Evidence map›Paper›PMID 29321093›Full record

ArticleOncology research2018

A Retrospective Comparison of the Clinical Efficacy of Gefitinib, Erlotinib, and Afatinib in Japanese Patients With Non-Small Cell Lung Cancer.

Atsushi Fujiwara, Masamichi Yoshida, Hajime Fujimoto, Hiroki Nakahara, Kentaro Ito, Kota Nishihama, Taro Yasuma, Osamu Hataji, Osamu Taguchi, Corina N D'Alessandro-Gabazza and 2 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Oncology research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Overall survival of patients withArchives of medical science : AMS · 2021
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. First-line afatinib for the treatment ofTherapeutic advances in medical oncology · 2019
    Review
  13. 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

12 authors at 3 institutions in 1 country.

Atsushi FujiwaraDepartment of Respiratory Medicine, Mie Prefectural General Medical Center, Yokkaichi, Mie, Japan.
Masamichi YoshidaDepartment of Respiratory Medicine, Mie Prefectural General Medical Center, Yokkaichi, Mie, Japan.
Hajime FujimotoDepartment of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Hiroki NakaharaDepartment of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Kentaro ItoRespiratory Center, Matsusaka Municipal Hospital, Mie, Japan.
Kota NishihamaDepartment of Immunology, Mie University Graduate School of Medicine, Mie, Japan.
Taro YasumaDepartment of Immunology, Mie University Graduate School of Medicine, Mie, Japan.
Osamu HatajiRespiratory Center, Matsusaka Municipal Hospital, Mie, Japan.
Osamu TaguchiMie University Center for Physical and Mental Health, Tsu, Mie, Japan.
Corina N D'Alessandro-GabazzaDepartment of Immunology, Mie University Graduate School of Medicine, Mie, Japan.
Esteban C GabazzaDepartment of Immunology, Mie University Graduate School of Medicine, Mie, Japan.
Tetsu KobayashiDepartment of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Mie, Japan.
Mie University · JPMie Chuo Medical Center · JPSoka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tyrosine kinase inhibitors (TKIs) are very effective against non-small cell lung cancer (NSCLC) caused by epidermal growth factor receptor (EGFR) mutation. Before the approval of osimertinib in March 2016, there were only three available EGFR TKIs (gefitinib, erlotinib, and afatinib) for the therapy of NSCLC in Japan. Osimertinib can be indicated only against T790M+ lung cancer as a second-line therapy. However, whether gefitinib, erlotinib, or afatinib is most appropriate as a first-line therapy is still a controversial issue. The aim of this study was to compare the effectiveness of gefitinib, erlotinib, and afatinib. We retrospectively reviewed the records of 310 patients with the diagnosis of EGFR mutation-associated NSCLC including 147 patients treated with EGFR TKIs. Time to treatment failure and overall survival were evaluated. There were no significant differences in time to treatment failure (gefitinib: 9.2 months; erlotinib: 9.8 months; afatinib: 13.1 months) and overall survival (gefitinib: 27.3 months; erlotinib: 29.3 months; afatinib data not available) among NSCLC patients treated with the three different EGFR TKIs. Subgroup analysis showed that smoking status has a significant influence on both time to treatment failure and overall survival. In conclusion, this study showed comparable clinical efficacy of gefitinib, erlotinib, and afatinib in Japanese patients with NSCLC.

Indexed as

AdenocarcinomaAdultAfatinibAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellErlotinib HydrochlorideFemaleFollow-Up StudiesGefitinibHumansLung NeoplasmsMaleMiddle AgedAfatinibErlotinib HydrochlorideGefitinibQuinazolines

Identifiers

PMID29321093
PMCPMC7844677
OpenAlexW2783592110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.