital, TaiwanRan2005 to 2015Enrolled88ConditionsMetastatic Pancreatic CancerArmsErlotinib
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Chemotherapy and radiotherapy for advanced pancreatic cancer.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Chemotherapy and radiotherapy for advanced pancreatic cancer.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Trial
  5. [The results of the LAP07 trial should not be misunderstood as the end of chemoradiotherapy in pancreatic cancer].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2016
    Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Recent advances in drug delivery and targeting for the treatment of pancreatic cancer.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Review
  15. Review
  16. Chemotherapy-free treatment targeting fusions and driver mutations inTherapeutic advances in medical oncology · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. Review

2 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

12 authors at 4 institutions in 1 country.

Jack P WangDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Chen-Yi WuInstitute of Public Health, National Yang-Ming University, Taipei, Taiwan.
Yi-Cheng YehNational Yang-Ming University School of Medicine, Taipei, Taiwan.
Yi-Ming ShyrNational Yang-Ming University School of Medicine, Taipei, Taiwan.
Ying-Ying WuDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Chen-Yu KuoDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yi-Ping HungDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Ming-Huang ChenNational Yang-Ming University School of Medicine, Taipei, Taiwan.
Wei-Ping LeeNational Yang-Ming University School of Medicine, Taipei, Taiwan.
Jiing-Chyuan LuoDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yee ChaoDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Chung-Pin LiDivision of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TWTaipei City Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the efficacy of gemcitabine with or without erlotinib for pancreatic cancer, and to determine the predictive role of epidermal growth factor receptor (EGFR) and KRAS mutations in these patients.

methodsThis was a single-center, randomized, open-label, prospective trial. Eighty-eight chemotherapy-naïve metastatic pancreatic cancer patients were randomized for treatment with gemcitabine or gemcitabine plus erlotinib. EGFR and KRAS mutations were analyzed, respectively. The primary endpoint was the disease control rate.

resultsDisease control rate (64% vs. 25%; P < 0.001), progression-free survival (median 3.8 vs. 2.4 months; P < 0.001), and overall survival (median 7.2 vs. 4.4 months; P < 0.001) were better in the gemcitabine plus erlotinib group than in the gemcitabine alone group. In the gemcitabine plus erlotinib group, disease control (85% vs. 33%; P = 0.001), progression-free survival (median 5.9 vs. 2.4 months; P = 0.004), and overall survival (median 8.7 vs. 6.0 months; P = 0.044) were better in patients with EGFR mutations than in those without EGFR mutations. KRAS mutation was not associated with treatment response or survival.

conclusionsGemcitabine plus erlotinib is more effective than gemcitabine alone for treating metastatic pancreatic cancer patients, especially those with EGFR mutations. ClinicalTrials.gov number, NCT01608841.

Indexed as

MutationAdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsDeoxycytidineDisease-Free SurvivalDNA Mutational AnalysisErbB ReceptorsErlotinib HydrochlorideFemaleGemcitabineHumansKaplan-Meier EstimateMaleAntineoplastic AgentsDeoxycytidineEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideGemcitabineKRAS protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins p21(ras)adenocarcinomaepidermal growth factor receptorerlotinibpancreas

Identifiers

PMID26046796
PMCPMC4627242
OpenAlexW1530306799

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.