Evidence map›Paper›PMID 30400855›Full record

ArticleBMC cancer2018

Case report: primary resistance to osimertinib in erlotinib-pretreated lung adenocarcinoma with EGFR T790 M mutation.

Lin-Peng Zheng, Li-Ying Chen, Xing-Yun Liao, Zi-Han Xu, Zheng-Tang Chen, Jian-Guo Sun

Abstract readCase Reports
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Tumor-derived exosomal non-coding RNAs as diagnostic biomarkers in cancer.Cellular and molecular life sciences : CMLS · 2022
    Review
  3. Article
  4. 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

6 authors.

Lin-Peng ZhengDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China.
Li-Ying ChenDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China.
Xing-Yun LiaoDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China.
Zi-Han XuDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China.
Zheng-Tang ChenDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China.
Jian-Guo SunDepartment of Oncology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, China. sunjg09@aliyun.com.

Funding

Clinical Innovation Foundation of Army Medical University yclkt-201408National Natural Science Foundation of China No. 81672841Wu Jieping Medical Foundation 320.6799.15037
6 · The paper itself

Abstract

backgroundAmong non-small cell lung cancer (NSCLC) patients with acquired T790 M mutation resistance to first-generation epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI), 71% are likely to benefit from osimertinib. There have been several reports about the secondary resistance to osimertinib treatment in T790 M-positive patients, while primary resistance to osimertinib has been rarely reported. CASE PRESENTATION: A 62-year-old Asian male never smoker who presented with stage IV EGFR L858R-positive adenocarcinoma developed EGFR T790 M mutation after 14 months of treatment with erlotinib combined with thoracic radiotherapy as first-line therapy. The patient was initiated on osimertinib treatment with T790 M mutation detected (14.4%), but disease progressed 2 months later.

conclusionThe mechanism of primary resistance to osimertinib remains unclear. There may be an association between T790 M mutation disappearance, TP53 mutation and radiotherapy, but further researches are needed to confirm this.

Indexed as

AcrylamidesAdenocarcinoma of LungAniline CompoundsDrug Resistance, NeoplasmErbB ReceptorsErlotinib HydrochlorideHumansIndolesMaleMiddle AgedMutationPiperazinesProtein Kinase InhibitorsPyrimidinesTumor Suppressor Protein p53AcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideIndolesosimertinibPiperazinesProtein Kinase InhibitorsPyrimidinesTumor Suppressor Protein p53

Identifiers

PMID30400855
PMCPMC6220520

What OpenQuestion holds

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Registered trials

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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.