Evidence map›Paper›PMID 26929424›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2016

KRAS oncogene in lung cancer: focus on molecularly driven clinical trials.

Emmanuelle Kempf, Benoît Rousseau, Benjamin Besse, Luis Paz-Ares

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
9.4field-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

48 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
  2. Loss of PIK3CA allowsbioRxiv : the preprint server for biology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Impact of KRASClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Thoracic Cancer: 2022 ASCO Annual Meeting Highlights for the Advanced Practitioner.Journal of the advanced practitioner in oncology · 2022
    Article
  16. Review
  17. Review
  18. Characteristics of Women with Lung Adenocarcinoma in the World Trade Center Environmental Health Center.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Article
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

4 authors at 4 institutions in 2 countries.

Emmanuelle KempfDept of Medical Oncology, Virgen del Rocio Teaching Hospital, Instituto de Biomedicina de Sevilla - IBIS, Seville, Spain Dept of Medical Oncology, Pharmacology Unit, AP-HP, Henri Mondor Teaching Hospital, Créteil, France emma@kempf.pro.
Benoît RousseauDept of Medical Oncology, Pharmacology Unit, AP-HP, Henri Mondor Teaching Hospital, Créteil, France Université Paris-Est, VIC DHU, Inserm U 955, Team 18, UPEC, Créteil, France.
Benjamin BesseDept of Cancer Medicine, Gustave Roussy Cancer Campus, Villejuif, France Paris-Sud University, Inserm U981, Paris, France.
Luis Paz-AresDept of Medical Oncology, Virgen del Rocio Teaching Hospital, Instituto de Biomedicina de Sevilla - IBIS, Seville, Spain.
Assistance Publique – Hôpitaux de Paris · FRInserm · FRInstituto de Biomedicina de Sevilla · ESParis-Est Sup · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

KRAS mutations are the most frequent molecular abnormalities found in one out of four nonsmall cell lung cancers (NSCLC). Their incidence increases in cases of adenocarcinoma, smokers and Caucasian patients. Their negative value in terms of prognosis and responsiveness to both standard chemotherapy and targeted therapies remains under debate. Many drugs have been developed specifically for KRAS-mutated NSCLC patients. Direct inhibition of RAS activation failed to show any clinical efficacy. Inhibition of downstream targets of the mitogen-activated protein kinase (MEK) pathway is a promising strategy: phase II combinations of MEK 1/2 kinase inhibitors with chemotherapy doubled patients' clinical outcomes. One phase III trial in such a setting is ongoing. Double inhibition of MEK and epidermal growth factor receptor proteins is currently being assessed in early-phase trials. The association with mammalian target of rapamycin pathway inhibition leads to non-manageable toxicity. Other strategies, such as inhibition of molecular heat-shock proteins 90 or focal adhesion kinase are currently assessed. Abemaciclib, a cyclin-dependent kinase 4/6 inhibitor, showed promising results in a phase I trial, with a 54% disease control rate. Results of an ongoing phase III trial are warranted. Immunotherapy might be the next relevant step in KRAS-mutated NSCLC management due to the high burden of associated mutations and neo-antigens.

Indexed as

MutationAnimalsAntineoplastic AgentsBiomarkers, TumorCarcinoma, Non-Small-Cell LungGenetic Predisposition to DiseaseHumansLung NeoplasmsMolecular Diagnostic TechniquesMolecular Targeted TherapyPhenotypePrecision MedicinePredictive Value of TestsProto-Oncogene Proteins p21(ras)Antineoplastic AgentsBiomarkers, TumorKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID26929424
PMCPMC9487658
OpenAlexW2306024052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.