Evidence map›Paper›PMID 31029076›Full record

ArticleMolecular medicine (Cambridge, Mass.)2019

Tag-based next generation sequencing: a feasible and reliable assay for EGFR T790M mutation detection in circulating tumor DNA of non small cell lung cancer patients.

Mariella Dono, Giuseppa De Luca, Sonia Lastraioli, Giorgia Anselmi, Maria Giovanna Dal Bello, Simona Coco, Irene Vanni, Francesco Grossi, Antonella Vigani, Carlo Genova and 3 more

Open access · goldAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Diagnostic accuracy of next-generation sequencing (NGS) for identifying actionable mutations in advanced non-small cell lung cancer: Systematic Review and Meta-Analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  6. Advances in laboratory medicine · 2025
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  7. Integrating ctDNA testing forAdvances in laboratory medicine · 2025
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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 4 institutions in 1 country.

Mariella DonoMolecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, L.go R. Benzi 10, 16132, Genova, Italy. maria.dono@hsanmartino.it.ORCID 0000-0003-1280-0278
Giuseppa De LucaMolecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, L.go R. Benzi 10, 16132, Genova, Italy.
Sonia LastraioliMolecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, L.go R. Benzi 10, 16132, Genova, Italy.
Giorgia AnselmiPathology Department IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Maria Giovanna Dal BelloLung Cancer Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Simona CocoLung Cancer Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Irene VanniLung Cancer Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Francesco GrossiUOC Oncologia Medica, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Antonella ViganiOncology Unit, Ospedale S. Andrea, La Spezia, Italy.
Carlo GenovaUOC Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Manlio FerrariniDIMES, Anatomy Section, University of Genova, Medical School, Genova, Italy.
Jean Louis RavettiPathology Department IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Simona ZupoMolecular Diagnostic Unit, IRCCS Ospedale Policlinico San Martino, L.go R. Benzi 10, 16132, Genova, Italy.
Ospedale Policlinico San Martino · ITAzienda Ospedaliera Sant'Andrea · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demonstration of EGFR T790M gene mutation in plasma is crucial to assess the eligibility of Non Small Cell Lung Cancer (NSCLC) patients, who have acquired resistance to first or second generation Tyrosine Kinase Inhibitors (TKIs), to receive a subsequent treatment with osimertinib. Since circulating tumor DNA (ctDNA) is present in very low amounts in plasma, high sensitive and specific methods are required for molecular analysis. Improving sensitivity of T790M mutation detection in plasma ctDNA enables a larger number of NSCLC patients to receive the appropriate therapy without any further invasive procedure.

methodsA tag-based next generation sequencing (NGS) platform capable of tagging rare circulating tumor DNA alleles was employed in this study for the identification of T790M mutation in 42 post-TKI NSCLC patients.

resultsCompared to Real Time PCR, tag-based NGS improved the T790M detection rate (42.85% versus 21.4%, respectively), especially in those cases with a low median mutation abundance (i.e. 0.24, range 0.07-0.78). Moreover, the tag-based NGS identified EGFR activating mutations more efficiently than Real Time PCR (85.7% versus 61.9% detection rate, respectively), particularly of the L858R variant type (0.06-0.75 mutation abundance range). Patients in whom the T790M mutation was detected in plasma, achieved an objective response to osimertinib (9/14, 64.28%).

conclusionsTag-based NGS represents an accurate and sensitive tool in a clinical setting for non-invasive assessment and monitoring of T790M variant in NSCLC patients.

Indexed as

Carcinoma, Non-Small-Cell LungCirculating Tumor DNAErbB ReceptorsFemaleHigh-Throughput Nucleotide SequencingHumansLung NeoplasmsMaleMutationCirculating Tumor DNAErbB ReceptorsC797SCirculating tumor DNAEGFR TKIsLiquid biopsyMolecular tagNext generation sequencingNSCLCT790M resistance mutation

Identifiers

PMID31029076
PMCPMC6487061
OpenAlexW2947050938

What OpenQuestion holds

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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.