Evidence map›Paper›PMID 26416458›Full record

Trial reportOncotarget2015

KRAS mutations affect prognosis of non-small-cell lung cancer patients treated with first-line platinum containing chemotherapy.

Mirko Marabese, Monica Ganzinelli, Marina C Garassino, Frances A Shepherd, Sheila Piva, Elisa Caiola, Marianna Macerelli, Anna Bettini, Calogero Lauricella, Irene Floriani and 8 more

Registry-linked trialAbstract readMulticenter 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 NCT03951233 (Genotyping K-RAS and EGFR in Greek Non-small-cell Lung Cancer Patients), which is not on this map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
–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.

NCT03951233 completednot on this map

Genotyping K-RAS and EGFR in Greek Non-small-cell Lung Cancer Patients: Incidence, Significance and Treatment Implications

TypeobservationalSponsorHellenic Cooperative Oncology GroupRan2000 to 2014Enrolled424ConditionsNon Small Cell Lung Cancer
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. ESMO open · 2020
    Trial
  3. GenotypingCancer genomics & proteomics
    Trial
  4. Article
  5. Article
  6. SHP-2 Expression Is a Positive Prognostic Biomarker in Non-Small-Cell Lung Carcinoma: Association with KRAS Mutation and Prolonged Survival.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  7. Review
  8. Prognostic Implications of Codon-SpecificJCO precision oncology · 2026
    Article
  9. Review
  10. Mechanisms and current advances in treatingChinese medical journal pulmonary and critical care medicine · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. JCO precision oncology · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Real-World Evidence Study of Patients withCurrent oncology (Toronto, Ont.) · 2024
    Article
  20. Review

9 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

18 authors.

Mirko MarabeseOncology Department, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Monica GanzinelliOncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Marina C GarassinoOncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Frances A ShepherdPrincess Margaret Cancer Center, University of Toronto, Toronto, Canada.
Sheila PivaOncology Department, Ospedale Fatebenefratelli e Oftalmico, Milan, Italy.
Elisa CaiolaOncology Department, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Marianna MacerelliOncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Anna BettiniOncology Department, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
Calogero LauricellaMolecular Pathology Unit, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan, Italy.
Irene FlorianiOncology Department, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Gabriella FarinaOncology Department, Ospedale Fatebenefratelli e Oftalmico, Milan, Italy.
Flavia LongoMedical Oncology, Policlinico Umberto I, Rome, Italy.
Lucia BonomiOncology Department, Ospedale Papa Giovanni XXIII, Bergamo, Italy.
M Agnese FabbriOspedale Belcolle, Viterbo, Italy.
Silvio VeroneseMolecular Pathology Unit, Niguarda Cancer Center, Ospedale Niguarda Ca' Granda, Milan, Italy.
Silvia MarsoniClinical Trials Coordination Unit, Institute for Cancer Research and Treatment, IRCCS, Candiolo, Italy.
Massimo BrogginiOncology Department, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Eliana RulliOncology Department, IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledKRAS mutations seem to indicate a poor outcome in Non-Small-Cell Lung Cancer (NSCLC) but such evidence is still debated. The aim of this planned ancillary study within the TAILOR trial was to assess the prognostic value of KRAS mutations in advanced NSCLC patients treated with platinum-based first-line chemotherapy. Patients (N = 540), enrolled in the study in 52 Italian hospitals, were centrally genotyped twice in two independent laboratories for EGFR and KRAS mutational status.Of these, 247 patients were eligible and included in the present study. The primary endpoint was overall survival (OS) according to KRAS mutational status in patients harboring EGFR wild-type.Sixty (24.3%) out of 247 patients harbored KRAS mutations. Median OS was 14.3 months and 10.6 months in wild-type and mutated KRAS patients, respectively (unadjusted Hazard Ratio [HR]=1.41, 95%Confidence Interval [CI]: 1.03-1.94 P = 0.032; adjusted HR=1.39, 95%CI: 1.00-1.94 P = 0.050). This study, with all consecutive patients genotyped, indicates that the presence of KRAS mutations has a mild negative impact on OS in advanced NSCLC patient treated with a first-line platinum-containing regimen.

trial registrationclinicaltrials.gov identifierNCT00637910.

Indexed as

AdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungDisease-Free SurvivalDNA Mutational AnalysisErbB ReceptorsFemaleGenotypeHumansItalyKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedAntineoplastic AgentsEGFR protein, humanErbB ReceptorsKRAS protein, humanPlatinumProto-Oncogene Proteins p21(ras)first-lineKRASNSCLCplatinum

Identifiers

PMID26416458
PMCPMC4741822

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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.