Evidence map›Paper›PMID 33285743›Full record

ArticleMedicine2020

A randomized, multi-center, open-label study to compare the safety and efficacy between afatinib monotherapy and combination therapy of afatinib and HAD-B1 for the locally advanced or metastatic NSCLC patients with EGFR mutations.

Si-Yeon Song, Su-Jeong Ha, Ji-Hye Park, So-Jung Park, Seong Hoon Shin, Chulho Oak, Jun-Yong Choi, Seong Woo Yoon, Jung-A Kim, Seong Hoon Yoon and 3 more

Erratum issuedOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 44% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Si-Yeon SongEast West Cancer Center, Daejeon Korean Medicine Hospital of Daejeon University, Daejeon.
Su-Jeong HaEast West Cancer Center, Daejeon Korean Medicine Hospital of Daejeon University, Daejeon.ORCID 0000-0002-8089-5515
Ji-Hye ParkEast West Cancer Center, Seoul Korean Medicine Hospital of Daejeon University, Seoul.
So-Jung ParkEast West Cancer Center, Daejeon Korean Medicine Hospital of Daejeon University, Daejeon.
Seong Hoon ShinDepartment of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Pusan.
Chulho OakDepartment of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Pusan.
Jun-Yong ChoiDepartment of Internal Medicine, School of Korean Medicine & Korean Medicine Hospital of Pusan National University, Yangsan.
Seong Woo YoonKorean Medicine Cancer Center, Kyung Hee University Hospital at Gangdong.
Jung-A KimDivision of Hematology-Oncology, Department of Internal Medicine, Kyung Hee University Gangdong Hospital, Seoul.
Seong Hoon YoonDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan.
Ji Woong SonDepartment of Internal Medicine, Konyang University Hospital, Daejeon.
Seung Joon KimDepartment of Internal Medicine, Seoul St. Mary's Hospital, Postech-Catholic Biomedical Engineering Institute, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Hwa-Seung YooEast West Cancer Center, Seoul Korean Medicine Hospital of Daejeon University, Seoul.
Daejeon University · KRKorean Register (South Korea) · KRKosin University Gospel Hospital · KRDunsan Korean Medicine Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfatinib is an epidermal growth factor receptor - tyrosine kinase inhibitor (EGFR-TKI) with proven efficacy for treating patients with advanced or metastatic non-small cell lung cancer (NSCLC). Unfortunately, responses are limited by acquired resistance. Because traditional Korean medicine may have synergistic effects when combined with chemotherapy or radiotherapy, the aim of our study is to elucidate the efficacy and safety of afatinib plus HangAmDan-B1 (HAD-B1) combination therapy in the treatment of patients with NSCLC, as well as EGFR mutations, who need afatinib therapy. METHODS/

designThis study is a randomized, multi-center, open clinical trial. A total of 178 eligible subjects, recruited at 8 centers, are randomly assigned to take Afatinib (20-40 mg) ± HAD-B1 (0.972 g/day) for 48 weeks. In the test group, HAD-B1 and afatinib will be used in combination. The primary outcome is a comparison of progression-free survival (PFS) between afatinib monotherapy and afatinib plus HAD-B1 combination therapy in patients with local advanced or metastatic (Stage IIIA, B, C/IV) NSCLC. Secondary outcomes are the overall survival rates, clinical responses, tumor size reductions, health-related qualities of life, and safety. DISCUSSION: The result of this clinical trial will provide evidence for the efficacy and safety of using HAD-B1 in the treatment of EGFR-positive patients with locally advanced or metastatic NSCLC who require afatinib therapy.

trial registrationClinical Research Information Service (CRIS), Republic of Korea (ID: KCT0005414), on September 23, 2020.

Indexed as

AfatinibAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsErbB ReceptorsHumansMulticenter Studies as TopicNeoplasm StagingQuality of LifeRandomized Controlled Trials as TopicSurvival AnalysisAfatinibEGFR protein, humanErbB Receptors

Identifiers

PMID33285743
PMCPMC7717758
OpenAlexW3112926735

What OpenQuestion holds

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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.