Evidence map›Paper›PMID 32916265›Full record

ReviewAnnals of oncology : official journal of the European Society for Medical Oncology2020

NRG1 fusion-driven tumors: biology, detection, and the therapeutic role of afatinib and other ErbB-targeting agents.

J Laskin, S V Liu, K Tolba, C Heining, R F Schlenk, P Cheema, J Cadranel, M R Jones, A Drilon, A Cseh and 3 more

Abstract readReview
In one paragraph

Review in Annals of oncology : official journal of the European Society for Medical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 pooled it
–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

99 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Efficacy of Zenocutuzumab inThe New England journal of medicine · 2025
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  12. Spatial Transcriptomics Reveals Location-Specific Tumor Cell Subtypes and Signaling within Multifocal Small Intestinal Neuroendocrine Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

J LaskinDivision of Medical Oncology, Department of Medicine, University of British Columbia, BC Cancer, Vancouver, BC, Canada. Electronic address: jlaskin@bccancer.bc.ca.
S V LiuGeorgetown University Medical Center, Washington, USA.
K TolbaOregon Health and Science University, Portland, OR, USA.
C HeiningDepartment of Translational Medical Oncology, National Center for Tumor Diseases (NCT) Dresden and German Cancer Research Center (DKFZ), Dresden, Germany; Center for Personalized Oncology, NCT Dresden and University Hospital Carl Gustav Carus Dresden at Technical University Dresden, Dresden, Germany; German Cancer Consortium (DKTK), Dresden, Germany.
R F SchlenkNational Center of Tumor Diseases Heidelberg, Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany.
P CheemaWilliam Osler Health System, University of Toronto, Toronto, ON, Canada.
J CadranelAssistance Publique Hôpitaux de Paris, Hôpital Tenon and Sorbonne Université, Paris, France.
M R JonesQIAGEN Digital Insights, QIAGEN Inc., Redwood City, CA, USA.
A DrilonMemorial Sloan Kettering Cancer Center, New York, NY, USA.
A CsehBoehringer Ingelheim International GmbH, Ingelheim, Germany.
S GyorffyAstraZeneca Canada Ltd, Mississauga, ON, Canada.
F SolcaBoehringer Ingelheim RCV GmbH & Co KG, Vienna, Austria.
M DuruisseauxHospices Civils de Lyon Cancer Institute, Anticancer Antibodies Lab Cancer Research Center of Lyon INSERM 1052 CNRS 528, Université Claude Bernard Lyon 1, Lyon, France.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Oncogenic gene fusions are hybrid genes that result from structural DNA rearrangements, leading to deregulated activity. Fusions involving the neuregulin-1 gene (NRG1) result in ErbB-mediated pathway activation and therefore present a rational candidate for targeted treatment. The most frequently reported NRG1 fusion is CD74-NRG1, which most commonly occurs in patients with invasive mucinous adenocarcinomas (IMAs) of the lung, although several other NRG1 fusion partners have been identified in patients with lung cancer, including ATP1B1, SDC4, and RBPMS. NRG1 fusions are also present in patients with other solid tumors, such as pancreatic ductal adenocarcinoma. In general, NRG1 fusions are rare across different types of cancer, with a reported incidence of <1%, with the notable exception of IMA, which represents ≈2%-10% of lung adenocarcinomas and has a reported incidence of ≈10%-30% for NRG1 fusions. A substantial proportion (≈20%) of NRG1 fusion-positive non-small-cell lung cancer cases are nonmucinous adenocarcinomas. ErbB-targeted treatments, such as afatinib, a pan-ErbB tyrosine kinase inhibitor, are potential therapeutic strategies to address unmet treatment needs in patients harboring NRG1 fusions.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAfatinibBiologyHumansNeuregulin-1Oncogene Proteins, FusionAfatinibNeuregulin-1NRG1 protein, humanOncogene Proteins, FusionafatinibErbB-targeted treatmentgene fusioninvasive mucinous adenocarcinomanon-small-cell lung cancerNRG1

Identifiers

PMID32916265
PMCPMC8911318

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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.