Evidence map›Paper›PMID 30444685›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

SELECT: A Phase II Trial of Adjuvant Erlotinib in Patients With Resected Epidermal Growth Factor Receptor-Mutant Non-Small-Cell Lung Cancer.

Nathan A Pennell, Joel W Neal, Jamie E Chaft, Christopher G Azzoli, Pasi A Jänne, Ramaswamy Govindan, Tracey L Evans, Daniel B Costa, Heather A Wakelee, Rebecca S Heist and 7 more

Erratum issued Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05469022 (A Phase II, Single-Center, Single-Arm, Prospective Study of Neoadjuvant Lazertinib Therapy in Resectable EGFR-Mutation Positive Lung Adenocarcinoma Patients Detected by Broncho-alveolar Lavage Fluid), which is not on this map. Cited by 133 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 2 pooled it
18.1field-weighted citation impact, top 1% 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.

NCT05469022 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

A Phase II, Single-Center, Single-Arm, Prospective Study of Neoadjuvant Lazertinib Therapy in Resectable EGFR-Mutation Positive Lung Adenocarcinoma Patients Detected by Broncho-alveolar Lavage Fluid(BALF) Liquid Biopsy

TypeinterventionalSponsorKonkuk University Medical CenterRan2022 to 2027Enrolled40ConditionsNon Small Cell Lung CancerArmsNeoadjuvant lazertinib
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 2 syntheses or guidelines pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  8. Article
  9. Article
  10. Targeting ClassicalCancers · 2026
    Review
  11. Article
  12. Targeted therapy for stage IA non-small cell lung cancer withTranslational lung cancer research · 2026
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Perioperative Therapy in Oncogene-Driven Non-Small Cell Lung Cancer: Current Strategies and Unanswered Questions.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2025
    Review
  20. Article

73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 1 country.

Nathan A Pennell1 Cleveland Clinic Taussig Cancer Institute, Cleveland, OH.
Joel W Neal2 Stanford Cancer Institute and Stanford School of Medicine, Stanford, CA.
Jamie E Chaft3 Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Christopher G Azzoli4 Massachusetts General Hospital, Boston, MA.
Pasi A Jänne5 Dana-Farber Cancer Institute, Boston, MA.
Ramaswamy Govindan6 Washington University School of Medicine, St. Louis, MO.
Tracey L Evans7 Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA.
Daniel B Costa8 Beth Israel Deaconess Medical Center, Boston, MA.
Heather A Wakelee2 Stanford Cancer Institute and Stanford School of Medicine, Stanford, CA.
Rebecca S Heist4 Massachusetts General Hospital, Boston, MA.
Marc A Shapiro1 Cleveland Clinic Taussig Cancer Institute, Cleveland, OH.
Alona Muzikansky4 Massachusetts General Hospital, Boston, MA.
Sudish Murthy1 Cleveland Clinic Taussig Cancer Institute, Cleveland, OH.
Michael Lanuti4 Massachusetts General Hospital, Boston, MA.
Valerie W Rusch3 Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Mark G Kris3 Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Lecia V Sequist4 Massachusetts General Hospital, Boston, MA.
Massachusetts General Hospital · USCleveland Clinic · USMemorial Sloan Kettering Cancer Center · USStanford Medicine · USBeth Israel Deaconess Medical Center · USDana-Farber Cancer Institute · USUniversity of Pennsylvania · USWashington University in St. Louis · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Translational studies of Hsp90 inhibitors in NSCLCP50CA090578 · NCI · DANA-FARBER CANCER INST · PI JOHNSON, BRUCE D · 2008 to 2012
$11.4M
Unmet needs for specific subsets of EGFR mutated lung cancerR37CA218707 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI COSTA, DANIEL BOTELHO · 2018 to 2024
$2.8M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA090578NCI NIH HHS R37 CA218707
6 · The paper itself

Abstract

purposeGiven the pivotal role of epidermal growth factor receptor (EGFR) inhibitors in advanced EGFR-mutant non-small-cell lung cancer (NSCLC), we tested adjuvant erlotinib in patients with EGFR-mutant early-stage NSCLC. MATERIALS AND

methodsIn this open-label phase II trial, patients with resected stage IA to IIIA (7

resultsPatients (N = 100) were enrolled at seven sites from January 2008 to May 2012; 13% had stage IA disease, 32% had stage IB disease, 11% had stage IIA disease, 16% had stage IIB disease, and 28% had stage IIIA disease. Toxicities were typical of erlotinib; there were no grade 4 or 5 adverse events. Forty percent of patients required erlotinib dose reduction to 100 mg per day and 16% to 50 mg per day. The intended 2-year course was achieved in 69% of patients. The median follow-up was 5.2 years, and 2-year DFS was 88% (96% stage I, 78% stage II, 91% stage III). Median DFS and overall survival have not been reached; 5-year DFS was 56% (95% CI, 45% to 66%), 5-year overall survival was 86% (95% CI, 77% to 92%). Disease recurred in 40 patients, with only four recurrences during erlotinib treatment. The median time to recurrence was 25 months after stopping erlotinib. Of patients with recurrence who underwent rebiopsy (n = 24; 60%), only one had T790M mutation detected. The majority of patients with recurrence were retreated with erlotinib (n = 26; 65%) for a median duration of 13 months.

conclusionPatients with EGFR-mutant NSCLC treated with adjuvant erlotinib had an improved 2-year DFS compared with historic genotype-matched controls. Recurrences were rare for patients receiving adjuvant erlotinib, and patients rechallenged with erlotinib after recurrence experienced durable benefit.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantDisease-Free SurvivalErbB ReceptorsErlotinib HydrochlorideFemaleHumansLung NeoplasmsMaleMiddle AgedMutationNeoplasm Recurrence, LocalAntineoplastic AgentsEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideProtein Kinase Inhibitors

Identifiers

PMID30444685
PMCPMC6524649
OpenAlexW2901105904

What OpenQuestion holds

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Registered trials

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.