Evidence map›Paper›PMID 26889973›Full record

Trial reportBritish journal of cancer2016

Clinical impact of mutation fraction in epidermal growth factor receptor mutation positive NSCLC patients.

Petra Martin, Carolyn J Shiau, Maria Pasic, Ming Tsao, Suzanne Kamel-Reid, Stephanie Lin, Roxana Tudor, Susanna Cheng, Brian Higgins, Ronald Burkes and 12 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
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

22 authors.

Petra MartinDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Carolyn J ShiauDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Maria PasicDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Ming TsaoDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Suzanne Kamel-ReidDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Stephanie LinDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Roxana TudorDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Susanna ChengOdette Cancer Centre, Toronto, Ontario, Canada.
Brian HigginsCredit Valley Hospital, Mississauga, Ontario, Canada.
Ronald BurkesMount Sinai Hospital, Toronto, Ontario, Canada.
Matilda NgMackenzie Health Centre, Richmond Hill, Ontario, Canada.
Saroosh ArifMississauga Hospital, Toronto, Ontario, Canada.
Peter M EllisJuravinski Cancer Centre, Hamilton, Ontario, Canada.
Stacy HubayGrand River Regional Cancer Centre, Kitchener, Ontario, Canada.
Sara KuruvillaLondon Regional Cancer Centre, London, Ontario, Canada.
Scott A LaurieThe Ottawa Hospital Cancer Centre, Ottawa, Ontario, Canada.
Jing LiToronto East General Hospital, Toronto, Ontario, Canada.
David HwangToronto General Hospital, Toronto, Ontario, Canada.
Anthea LauDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Frances A ShepherdDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Lisa W LeDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.
Natasha B LeighlDivision of Medical Oncology, Princess Margaret Cancer Centre/University Health Network, 5-105 610 University Avenue, Toronto, Ontario, Canada M5G 2M9.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe examined clinical outcomes in a population-based cohort of EGFR mutant advanced NSCLC patients, exploring the potential role of factors including tumour EGFR mutation fraction and cellularity in predicting outcomes.

methodsA cohort of patients with EGFR mutant advanced NSCLC was identified (N =2 93); clinical outcomes, pathologic and treatment details were collected. Tumour response was determined from radiology and clinical notes. Association between demographic and pathologic variables EGFR TKI response, time to treatment failure (TTF) and overall survival (OS) was examined using logistic regression and proportional hazards regression. EGFR TKI response rates were summarised by percent mutation fraction to explore their association.

resultsHigher mutation fraction was associated with greater EGFR TKI response rate (odds ratio 1.58, 95% CI = 1.21-2.07, P = 0.0008), longer TTF (hazard ratio 0.80, 95% CI = 0.68-0.92, P = 0.003) and better OS (hazard ratio 0.81, 95% CI = 0.67-0.99, P = 0.04). However, even in patients with ⩽ 5% mutation fraction, response rate was 34%. Females had longer TTF (P = 0.02).

conclusionsEGFR mutation fraction in tumour samples was significantly associated with response, TTF and OS. Despite this, no lower level of mutation fraction was detected for which EGFR TKI should be withheld in those with activating EGFR mutations.

Indexed as

MutationAdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCohort StudiesDisease-Free SurvivalErbB ReceptorsHumansLung NeoplasmsMiddle AgedProtein Kinase InhibitorsEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitors

Identifiers

PMID26889973
PMCPMC4800294

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.