Evidence map›Paper›PMID 29565727›Full record

ArticleCancer biology & therapy2018

Mutation abundance affects the therapeutic efficacy of EGFR-TKI in patients with advanced lung adenocarcinoma: A retrospective analysis.

Huijuan Wang, Mina Zhang, Wanyu Tang, Jie Ma, Bing Wei, Yuanyuan Niu, Guowei Zhang, Peng Li, Xiangtao Yan, Zhiyong Ma

Abstract read
In one paragraph

Article in Cancer biology & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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

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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

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Concordance of Abundance for MutationalCurrent oncology (Toronto, Ont.) · 2023
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. A L833V/H835LHeliyon · 2022
    Article
  9. Journal of thoracic disease · 2022
    Article
  10. Cancers · 2022
    Article
  11. Article
  12. PlasmaAnnals of translational medicine · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Prognostic analysis of patients with mutant and wild-typeCancer management and research · 2019
    Article
  18. Article
  19. Evaluate the Prognosis ofTechnology in cancer research & treatment
    Article
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Huijuan Wanga Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Mina Zhanga Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Wanyu Tanga Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Jie Mab Department of Molecular Pathology , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Bing Weib Department of Molecular Pathology , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Yuanyuan Niua Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Guowei Zhanga Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Peng Lia Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Xiangtao Yana Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.
Zhiyong Maa Department of Internal Medicine , The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital , Zhengzhou , China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the influence of mutation abundance and sites of epidermal growth factor receptor (EGFR) on therapeutic efficacies of EGFR-tyrosine kinase inhibitor (EGFR-TKIs) treatments of patients with advanced non-small cell lung carcinoma (NSCLC).

methodsEGFR mutational sites and mutation abundance were analyzed by amplification refractory mutation system (ARMS) in paraffin-embedded tissue sections taken from primary or metastatic tumors of 194 NSCLC patients.

resultsThe median progression-free survival (PFS) time of the enrolled patients was 9.3 months (95% CI, 8.2-10.8 months). The PFS was significantly different with EGFR gene mutation abundance after EGFR-TKI therapy (P = 0.014). The median PFS was significantly longer when the cut-off value of EGFR mutation abundance of exon 19 or exon 21, and solely exon 19 was > 26.7% and 61.8%, respectively. For patients who received EGFR-TKI as first-line treatment, the median PFS was significantly longer in the high mutation abundance group than in the low mutation abundance group (12.7 vs 8.7 months, P = 0.002).

conclusionThe PFS benefits were greater in patients with a higher abundance of exon 19 deletion mutations in the EGFR gene after EGFR-TKI treatment and first line EGFR-TKI treatment led to improved PFS in high mutation abundance patients.

Indexed as

MutationAdenocarcinoma of LungAdultAgedAged, 80 and overAntineoplastic AgentsErbB ReceptorsExonsFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingProportional Hazards ModelsProtein Kinase InhibitorsAntineoplastic AgentsEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsARMSEGFREGFR-TKIlung adenocarcinomamutation abundance

Identifiers

PMID29565727
PMCPMC6067862

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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.