Evidence map›Paper›PMID 27811976›Full record

ReviewScientific reports2016

EGFR tyrosine kinase inhibitors versus chemotherapy as first-line therapy for non-small cell lung cancer patients with the L858R point mutation.

Jianlin Xu, Haitang Yang, Bo Jin, Yuqing Lou, Yanwei Zhang, Xueyan Zhang, Hua Zhong, Huiming Wang, Dan Wu, Baohui Han

Erratum issuedOpen access · goldAbstract readComparative StudyReview
In one paragraph

Review in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  5. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jianlin XuDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Haitang YangDepartment of Pathology, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Bo JinDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Yuqing LouDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Yanwei ZhangDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Xueyan ZhangDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Hua ZhongDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Huiming WangDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Dan WuCentral laboratory, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Baohui HanDepartment of Pulmonary, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 230032, China.
Shanghai Chest Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of EGFR tyrosine kinase inhibitors (TKIs) varies among different EGFR mutations. Here, we directly compared the efficacy of first-line TKIs to chemotherapy for non-small cell lung cancer (NSCLC) patients with the L858R mutation. The progression-free survival (PFS) for patients receiving TKIs as first-line therapy was longer than those who received chemotherapy (hazard ratio [HR]: 0.44, P < 0.001). Subgroup analyses showed that first-line TKI therapy resulted in longer PFS among non-smokers (HR: 0.41, P < 0.001), male (HR: 0.49, P = 0.002), female (HR: 0.39, P < 0.001), and patients with adenocarcinoma histology (HR: 0.41, P < 0.001). However, among patients with non-adenocarcinoma histology (HR: 1.11, P = 0.824) and those who used to smoke (HR: 0.55, P = 0.093), first-line TKI therapy failed to demonstrate statistically longer PFS compared to chemotherapy. Our results demonstrated that for patients with L858R mutation, first-line TKI therapy provided better survival benefits. However, among non-adenocarcinoma patients and those who used to smoke, the PFS in cohorts receiving first-line chemotherapy or TKI were not significantly different. The results of the current study will be helpful for decision-making in the treatment of patients with L858R mutation.

Indexed as

Carcinoma, Non-Small-Cell LungClinical Trials as TopicDrug TherapyErbB ReceptorsErlotinib HydrochlorideFemaleGefitinibHumansLung NeoplasmsMalePlatinum CompoundsPoint MutationProtein Kinase InhibitorsQuinazolinesEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideGefitinibPlatinum CompoundsProtein Kinase InhibitorsQuinazolines

Identifiers

PMID27811976
PMCPMC5095672
OpenAlexW4249794720

What OpenQuestion holds

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LicenceCC BY
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.