Evidence map›Paper›PMID 31006178›Full record

ArticleThoracic cancer2019

Clinical analysis of EGFR-positive non-small cell lung cancer patients treated with first-line afatinib: A Nagano Lung Cancer Research Group.

Kei Sonehara, Takashi Kobayashi, Kazunari Tateishi, Nobutoshi Morozumi, Fumiaki Yoshiike, Tsutomu Hachiya, Yasushi Ono, Keiichirou Takasuna, Toshihiko Agatsuma, Takeshi Masubuchi and 5 more

Abstract read
In one paragraph

Article in Thoracic cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Afatinib as first-line treatment in patients withTherapeutic advances in medical oncology · 2021
    Article
  3. 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

15 authors.

Kei SoneharaFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto City, Japan.
Takashi KobayashiDepartment of Comprehensive Cancer Therapy, Shinshu University School of Medicine, Matsumoto City, Japan.
Kazunari TateishiFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto City, Japan.
Nobutoshi MorozumiDepartment of Respiratory Medicine, Saku Central Hospital, Saku City, Japan.
Fumiaki YoshiikeDepartment of Respiratory Medicine, Nagano Municipal Hospital, Nagano City, Japan.
Tsutomu HachiyaDepartment of Respiratory Medicine, Suwa Red Cross Hospital, Suwa City, Japan.
Yasushi OnoTreatment Center, Aizawa Hospital, Matsumoto City, Japan.
Keiichirou TakasunaDepartment of Thoracic Surgery, Ina Central Hospital, Ina City, Japan.
Toshihiko AgatsumaDepartment of Respiratory Medicine, National Hospital Organization Shinshu Ueda Medical Center, Ueda City, Japan.
Takeshi MasubuchiDepartment of Respiratory Medicine, Nagano Red Cross Hospital, Nagano City, Japan.
Akemi MatsuoDepartment of Respiratory Medicine, Minaminagano Medical Center, Shinonoi General Hospital, Nagano City, Japan.
Hozumi TanakaDepartment of Surgery, Iida Hospital, Iida City, Japan.
Akio MorikawaDepartment of Surgery, Syouwa Inan Hospital, Komagane City, Japan.
Masayuki HanaokaFirst Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto City, Japan.
Tomonobu KoizumiDepartment of Comprehensive Cancer Therapy, Shinshu University School of Medicine, Matsumoto City, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the LUX-Lung 3 and LUX-Lung 6 trials, afatinib improved overall survival in previously untreated patients with EGFR 19del mutated non-small cell lung cancer (NSCLC) compared to chemotherapy. The appropriate management of adverse events and dose reduction of afatinib are important for EGFR-positive NSCLC patients. We conducted a retrospective and observational study of patients treated with first-line afatinib for EGFR-positive NSCLC in Nagano prefecture, Japan, focusing on efficacy and toxicities.

methodsWe retrospectively collected the medical records of NSCLC patients initially treated with afatinib between May 2014 and March 2018.

resultsA total of 62 patients with a median age of 67 years and a median body surface area (BSA) of 1.57 m

conclusionIn real-world clinical practice, first-line afatinib was well managed and was equally as effective as in previous clinical trials of EGFR-positive NSCLC. BSA is considered a predictive marker for appropriate afatinib dose reduction.

Indexed as

AfatinibAgedAged, 80 and overAntineoplastic AgentsBiomarkers, TumorCarcinoma, Non-Small-Cell LungErbB ReceptorsHumansKaplan-Meier EstimateLung NeoplasmsMiddle AgedMutationNeoplasm StagingProtein Kinase InhibitorsTreatment OutcomeAfatinibAntineoplastic AgentsBiomarkers, TumorEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsBody surface areadiarrheaEGFR-TKIepidermal growth factor receptorobservational study

Identifiers

PMID31006178
PMCPMC6501023

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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.