Evidence map›Paper›PMID 32420066›Full record

ArticleTranslational lung cancer research2020

Circulating tumor DNA clearance predicts prognosis across treatment regimen in a large real-world longitudinally monitored advanced non-small cell lung cancer cohort.

Yong Song, Chengping Hu, Zhanhong Xie, Lin Wu, Zhengfei Zhu, Chuangzhou Rao, Li Liu, Yuan Chen, Naixin Liang, Jun Chen and 24 more

Open access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 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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  15. Clinical Utility of ctDNA Analysis in Lung Cancer-A Review.Advances in respiratory medicine · 2025
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5 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

34 authors at 10 institutions in 5 countries.

Yong SongDepartment of Respiratory Medicine, Jinling Hospital, Nanjing University School of the Medicine, Nanjing 210002, China.
Chengping HuDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhanhong XieState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Lin WuDepartment of Medical Oncology, Lung Cancer and Gastrointestinal Unit, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
Zhengfei ZhuDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Chuangzhou RaoDepartment of Radiotherapy and Chemotherapy, Hwamei Hospital, University of Chinese Academy of Sciences, Ningbo 315010, China.
Li LiuCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Yuan ChenDepartment of Medical Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Naixin LiangDepartment of Thoracic Surgery, Peking Union Medical College Hospital Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.
Jun ChenDepartment of Lung Cancer Surgery, Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin 300052, China.
Chunhong HuDepartment of Oncology, The Second Xiangya Hospital of Central South University, Changsha 410008, China.
Nong YangDepartment of Medical Oncology, Lung Cancer and Gastrointestinal Unit, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
Jie HuDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Weixin ZhaoDepartment of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Gangling TongDepartment of Oncology, Peking University Shenzhen Hospital, Shenzhen 518036, China.
Xiaorong DongCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Di ZhengDepartment of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Meiling JinDepartment of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Jianhua ChenDepartment of Medical Oncology, Lung Cancer and Gastrointestinal Unit, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China.
Meijuan HuangDepartment of Oncology, West China Hospital, Chengdu 610041, China.
Yong HeDepartment of Respiratory Medicine, Daping Hospital, Army Medical University, Chongqing 400042, China.
Rafael RosellCancer Biology and Precision Medicine Program, Catalan Institute of Oncology, Germans Trias I Pujol Health Sciences Institute and Hospital Badalona, Barcelona, Spain.
Giuseppe LippiSection of Clinical Biochemistry, University of Verona, Verona, Italy.
Mari Mino-KenudsonDepartment of Pathology, Massachusetts General Hospital, Boston, USA.
Han Han-ZhangBurning Rock Biotech, Guangzhou 510300, China.
Xinru MaoBurning Rock Biotech, Guangzhou 510300, China.
Lu ZhangBurning Rock Biotech, Guangzhou 510300, China.
Hao LiuBurning Rock Biotech, Guangzhou 510300, China.
John K FieldRoy Castle Lung Cancer Research Program, The University of Liverpool, Department of Molecular and Clinical Cancer Medicine, Liverpool, UK.
Shannon ChuaiBurning Rock Biotech, Guangzhou 510300, China.
Junyi YeBurning Rock Biotech, Guangzhou 510300, China.
Yusheng HanBurning Rock Biotech, Guangzhou 510300, China.
Shun LuShanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China.
Written on behalf of AME Lung Cancer Collaborative Group
Central South University · CNUnion Hospital · CNNanjing General Hospital of Nanjing Military Command · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNFudan University Shanghai Cancer Center · CNShanghai Jiao Tong University · CNSichuan University · CNSun Yat-sen University · CNTongji University · CNUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough growth advantage of certain clones would ultimately translate into a clinically visible disease progression, radiological imaging does not reflect clonal evolution at molecular level. Circulating tumor DNA (ctDNA), validated as a tool for mutation detection in lung cancer, could reflect dynamic molecular changes. We evaluated the utility of ctDNA as a predictive and a prognostic marker in disease monitoring of advanced non-small cell lung cancer (NSCLC) patients.

methodsThis is a multicenter prospective cohort study. We performed capture-based ultra-deep sequencing on longitudinal plasma samples utilizing a panel consisting of 168 NSCLC-related genes on 949 advanced NSCLC patients with driver mutations to monitor treatment responses and disease progression. The correlations between ctDNA and progression-free survival (PFS)/overall survival (OS) were performed on 248 patients undergoing various treatments with the minimum of 2 ctDNA tests.

resultsThe results of this study revealed that higher ctDNA abundance (P=0.012) and mutation count (P=8.5×10

conclusionsThis prospective real-world study shows that ctDNA clearance during treatment may serve as predictive and prognostic marker across a wide spectrum of treatment regimens.

Indexed as

circulating tumor DNA clearance (ctDNA clearance)Circulating tumor DNA (ctDNA)liquid biopsynon-small cell lung cancer (NSCLC)

Identifiers

PMID32420066
PMCPMC7225135
OpenAlexW3015125425

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.