Evidence map›Paper›PMID 32548617›Full record

Trial reportJapanese journal of clinical oncology2020

Real-world use of osimertinib for epidermal growth factor receptor T790M-positive non-small cell lung cancer in Japan.

Yuichiro Ohe, Terufumi Kato, Fumikazu Sakai, Masahiko Kusumoto, Masahiro Endo, Yoshinobu Saito, Tomohisa Baba, Masafumi Sata, Ou Yamaguchi, Kei Sakamoto and 5 more

Abstract readClinical Trial
In one paragraph

Trial report in Japanese journal of clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
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  8. Article
  9. Molecular and Clinical Features of EGFR-TKI-Associated Lung Injury.International journal of molecular sciences · 2021
    Review
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  11. 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.

Yuichiro OheDepartment of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Terufumi KatoDepartment of Thoracic Oncology, Kanagawa Cancer Center, Kanagawa, Japan.
Fumikazu SakaiDepartment of Diagnostic Radiology, Saitama Medical University International Medical Center, Saitama, Japan.
Masahiko KusumotoDepartment of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan.
Masahiro EndoDivision of Diagnostic Radiology, Shizuoka Cancer Center, Shizuoka, Japan.
Yoshinobu SaitoDepartment of Pulmonary Medicine and Oncology, Nippon Medical School, Tokyo, Japan.
Tomohisa BabaDepartment of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Kanagawa, Japan.
Masafumi SataDivision of Pulmonary Medicine, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Ou YamaguchiDepartment of Respiratory Medicine, Saitama Medical University International Medical Center, Saitama, Japan.
Kei SakamotoResearch & Development, AstraZeneca K.K., Osaka, Japan.
Masatoshi SugenoResearch & Development, AstraZeneca K.K., Osaka, Japan.
Reiko TamuraResearch & Development, AstraZeneca K.K., Osaka, Japan.
Toshimitsu TokimotoResearch & Development, AstraZeneca K.K., Osaka, Japan.
Wataru ShimizuDepartment of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan.
Akihiko GemmaDepartment of Pulmonary Medicine and Oncology, Nippon Medical School, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAdverse drug reactions (ADRs) during real-world osimertinib use were investigated in Japan.

methodsPatients with epidermal growth factor receptor (EGFR) T790M-positive non-small cell lung cancer treated with second-line or later oral osimertinib per the Japanese package insert (80 mg once daily) were included. Data were collected between 28 March 2016 and 31 August 2018.

resultsThe median observation period in the safety analysis population (n = 3578) was 343.0 days. ADRs (defined as adverse events whose causality to osimertinib could not be denied by the attending physicians or manufacturer) were reported in 58.1% (2079/3578) of patients. ADRs of interstitial lung disease events were reported in 6.8% (245/3578; Grade ≥ 3, 2.9% [104/3578]) of patients, of whom 29 (11.8%) died (0.8% of patients overall). ADRs of QT interval prolonged, liver disorder and haematotoxicity were reported in 1.3% (45/3578; Grade ≥ 3, 0.1% [5/3578]), 5.9% (212/3578; Grade ≥ 3, 1.0% [35/3578]) and 11.4% (409/3578; Grade ≥ 3, 2.9% [104/3578]) of patients, respectively. In the efficacy analysis population (n = 3563), 119 (3.3%) patients had complete responses, 2373 (66.6%) had partial responses and 598 (16.8%) had stable disease. The objective response rate was 69.9%; disease control rate was 86.7%; and median progression-free survival (PFS) was 12.3 months. At 6 and 12 months, PFS rates were 77.4% (95% confidence interval [CI], 75.9-78.9) and 53.2% (95% CI, 51.3-55.1) and overall survival rates were 88.3% (95% CI, 87.2-89.4) and 75.4% (95% CI, 73.8-77.0), respectively.

conclusionsThese data support the currently established benefit-risk assessment of osimertinib in this patient population.

Indexed as

AcrylamidesAgedAniline CompoundsCarcinoma, Non-Small-Cell LungErbB ReceptorsFemaleHumansIndolesJapanLung NeoplasmsMaleMutationProgression-Free SurvivalProtein Kinase InhibitorsPyrimidinesSurvival RateAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesepidermal growth factor receptornon-small cell lung cancerosimertinibsafetytreatment outcome

Identifiers

PMID32548617
PMCPMC7401719

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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.