Evidence map›Paper›PMID 32485428›Full record

ReviewCritical reviews in oncology/hematology2020

New therapeutic approaches to overcoming resistant EGFR exon 20 alterations.

Alex M Li, Amélie Boichard, Enriqueta Felip, Razelle Kurzrock

Open access · greenAbstract readReview
In one paragraph

Review in Critical reviews in oncology/hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

4 authors at 2 institutions in 2 countries.

Alex M LiUniversity of California San Diego School of Medicine, 9500 Gilman Dr, La Jolla, CA, 92093, USA. Electronic address: aml098@ucsd.edu.
Amélie BoichardCenter for Personalized Cancer Therapy and Division of Hematology and Oncology, University of California San Diego Moores Cancer Center, 3855 Health Sciences Dr, La Jolla, CA, 92093, USA. Electronic address: aboichard@ucsd.edu.
Enriqueta FelipVall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Passeig de la Vall d'Hebron, 119, 129, 08035, Barcelona, Spain. Electronic address: efelip@vhio.net.
Razelle KurzrockCenter for Personalized Cancer Therapy and Division of Hematology and Oncology, University of California San Diego Moores Cancer Center, 3855 Health Sciences Dr, La Jolla, CA, 92093, USA. Electronic address: rkurzrock@ucsd.edu.
University of California, San Diego · USVall d'Hebron Hospital Universitari · ES

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jesse Nodora · 1985 to 2026
$124.9M
NCI NIH HHS P30 CA023100
6 · The paper itself

Abstract

EGFR exon 20 alterations are rare events seen mainly in non-small cell lung cancer (NSCLC). They include EGFR T790 and C797S mutations (associated with secondary resistance to classic EGFR tyrosine kinase inhibitors (TKIs)), and EGFR exon 20 in-frame insertions (associated with resistance to first- and second-generation EGFR TKIs). In silico modeling of structural changes in aberrant proteins has informed selection of compounds with potential clinical activity: poziotinib (whose smaller size permits access to the restricted kinase pocket created by EGFR and ERBB2 exon 20 insertions); cetuximab (an antibody that attenuates dimerization caused by EGFR exon 20 insertions), and TAK-788 (another EGFR/ERBB2 TKI). Other alterations, such as EGFR T790 M, are responsive to osimertinib, while the EGFR C797S alteration seen in osimertinib resistance demonstrates preclinical sensitivity to combined brigatinib and cetuximab. These observations indicate that clinical resistance can be overcome by utilizing advanced genomic interrogation coupled with computer modeling.

Indexed as

Drug Resistance, NeoplasmAntineoplastic Agents, ImmunologicalCarcinoma, Non-Small-Cell LungCetuximabErbB ReceptorsExonsHumansLung NeoplasmsMutationOrganophosphorus CompoundsProtein Kinase InhibitorsPyrimidinesAntineoplastic Agents, ImmunologicalbrigatinibCetuximabEGFR protein, humanErbB ReceptorsOrganophosphorus CompoundsProtein Kinase InhibitorsPyrimidinesEGFRExon 20NSCLCStructural modelingTKIs

Identifiers

PMID32485428
PMCPMC7416421
OpenAlexW3026671701

What OpenQuestion holds

Textmetadata
LicenceTDM
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.