Evidence map›Paper›PMID 33113888›Full record

ArticlePharmaceuticals (Basel, Switzerland)2020

The Combination of Afatinib and Bevacizumab in Untreated EGFR-Mutated Advanced Lung Adenocarcinoma: A Multicenter Observational Study.

Ping-Chih Hsu, Chun-Yao Huang, Chin-Chou Wang, Scott Chih-Hsi Kuo, Chia-Hsun Chu, Pi-Hung Tung, Allen Chung-Cheng Huang, Chih-Liang Wang, Li-Chung Chiu, Yueh-Fu Fang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 10% 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, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. State-of-the-Art Molecular Oncology of Lung Cancer in Taiwan.International journal of molecular sciences · 2022
    Review
  7. Article
  8. Article
  9. FAK in Cancer: From Mechanisms to Therapeutic Strategies.International journal of molecular sciences · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Review
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 3 institutions in 1 country.

Ping-Chih HsuDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-0173-7509
Chun-Yao HuangDepartment of Pulmonary and Critical Care, Buddhist Tzu Chi General Hospital, Taipei Branch, New Taipei City 231405, Taiwan.
Chin-Chou WangDivision of Pulmonary & Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City 83301, Taiwan.
Scott Chih-Hsi KuoDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Chia-Hsun ChuDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Pi-Hung TungDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Allen Chung-Cheng HuangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Chih-Liang WangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Li-Chung ChiuDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-1660-7715
Yueh-Fu FangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.
Cheng-Ta YangDepartment of Thoracic Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City 33305, Taiwan.ORCID 0000-0003-1846-1027
Chang Gung Memorial Hospital · TWChang Gung University · TWBuddhist Tzu Chi General Hospital · TW

Funding

Chang-Gung Medical Research Project CMRPG3D1891Chang-Gung Medical Research Project CMRPG3D1892Chang-Gung Medical Research Project CMRPG3D1893Chang-Gung Medical Research Project CMRPG5H0141Ministry of Science and Technology, Taiwan 108-2314-B-182A-133-Ministry of Science and Technology, Taiwan 109-2628-B-182A-009-
6 · The paper itself

Abstract

The efficacy of afatinib in combination with bevacizumab in untreated advanced epidermal growth factor receptor (EGFR)-mutated lung adenocarcinoma is currently unclear. We sought to investigate the efficacy of this combination through a multicenter observational analysis. Data for 57 patients with advanced EGFR-mutated lung adenocarcinoma who received afatinib combined with bevacizumab as first-line therapy at the Chang Gung Memorial Hospitals in Linkou and Kaohsiung and Taipei Tzu Chi Hospital from May 2015 to July 2019 were analyzed. The objective response rate and disease control rate of afatinib combined with bevacizumab therapy were 87.7% and 100%, respectively. In all patients, the median progression-free survival (PFS) and overall survival (OS) were 23.9 (95% confidence interval (CI) (17.56-29.17)) and 45.9 (95% CI (39.50-53.60)) months, respectively. No statistical significance between exon 19 deletion and L858R mutations was noted in PFS or OS. The most frequent adverse events (AEs) were diarrhea (98.2%) and dermatitis (96.5%), and most AEs were grade 2 or lower and manageable. The combination of afatinib and bevacizumab is an effective therapy for untreated advanced EGFR-mutated lung adenocarcinoma with acceptable safety. Future prospective studies focusing on this combination for untreated advanced EGFR-mutated lung adenocarcinoma are warranted.

Indexed as

afatinibanti-angiogenesisbevacizumabepidermal growth factor receptor (EGFR)lung adenocarcinomatyrosine kinase inhibitor (TKI)

Identifiers

PMID33113888
PMCPMC7690705
OpenAlexW3094349315

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.