Evidence map›Paper›PMID 33569305›Full record

ArticleTranslational lung cancer research2021

Role of next generation sequencing-based liquid biopsy in advanced non-small cell lung cancer patients treated with immune checkpoint inhibitors: impact of STK11, KRAS and TP53 mutations and co-mutations on outcome.

Alberto Pavan, Andrea Boscolo Bragadin, Lorenzo Calvetti, Alessandra Ferro, Elisabetta Zulato, Ilaria Attili, Giorgia Nardo, Alessandro Dal Maso, Stefano Frega, Andrea Giovanni Menin and 9 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Translational lung cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02864992 (A Phase II Single-arm Trial to Investigate Tepotinib in Advanced), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.1field-weighted citation impact, top 7% 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.

NCT02864992 phase2active not recruitingnot on this map

A Phase II Single-arm Trial to Investigate Tepotinib in Advanced (Locally Advanced or Metastatic) Non-small Cell Lung Cancer With METex14 Skipping Alterations or MET Amplification (VISION)

TypeinterventionalSponsorEMD Serono Research & Development Institute, Inc.Ran2016 to 2026Enrolled337ConditionsAdvanced (Stage IIIB/IV) Non-small Cell Lung Cancer (NSCLC) With MET Exon 14 (METex14) Skipping Alterations or MET Amplification, Lung Adenocarcinoma Stage IIIB/IVArmsTepotinib
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 43 citations in OpenAlex.

  1. Comparing Real-Time PCR and Amplicon-Based NGS for RoutineDiagnostics (Basel, Switzerland) · 2026
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  14. Frontiers in oncology · 2024
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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

19 authors at 5 institutions in 2 countries.

Alberto PavanMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Andrea Boscolo BragadinDepartment of Surgery, Oncology and Gastroenterology, Università degli Studi di Padova, Padova, Italy.
Lorenzo CalvettiDepartment of Oncology, San Bortolo General Hospital, ULSS8 Berica - East District, Vicenza, Italy.
Alessandra FerroMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Elisabetta ZulatoImmunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Ilaria AttiliMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Giorgia NardoImmunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Alessandro Dal MasoMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Stefano FregaMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Andrea Giovanni MeninDepartment of Pathology, San Bortolo General Hospital, ULSS8 Berica - East District, Vicenza, Italy.
Matteo FassanDepartment of Medicine, Surgical Pathology and Cytopathology Unit, Università degli Studi di Padova, Padova, Italy.
Fiorella CalabreseDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, Università degli Studi di Padova, Padova, Italy.
Giulia PaselloMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Valentina GuarneriMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Giuseppe AprileDepartment of Oncology, San Bortolo General Hospital, ULSS8 Berica - East District, Vicenza, Italy.
PierFranco ConteMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Rafael RosellCancer Biology and Precision Medicine Program, Catalan Institute of Oncology, Germans Trias I Pujol Health Sciences Institute and Hospital Badalona, Barcelona, Spain.
Stefano IndraccoloImmunology and Molecular Oncology Unit, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Laura BonannoMedical Oncology 2, Istituto Oncologico Veneto IOV - IRCCS, Padova, Italy.
Istituto Oncologico Veneto · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Padua · ITOspedale San Bortolo · ITInstitut Català d'Oncologia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCharacterization of tumor-related genetic alterations is promising for the screening of new predictive markers in non-small cell lung cancer (NSCLC). Aim of the study was to evaluate prognostic and predictive role of most frequent tumor-associated genetic alterations detected in plasma before starting immune checkpoint inhibitors (ICIs).

methodsBetween January 2017 and October 2019, advanced NSCLC patients were prospectively screened with plasma next-generation sequencing (NGS) while included in two trials: VISION (NCT02864992), using Guardant360

resultsA total of 103 patients receiving ICIs were analyzed: median overall survival (OS) was 20.8 (95% CI: 16.7-24.9) months and median immune-related progression free disease (irPFS) 4.2 (95% CI: 2.3-6.1) months. TP53 mutations in plasma negatively affected OS both in patients treated with ICIs and in control group (P=0.001 and P=0.009), indicating a prognostic role. STK11 mutated patients (n=9) showed a trend for worse OS only if treated with ICIs. The presence of KRAS/STK11 co-mutation and KRAS/STK11/TP53 co-mutation affected OS only in patients treated with ICIs (HR =10.936, 95% CI: 2.337-51.164, P=0.002; HR =17.609, 95% CI: 3.777-82.089, P<0.001, respectively), indicating a predictive role.

conclusionsPlasma genotyping demonstrated prognostic value of TP53 mutations and predictive value of KRAS/STK11 and KRAS/STK11/TP53 co-mutations.

Indexed as

circulating tumor DNAImmunotherapylung cancerpredictive biomarkersSTK11

Identifiers

PMID33569305
PMCPMC7867770
OpenAlexW3117823152

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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.