Evidence map›Paper›PMID 34012779›Full record

ArticleTranslational lung cancer research2021

Plasma pre-treatment T790M relative allelic frequency in patients with advanced EGFR-mutated non-small cell lung cancer predicts treatment response to subsequent-line osimertinib.

Pei N Ding, Tara L Roberts, Wei Chua, Therese M Becker, Nicole Caixeiro, Paul de Souza, Bo Gao, Chee K Lee, Malinda Itchins, Helen Westman and 6 more

Open 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. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  5. 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

16 authors at 8 institutions in 1 country.

Pei N DingIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Tara L RobertsIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Wei ChuaIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Therese M BeckerIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Nicole CaixeiroIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Paul de SouzaIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Bo GaoWestmead and Blacktown Cancer Centre, NSW, Australia.
Chee K LeeSt George Hospital, Kogarah, NSW, Australia.
Malinda ItchinsNorthern Cancer Institute, St Leonards, NSW, Australia.
Helen WestmanNorthern Cancer Institute, St Leonards, NSW, Australia.
Stephen ClarkeNorthern Cancer Institute, St Leonards, NSW, Australia.
Prunella BlinmanConcord Repatriation General Hospital, Concord, NSW, Australia.
Steven KaoChris O'Brien Lifehouse, Camperdown, NSW, Australia.
Tom JohnPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Jose L LealPeter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Victoria J BrayIngham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Ingham Institute · AUNorthern Cancer Institute · AUNepean Hospital · AUConcord Repatriation General Hospital · AUPeter MacCallum Cancer Centre · AUSt George Hospital · AUUniversity of Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately half of all patients with advanced EGFR-mutant NSCLC will develop acquired resistance to first or second-generation EGFR tyrosine kinase inhibitors (EGFR-TKIs) with a T790M mutation. In the AURA3 trial, patients with a T790M mutation had a response rate of 71% to osimertinib, a third-generation EGFR-TKI. The response to osimertinib may vary according to plasma T790M mutation frequency. Our aim was to determine the effect of plasma T790M mutation load on treatment response to osimertinib in an Australian multi-institutional cohort.

methodsWe performed a retrospective study on patients treated with osimertinib in the second-line setting and beyond between 2016-2018 from ten centres in Australia, who had T790M mutations detected in tumour or plasma. The primary objective was to investigate if there was a difference in disease control rate (DCR) between patients with high

resultsA total of 139 patients were included in this study. Patients with higher RAF demonstrated higher DCR (74%

conclusionsDCR was superior in patients with higher plasma T790M mutation load versus lower plasma T790M mutational load, without significant survival benefit. Plasma T790M RAF is a potential predictive biomarker which should be investigated and validated in larger prospective studies.

Indexed as

Circulating tumour DNAepidermal growth factor receptorliquid biopsynon-small cell lung cancer (NSCLC)T790M relative allelic frequency

Identifiers

PMID34012779
PMCPMC8107763
OpenAlexW3155421292

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.