Evidence map›Paper›PMID 32953500›Full record

ArticleTranslational lung cancer research2020

Concomitant genetic alterations are associated with response to

Hualin Chen, Meilian Liu, Zhiwei Dai, Shujun Li, Yiping Luo, Yongcun Wang, Wenmei Su, Weijing Cai, Donghong Yang, Jian Huang and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.3field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 1 institution in 1 country.

Hualin ChenDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Meilian LiuDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Zhiwei DaiDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Shujun LiDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Yiping LuoDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Yongcun WangDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Wenmei SuDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Weijing CaiShanghai Tongshu Biotechnology Co., Ltd., Shanghai, China.
Donghong YangDepartment of Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Jian HuangDepartment of Pathology, Pathological Diagnosis and Research Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Zhixiong YangDepartment of Pulmonary Oncology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Guangdong Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) are considered to be more effective than chemotherapy in the treatment of EGFR-mutant advanced non-small cell lung cancer (NSCLC). However, in addition to EGFR-sensitive mutations, the genetic factors that affect the prognosis of patients who receive TKI treatment are not yet clear.

methodsThe clinical data of 36 NSCLC patients with EGFR mutation who received TKI treatment were retrospectively analyzed. Liquid re-biopsy with next generation sequencing (NGS) analysis was performed to analyze genetic alterations and potential resistance mechanisms.

resultsAll of the patients harbored actionable sensitive EGFR mutations by NGS, with the major types being 19del or 21L858R (52.78%, 19/36 and 55.56%, 20/36, respectively). The 3 most frequent accompanying somatic mutations were TP53 (12, 48.4%), KRAS (7, 19.44%) and PIK3CA (3, 8.33%). Concomitant mutations were present in 16 patients (44.44%). The occurrence of co-mutation was found to be significantly related to a history of smoking [87.5% (7 of 8)

conclusionsOur research underscores the importance of using multiple molecular profiles. Concomitant genetic alterations were significantly associated with response to EGFR targeted therapy in NSCLC. Therefore, research on multi-drug or sequential therapy to address the covariation that drives drug resistance is urgently needed.

Indexed as

concomitant genetic alterationepidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI)next generation sequencing (NGS)Non-small cell lung cancer (NSCLC)response

Identifiers

PMID32953500
PMCPMC7481595
OpenAlexW3043469587

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.