Evidence map›Paper›PMID 26747242›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2016

Assessment of EGFR Mutation Status in Matched Plasma and Tumor Tissue of NSCLC Patients from a Phase I Study of Rociletinib (CO-1686).

Chris Karlovich, Jonathan W Goldman, Jong-Mu Sun, Elaina Mann, Lecia V Sequist, Krzysztof Konopa, Wei Wen, Philipp Angenendt, Leora Horn, David Spigel and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
30.0field-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.

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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 179 citations in OpenAlex.

  1. Pooled it
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  3. Improved EGFR mutation detection using combined exosomal RNA and circulating tumor DNA in NSCLC patient plasma.Annals of oncology : official journal of the European Society for Medical Oncology · 2018
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38 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

25 authors at 4 institutions in 2 countries.

Chris KarlovichClovis Oncology Inc., San Francisco, California.
Jonathan W GoldmanUniversity of California Los Angeles, Los Angeles, California. JWGoldman@mednet.ucla.edu hwakelee@stanford.edu.
Jong-Mu SunSamsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea.
Elaina MannClovis Oncology Inc., San Francisco, California.
Lecia V SequistMassachusetts General Hospital, Boston, Massachusetts.
Krzysztof KonopaMedical University of Gdansk, Gdansk, Poland.
Wei WenRoche Molecular Systems, Pleasanton, California.
Philipp AngenendtSysmex Inostics GmbH, Hamburg, Germany.
Leora HornVanderbilt University School of Medicine, Nashville, Tennessee.
David SpigelSarah Cannon Research Institute, Nashville; Tennessee.
Jean-Charles SoriaInstitut Gustave Roussy, Villejuif, France.
Benjamin SolomonUniversity of Melbourne, Melbourne, Australia.
D Ross CamidgeUniversity of Colorado, Denver, Colorado.
Shirish GadgeelKarmanos Cancer Institute/Wayne State University, Detroit, Michigan.
Cloud PaweletzDana-Farber Cancer Institute, Boston, Massachusetts.
Lin WuRoche Molecular Systems, Pleasanton, California.
Sean ChienRoche Molecular Systems, Pleasanton, California.
Patrick O'DonnellRoche Molecular Systems, Pleasanton, California.
Shannon MathenyClovis Oncology Inc., San Francisco, California.
Darrin DespainClovis Oncology Inc., San Francisco, California.
Lindsey RolfeClovis Oncology Inc., San Francisco, California.
Mitch RaponiClovis Oncology Inc., San Francisco, California.
Andrew R AllenClovis Oncology Inc., San Francisco, California.
Keunchil ParkSamsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea.
Heather WakeleeStanford University, Stanford, California. JWGoldman@mednet.ucla.edu hwakelee@stanford.edu.
Dana-Farber Cancer Institute · USInstitut Gustave Roussy · FRMassachusetts General Hospital · USUniversity of California, Los Angeles · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
NCI NIH HHS K12 CA090625NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

purposeThe evaluation of plasma testing for the EGFR resistance mutation T790M in NSCLC patients has not been broadly explored. We investigated the detection of EGFR activating and T790M mutations in matched tumor tissue and plasma, mostly from patients with acquired resistance to first-generation EGFR inhibitors. EXPERIMENTAL

designSamples were obtained from two studies, an observational study and a phase I trial of rociletinib, a mutant-selective inhibitor of EGFR that targets both activating mutations and T790M. Plasma testing was performed with the cobas EGFR plasma test and BEAMing.

resultsThe positive percent agreement (PPA) between cobas plasma and tumor results was 73% (55/75) for activating mutations and 64% (21/33) for T790M. The PPA between BEAMing plasma and tumor results was 82% (49/60) for activating mutations and 73% (33/45) for T790M. Presence of extrathoracic (M1b) versus intrathoracic (M1a/M0) disease was found to be strongly associated with ability to identify EGFR mutations in plasma (P < 0.001). Rociletinib objective response rates (ORR) were 52% [95% confidence interval (CI), 31 - 74%] for cobas tumor T790M-positive and 44% (95% CI, 25 - 63%) for BEAMing plasma T790M-positive patients. A drop in plasma-mutant EGFR levels to ≤10 molecules/mL was seen by day 21 of treatment in 7 of 8 patients with documented partial response.

conclusionsThese findings suggest the cobas and BEAMing plasma tests can be useful tools for noninvasive assessment and monitoring of the T790M resistance mutation in NSCLC, and could complement tumor testing by identifying T790M mutations missed because of tumor heterogeneity or biopsy inadequacy. Clin Cancer Res; 22(10); 2386-95. ©2016 AACR.

Indexed as

Carcinoma, Non-Small-Cell LungErbB ReceptorsLung NeoplasmsMutationAcrylamidesAdultAgedAged, 80 and overClinical Trials, Phase I as TopicDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedObservational Studies as TopicProtein Kinase InhibitorsAcrylamidesEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsPyrimidinesrociletinib

Identifiers

PMID26747242
PMCPMC6886231
OpenAlexW2231363008

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.