Evidence map›Paper›PMID 32918064›Full record

ReviewNature reviews. Clinical oncology2021

Strategies for the successful implementation of plasma-based NSCLC genotyping in clinical practice.

Charu Aggarwal, Christian D Rolfo, Geoffrey R Oxnard, Jhanelle E Gray, Lynette M Sholl, David R Gandara

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05853887 (iNUDGE), which is not on this map. Cited by 83 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 4 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.

NCT05853887 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

iNUDGE: INtegration of liqUiD Biopsy Based Next Generation Gene sEquencing in Newly Diagnosed NSCLC - A Stepped Wedge Cluster Randomized Clinical Trial

TypeinterventionalSponsorCharu AggarwalRan2023 to 2026Enrolled260ConditionsNon Small Cell Lung Cancer Metastatic, Newly Diagnosed NSCLC, Non-Squamous Non-Small Cell Neoplasm of LungArmsiNUDGE
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Diagnostic accuracy of next-generation sequencing (NGS) for identifying actionable mutations in advanced non-small cell lung cancer: Systematic Review and Meta-Analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Liquid biopsy in solid tumours: expert opinion paper of the European society of pathology.Virchows Archiv : an international journal of pathology · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Advances in the Basic Sciences in Thoracic Oncology in the Last 20 Years and Their Translational Impact.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Update on Liquid Biopsy.Radiology · 2025
    Review
  18. Article
  19. Review
  20. Article

23 more citing papers are in PubMed but not listed here.

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.

Charu Aggarwal *Division of Hematology and Oncology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. charu.aggarwal@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-3181-9460
Christian D Rolfo *Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Balitmore, MD, USA.ORCID http://orcid.org/0000-0002-5109-0267
Geoffrey R OxnardLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jhanelle E GrayDepartment of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Lynette M ShollDepartment of Pathology, Brigham and Women's Hospital, Boston, MA, USA.
David R GandaraUC Davis Comprehensive Cancer Center, Sacramento, CA, USA.

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Laura Marcu · 2002 to 2026
$84.9M
Early change in plasma tumor DNA as a patient and trial-level diagnostic in advanced lung cancerR01CA240592 · NCI · DANA-FARBER CANCER INST · PI PAWELETZ, CLOUD PETER · 2020 to 2024
$2.2M
NCI NIH HHS P30 CA093373NCI NIH HHS R01 CA240592
6 · The paper itself

Abstract

Upfront tumour genotyping is now considered an essential step in guiding treatment decision-making in the management of patients with advanced-stage non-small-cell lung cancer (NSCLC) in light of the ever-expanding toolbox of targeted therapies and immune-checkpoint inhibitors. However, genotyping of tumour biopsy samples is not feasible for all patients and, therefore, genomic analysis of circulating tumour DNA (ctDNA) has emerged as a compelling non-invasive option. Current guidelines universally recommend genotyping and support the use of ctDNA testing in certain settings, although they often omit the detail necessary for integrating these tests into clinical care on an individual basis. In this Perspective, we describe the rationale, promise and challenges associated with ctDNA-based NSCLC genotyping and suggest a framework for the implementation of these assays into routine clinical practice. We also offer considerations for the interpretation of ctDNA genotyping results, which, particularly when using next-generation sequencing panels, can be nuanced. Through the addition of this new approach to clinical practice, we propose that oncologists might finally be able to utilize effective genotyping in nearly all patients with advanced-stage NSCLC.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungCirculating Tumor DNAGenomicsGenotypeGenotyping TechniquesHumansLung NeoplasmsBiomarkers, TumorCirculating Tumor DNA

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.