Evidence map›Paper›PMID 30573970›Full record

ArticleOncoTargets and therapy2018

Afatinib vs erlotinib for second-line treatment of Chinese patients with advanced squamous cell carcinoma of the lung.

Shun Lu, Wei Li, Caicun Zhou, Cheng-Ping Hu, Shukui Qin, Gang Cheng, Jifeng Feng, Jie Wang, Agnieszka Cseh, Barbara Peil and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in OncoTargets and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01523587 (LUX-Lung 8), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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.

NCT01523587 phase3completednot on this map

LUX-Lung 8: A Randomized, Open-label Phase III Trial of Afatinib Versus Erlotinib in Patients With Advanced Squamous Cell Carcinoma of the Lung as Second-line Therapy Following First-line Platinum-based Chemotherapy

TypeinterventionalSponsorBoehringer IngelheimRan2012 to 2017Enrolled795ConditionsCarcinoma, Non-Small-Cell LungArmsafatinib, erlotinib
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. QALY-type preference and willingness-to-pay among end-of-life patients with cancer treatments: a pilot study using discrete choice experiment.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  3. Article
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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 12 institutions in 4 countries.

Shun LuShanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China, shun_lu@hotmail.com.
Wei LiCancer Center, First Hospital of Jilin University, Changchun, China.
Caicun ZhouDepartment of Oncology, Shanghai Pulmonary Hospital, Shanghai, China.
Cheng-Ping HuDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Shukui QinPeople's Liberation Army Cancer Center, Nanjing Bayi Hospital, Nanjing, Jiangsu, China.
Gang ChengDepartment of Medical Oncology, Beijing Hospital, National Center of Gerontology, Beijing, China.
Jifeng FengDepartment of Internal Medicine, Jiangsu Provincial Tumor Hospital, Nanjing, China.
Jie WangDepartment of Internal Medicine, Capital Medical University, Beijing, China.
Agnieszka CsehDepartment of Medical Affairs, Boehringer Ingelheim RCV GmbH & Co. KG, Vienna, Austria.
Barbara PeilBiostatistics, Boehringer Ingelheim Pharma GmbH & Co. KG. Ingelheim, Germany.
Neil GibsonTranslational Medicine and Clinical Oncology, Boehringer Ingelheim Pharma GmbH & Co. KG. Biberach, Germany.
Eva EhrnroothDivision of Oncology, Boehringer Ingelheim, Danmark A/S, Copenhagen, Denmark.
Li ZhangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Boehringer Ingelheim (Germany) · DE81th Hospital of PLA · CNBeijing Hospital · CNBoehringer Ingelheim (Austria) · ATBoehringer Ingelheim (Denmark) · DKCapital Medical University · CNCentral South University · CNJiangsu Cancer Hospital · CNJilin University · CNShanghai Chest Hospital · CNShanghai Pulmonary Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global Phase III LUX-Lung 8 trial (ClinicalTrials.gov: NCT01523587) identified significant improvements in progression-free survival (PFS), overall survival (OS), and patient-reported outcomes (PROs) with second-line afatinib vs erlotinib in patients with advanced squamous cell carcinoma (SCC) of the lung. MATERIALS AND

methodsWe conducted a post hoc analysis of data for patients in LUX-Lung 8 from mainland China (n=67). Compared with erlotinib, afatinib reduced the risk of disease progression or death (PFS) in the Chinese subgroup by 30% (HR=0.70; 95% CI: 0.38-1.27).

resultsThe risk of death was reduced by 31% (HR=0.69; 95% CI: 0.39-1.21). The proportion of Chinese patients with improvements in PROs also favored afatinib vs erlotinib (global health status/quality of life [QoL], 52.8% vs 29.6%, DISCUSSION: While this analysis was not powered to demonstrate differences compared to the overall trial population (OTP), and there were some differences in baseline characteristics (eg, the proportion of patients aged ≥65 years old), the benefits of afatinib treatment in Chinese patients with SCC of the lung appeared to be at least comparable to that observed in LUX-Lung 8. As with the OTP, the most common adverse events (AEs) with afatinib in the Chinese subgroup were diarrhea and rash/acne, and the incidence and type of the most frequently occurring AEs were similar.

conclusionThe results suggest that afatinib represents a feasible treatment option for Chinese patients with advanced SCC of the lung following progression on platinum-based chemotherapy.

Indexed as

afatinibChinese patientsNSCLCPhase IIIsecond-linesquamous cell carcinoma

Identifiers

PMID30573970
PMCPMC6292388
OpenAlexW2902240655

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.