Evidence map›Paper›PMID 32632581›Full record

SynthesisJournal of cancer research and clinical oncology2020

First-line angiogenesis inhibitor plus erlotinib versus erlotinib alone for advanced non-small-cell lung cancer harboring an EGFR mutation.

Thierry Landre, Gaetan Des Guetz, Kader Chouahnia, Boris Duchemann, Jean-Baptiste Assié, Christos Chouaid

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

Thierry LandrePharmacy Unit, Groupe Hospitalier Hôpitaux Universitaires Paris Seine Saint-Denis (HUPSSD), APHP, Paris, France. thierry.landre@aphp.fr.ORCID http://orcid.org/0000-0003-0967-1276
Gaetan Des GuetzCentre Hospitalier Delafontaine, Saint-Denis, France.
Kader ChouahniaService d'Oncologie, APHP, Hôpital Avicenne, Bobigny, France.
Boris DuchemannService d'Oncologie, APHP, Hôpital Avicenne, Bobigny, France.
Jean-Baptiste AssiéService de Pneumologie, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
Christos ChouaidService de Pneumologie, Centre Hospitalier Intercommunal de Créteil, Créteil, France.
Hôpital Avicenne · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Saint-Denis · FRHôpital Intercommunal de Créteil · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeErlotinib is indicated as first-line treatment for patients with non-small-cell lung cancer (NSCLC) harboring an epidermal growth-factor-receptor (EGFR) mutation. Addition of a vascular endothelial growth factor (VEGF) inhibitor (anti-VEGF) in combination with the tyrosine-kinase inhibitor erlotinib in this setting is controversial.

methodsWe conducted a meta-analysis of randomized trials comparing anti-VEGF plus erlotinib vs erlotinib alone as first-line therapy for advanced NSCLC harboring an EGFR mutation. Outcomes included overall survival (OS), progression-free survival (PFS), objective response rate (ORR) and median duration of response (DOR). A fixed-effect model was used.

resultsFour studies evaluated bevacizumab + erlotinib (ARTEMIS, NEJ026, J025667, Stinchcombe et al.), and another evaluated ramucirumab + erlotinib (RELAY). These five eligible studies included 1230 non-squamous NSCLC patients, 654 (53.2%) with exon 19 deletion (ex19del) and 568 (46.8%) with EGFR

conclusionsFor patients with untreated, advanced, EGFR-mutation-harboring NSCLCs, the anti-VEGF + erlotinib combination, compared to erlotinib alone, was associated with significantly prolonged PFS but mature data for OS are needed to confirm the benefit of this strategy.

Indexed as

AdultAgedAngiogenesis InhibitorsAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, Non-Small-Cell LungErbB ReceptorsErlotinib HydrochlorideFemaleHumansLung NeoplasmsMaleMiddle AgedMutationProgression-Free SurvivalProtein Kinase InhibitorsAngiogenesis InhibitorsBevacizumabEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideProtein Kinase InhibitorsAntiangiogenicEGFR mutationManagementMeta-analysisNon-small-cell lung cancerTyrosine kinase inhibitors

Identifiers

PMID32632581
PMCPMC11804276
OpenAlexW3038230556

What OpenQuestion holds

Textmetadata
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.