Evidence map›Paper›PMID 28701030›Full record

Trial reportCancer research and treatment2018

Crizotinib versus Chemotherapy in Asian Patients with ALK-Positive Advanced Non-small Cell Lung Cancer.

Makoto Nishio, Dong-Wan Kim, Yi-Long Wu, Kazuhiko Nakagawa, Benjamin J Solomon, Alice T Shaw, Satoshi Hashigaki, Emiko Ohki, Tiziana Usari, Jolanda Paolini and 3 more

Open access · diamondAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  16. The overall survival benefit in Chinese ALKJournal of thoracic disease · 2022
    Article
  17. Review
  18. Role ofOncology letters · 2022
    Review
  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

13 authors at 9 institutions in 6 countries.

Makoto NishioThoracic Oncology Center, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Dong-Wan KimSeoul National University Hospital, Seoul, Korea.
Yi-Long WuGuangdong Lung Cancer Institute, Guangdong, China.
Kazuhiko NakagawaKindai University, Osaka, Japan.
Benjamin J SolomonPeter MacCallum Cancer Centre, Melbourne, Australia.
Alice T ShawMassachusetts General Hospital, Boston, MA, USA.
Satoshi HashigakiPfizer Oncology, Tokyo, Japan.
Emiko OhkiPfizer Oncology, Tokyo, Japan.
Tiziana UsariPfizer Oncology, Milan, Italy.
Jolanda PaoliniPfizer Oncology, Milan, Italy.
Anna PolliPfizer Oncology, Milan, Italy.
Keith D WilnerPfizer Oncology, La Jolla, CA, USA.
Tony MokState Key Laboratory of South China, Hong Kong Cancer Institute and The Chinese University of Hong Kong, Shatin, China.
Pfizer (Italy) · ITPfizer (Japan) · JPChinese University of Hong Kong · HKKindai University · JPMassachusetts General Hospital · USPeter MacCallum Cancer Centre · AUPfizer (United States) · USSeoul National University Hospital · KRThe Cancer Institute Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCrizotinib has demonstrated superior progression-free survival (PFS) and objective response rates (ORRs) versus chemotherapy in previously treated and untreated patients with anaplastic lymphoma kinase (ALK)-positive advanced non-small cell lung cancer (NSCLC). We report the safety and efficacy of crizotinib in Asian subpopulations of two global phase III trials. MATERIALS AND

methodsThis analysis evaluated previously treated and untreated patients in two randomized, openlabel phase III trials of crizotinib versus chemotherapy in ALK-positive advanced NSCLC in second-line (PROFILE 1007) and first-line settings (PROFILE 1014). Efficacy and safety were analyzed by race in the intention-to-treat and "as-treated" populations for efficacy and safety endpoints, respectively.

resultsIn previously treated (n=157) and untreated (n=157) Asian patients, PFS was statistically significantly longer with crizotinib versus chemotherapy (hazard ratio for PFS, 0.526; 95% confidence interval, 0.363 to 0.762; p < 0.001 and hazard ratio, 0.442; 95% confidence interval, 0.302 to 0.648; p < 0.001, respectively). Similar antitumor activity was seen in the non-Asian and overall populations. ORRs were statistically significantly higher with crizotinib versus chemotherapy in both Asian and non-Asian previously treated and untreated patients (p < 0.05). The most common treatment-emergent adverse events (any grade)with crizotinib were vision disorder, diarrhea, and nausea, which were observed at a comparable incidence across Asian and non-Asian populations, irrespective of previous treatment status. Most adverse events were mild to moderate in severity.

conclusionThese data, currently the only analysis showing Asian and non-Asian populations in the same study, support the efficacy and safety of crizotinib in Asian patients with previously treated or untreated ALK-positive advanced NSCLC.

Indexed as

Anaplastic Lymphoma KinaseCarcinoma, Non-Small-Cell LungCrizotinibDocetaxelDrug Administration ScheduleFemaleHumansIntention to Treat AnalysisKaplan-Meier EstimateLung NeoplasmsMalePemetrexedPyrazolesPyridinesReceptor Protein-Tyrosine KinasesSurvival AnalysisALK protein, humanAnaplastic Lymphoma KinaseCrizotinibDocetaxelPemetrexedPyrazolesPyridinesReceptor Protein-Tyrosine KinasesTaxoidsAsiaCarboplatinCisplatinCrizotinibNon-small cell lung carcinomaPemetrexed

Identifiers

PMID28701030
PMCPMC6056984
OpenAlexW2766602847

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.