Evidence map›Paper›PMID 30637712›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

Clinical significance of serum EGFR gene mutation and serum tumor markers in predicting tyrosine kinase inhibitor efficacy in lung adenocarcinoma.

L X Feng, J Wang, Z Yu, S A Song, W X Zhai, S H Dong, H S Yu, Y Zhang

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

8 authors at 1 institution in 1 country.

L X FengDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
J WangDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Z YuDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
S A SongDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
W X ZhaiDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
S H DongDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
H S YuDepartment of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China.
Y ZhangDepartment of Ultrasound, The Affiliated Hospital of Qingdao University, Qingdao, 266003, Shandong, People's Republic of China. zyqdfy@126.com.ORCID http://orcid.org/0000-0003-0424-6844
Qingdao University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the clinical significance of serum epidermal growth factor receptor (EGFR) gene mutation and serum tumor markers in the prediction of tyrosine kinase inhibitor (TKI) efficacy in patients with lung adenocarcinoma.

methodsNinety patients with pathologically diagnosed lung adenocarcinoma were enrolled. Further, 51 out of 90 patients received the EGFR-TKI therapy, oral gefitinib. The correlations among serum EGFR gene mutations in exons 18-21, serum tumor markers such as carcinoembryonic antigen (CEA), carbohydrate antigen 24-2 (CA24-2), carbohydrate antigen 125, carbohydrate antigen 15-3 as well as carbohydrate antigen 19-9 (CA19-9) levels, and EGFR-TKI efficacy were determined.

resultsThere was a high consistency of EGFR gene mutation rate between serum and tissue samples. The serum EGFR gene mutation rate in female patients or non-smokers was significantly higher than that in male patients or smokers, respectively. Serum CA19-9, CA24-2, and CEA levels were significantly correlated with serum EGFR mutation. After receiving gefitinib, the progression-free survivals (PFSs) of patients with high serum CEA level, high serum CA19-9 level, or serum EGFR gene mutation were significantly higher than those of normal patients, respectively. The PFSs were significantly prolonged in patients with EGFR gene mutation and high serum CEA level or patients with EGFR gene mutation and high serum CA19-9 level compared with those in patients with one abnormal biomarker and normal patients.

conclusionCombined detection of EGFR gene mutations as well as CA19-9 and CEA levels in peripheral blood can predict the efficacy of EGFR-TKI in the treatment of patients with lung adenocarcinoma.

Indexed as

MutationAdenocarcinomaAdenocarcinoma of LungAdultAgedBiomarkers, TumorErbB ReceptorsFemaleFollow-Up StudiesGefitinibHumansLung NeoplasmsMaleMiddle AgedPrognosisProtein Kinase InhibitorsBiomarkers, TumorEGFR protein, humanErbB ReceptorsGefitinibProtein Kinase InhibitorsCarbohydrate antigen 19-9 (CA19-9)Carcinoembryonic antigen (CEA)Epidermal growth factor receptor (EGFR)Lung adenocarcinomaSerum tumor markerTyrosine kinase inhibitor (TKI)

Identifiers

PMID30637712
OpenAlexW2909695769

What OpenQuestion holds

Textmetadata
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.