Evidence map›Paper›PMID 32865687›Full record

SynthesisTargeted oncology2020

Efficacy and Safety of Crizotinib in the Treatment of Advanced Non-Small-Cell Lung Cancer with ROS1 Rearrangement or MET Alteration: A Systematic Review and Meta-Analysis.

Huy Gia Vuong, Thu Quynh Nguyen, Hoang Cong Nguyen, Phuoc Truong Nguyen, An Thi Nhat Ho, Lewis Hassell

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Targeted oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Effective response to crizotinib of concurrentWorld journal of clinical cases · 2022
    Article
  9. Review
  10. Comprehensive analysis ofTherapeutic advances in medical oncology · 2022
    Article
  11. Article
  12. Review
  13. 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

6 authors at 3 institutions in 2 countries.

Huy Gia VuongDepartment of Pathology, Oklahoma University Health Sciences Center, Oklahoma City, OK, 73104, USA. huyvuong@hotmail.com.ORCID 0000-0001-6213-765X
Thu Quynh NguyenFaculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700-000, Vietnam.
Hoang Cong NguyenFaculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700-000, Vietnam.
Phuoc Truong NguyenFaculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700-000, Vietnam.
An Thi Nhat HoDepartment of Pulmonary and Critical Care Medicine, Saint Louis University, St. Louis, MO, 63104, USA.
Lewis HassellDepartment of Pathology, Oklahoma University Health Sciences Center, Oklahoma City, OK, 73104, USA.
Pham Ngoc Thach University of Medicine · VNOU HealthSaint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrizotinib has been approved for the treatment of non-small-cell lung cancer (NSCLC) with ROS proto-oncogene 1 (ROS1) gene fusion. This drug has also been granted breakthrough designation for NSCLCs with MET exon 14 alterations.

objectiveThis systematic review and meta-analysis aimed to investigate the efficacy and safety of crizotinib in patients with these diseases.

methodsWe searched PubMed and Web of Science for relevant studies. Meta-analysis of proportions was conducted to calculate the pooled rate of complete response, partial response, stable disease, progressive disease, disease control rate (DCR), objective response rate (ORR), and drug adverse effects (AEs) of crizotinib in NSCLCs with ROS1 rearrangement or MET alterations.

resultsA total of 20 studies were included for meta-analysis. Among patients with ROS1-positive NSCLC, crizotinib exhibited a pooled DCR of 93.2% (95% confidence interval [CI] 90.8-95.5) and a pooled ORR of 77.4% (95% CI 72.8-82.1). The median progression-free survival (PFS) and overall survival (OS) of patients in this group was 14.5 and 32.6 months, respectively. For NSCLC with MET alterations, crizotinib was associated with a lower efficacy (DCR 78.9% [95% CI 70.3-87.4] and ORR 40.6% [95% CI 28.3-53.0]). The median PFS was 5.2 months, and median OS was 12.7 months. The most common drug AEs were vision impairment (43.7%), edema (42.9%), and fatigue (40.1%).

conclusionOur study highlighted and confirmed the efficacy of crizotinib in patients with NSCLC with ROS1 or MET genetic alterations. Crizotinib had remarkable effects on advanced NSCLC with ROS1 fusion, as previously reported. However, the role of this targeted therapy in MET-altered NSCLC remains investigational.

Indexed as

Carcinoma, Non-Small-Cell LungCrizotinibFemaleHumansLung NeoplasmsMaleProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene MasProto-Oncogene ProteinsCrizotinibMAS1 protein, humanProtein Kinase InhibitorsProtein-Tyrosine KinasesProto-Oncogene MasProto-Oncogene ProteinsROS1 protein, human

Identifiers

PMID32865687
OpenAlexW3082500459

What OpenQuestion holds

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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.