Evidence map›Paper›PMID 28391544›Full record

SynthesisClinical and experimental medicine2018

Are EGFR tyrosine kinase inhibitors effective in elderly patients with EGFR-mutated non-small cell lung cancer?

Giandomenico Roviello, Laura Zanotti, Maria Rosa Cappelletti, Angela Gobbi, Martina Dester, Giovanni Paganini, Chiara Pacifico, Daniele Generali, Raheleh Roudi

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Clinical and experimental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Expert consensus to optimize the management of older adult patients with advanced EGFR-mutated non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
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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

9 authors at 6 institutions in 2 countries.

Giandomenico RovielloDepartment of Molecular and Translational Medicine, University of Brescia, 25123, Brescia, Italy. giandomenicoroviello@gmail.com.
Laura ZanottiUnit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Maria Rosa CappellettiUnit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Angela GobbiUnit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Martina DesterUnit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Giovanni PaganiniUnit of General Medicine, Azienda Ospedaliera "C. Poma" Presidio ospedaliero di Pieve di Coriano, Mantua, Italy.
Chiara PacificoUnit of Radiotherapy, Department of Medical, Surgical Sciences and Neurosciences, Siena University, Viale Bracci 11, 53100, Siena, Italy.
Daniele GeneraliUnit of Molecular Therapy and Pharmacogenomic, ASST Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Raheleh RoudiOncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran.
Azienda Socio Sanitaria Territoriale di CremonaIran University of Medical Sciences · IRIstituti Ospitalieri di Cremona · ITPresidio Ospedaliero · ITUniversity of Brescia · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EGFR tyrosine kinase inhibitors (TKIs) such as erlotinib, gefitinib, and afatinib changed dramatically the history of metastatic non-small cell lung cancer (NSCLC) harbouring EGFR mutations. However, not enough data are available on the efficacy of these targeted drugs in elderly patients. The aim of this study is to analyse the available clinical data evaluating the efficacy of anti-EGFR therapies in elderly patients with advanced NSCLC carrying EGFR mutations. A literature-based meta-analysis of the results of randomized clinical trials was undertaken. Relevant publications from PubMed, the Cochrane Library, and abstracts from American Society of Clinical Oncology meetings were searched. Progression-free survival (PFS), as a measure of the efficacy of treatment, was the primary outcome investigated. The pooled analysis revealed an overall significant improvement in PFS (HR = 0.44, 95% CI 0.28-0.69; p = 0.0004) with the use of EGFR TKIs in EGFR-mutated NSCLC. The data stratification per age subgroups showed that EGFR TKIs were more effective in prolonging PFS in elderly patients, with HR 0.39 (p = 0.008), in comparison with young patients (HR = 0.48; p = 0.04). The results of this study suggest that EGFR TKIs have a significant effect in slowing down diseases progression in elderly patients with advanced NSCLC, therefore representing a valid therapeutic option in this age group.

Indexed as

AgedAntineoplastic AgentsCarcinoma, Non-Small-Cell LungErbB ReceptorsHumansMutant ProteinsProtein Kinase InhibitorsProtein-Tyrosine KinasesRandomized Controlled Trials as TopicTreatment OutcomeAntineoplastic AgentsEGFR protein, humanErbB ReceptorsMutant ProteinsProtein Kinase InhibitorsProtein-Tyrosine KinasesAfatinibEGFRElderlyErlotinibGefitinib

Identifiers

PMID28391544
OpenAlexW2604523713

What OpenQuestion holds

Textmetadata
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.