Evidence map›Paper›PMID 30901844›Full record

ReviewInternational journal of molecular sciences2019

Heterogeneous Responses to Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitors (TKIs) in Patients with Uncommon EGFR Mutations: New Insights and Future Perspectives in this Complex Clinical Scenario.

Alessandro Russo, Tindara Franchina, Giuseppina Ricciardi, Alessandra Battaglia, Maria Picciotto, Vincenzo Adamo

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06062823 (An Open-label Phase II Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations Categorized According to Structural Based Classification), which is not on this map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
10.5field-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.

NCT06062823 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

An Open-label Phase II Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations Categorized According to Structural Based Classification

TypeinterventionalSponsorNational University Hospital, SingaporeRan2024 to 2026Enrolled35ConditionsNSCLCArmsAfatinib 40 MG
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
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  13. A real‑world study of clinical characteristics, treatment sequence and outcomes of patients with non-small cell lung cancer and EGFR exon 20 insertion mutations.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  18. Almonertinib and alflutinib show novel inhibition on rare EGFR S768I mutant cells.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  19. Review
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20 more citing papers are in PubMed but not listed here.

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 at 1 institution in 1 country.

Alessandro RussoMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. alessandro-russo@alice.it.
Tindara FranchinaMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. tfranchina@unime.it.
Giuseppina RicciardiMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. giusyricciardi81@hotmail.it.
Alessandra BattagliaMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. alessandrabattaglia88@gmail.com.
Maria PicciottoMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. mpicciotto@unime.it.
Vincenzo AdamoMedical Oncology Unit A.O. Papardo, Department of Human Pathology, University of Messina, 98158 Messina, Italy. vadamo@unime.it.ORCID 0000-0003-2074-2418
University of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uncommon Epidermal Growth Factor Receptor (EGFR) mutations represent a distinct and highly heterogeneous subgroup of Non-Small Cell Lung Cancers (NSCLCs), that accounts for approximately 10% of all EGFR-mutated patients. The incidence of uncommon EGFR mutations is growing, due to the wider adoption of next-generation sequencing (NGS) for diagnostic purposes, which enables the identification of rare variants, usually missed with available commercial kits that only detect a limited number of EGFR mutations. However, the sensitivity of uncommon mutations to first- and second-generation EGFR Tyrosine Kinase Inhibitors (TKIs) is widely heterogeneous and less well known, compared with classic mutations (i.e., exon 19 deletions and exon 21 L858R point mutation), since most of the pivotal studies with EGFR TKIs in the first line, with few exceptions, excluded patients with rare and/or complex variants. Recently, the third generation EGFR TKI osimertinib further revolutionized the therapeutic algorithm of EGFR-mutated NSCLC, but its role in patients harboring EGFR mutations besides exon 19 deletions and/or L858R is largely unknown. Therefore, a better knowledge of the sensitivity of uncommon mutations to currently available EGFR TKIs is critical to guiding treatment decisions in clinical practice. The aim of this paper is to provide a comprehensive overview of the treatment of NSCLC patients harboring uncommon EGFR mutations with currently approved therapies and to discuss the emerging therapeutic opportunities in this peculiar subgroup of patients, including chemo-immunotherapy combinations, next-generation EGFR TKIs, and novel targeted agents.

Indexed as

MutationBiomarkers, TumorCarcinoma, Non-Small-Cell LungCombined Modality TherapyErbB ReceptorsExonsHumansImmunotherapyLung NeoplasmsMutagenesis, InsertionalProtein Kinase InhibitorsSequence DeletionTreatment OutcomeBiomarkers, TumorEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsafatinibEGFRerlotinibexon 20 insertionsNSCLCosimertinibpoziotinibrare mutationsS768Iuncommon mutations

Identifiers

PMID30901844
PMCPMC6470640
OpenAlexW2924631596

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.