Evidence map›Paper›PMID 34151132›Full record

Trial reportJCO precision oncology2021

Randomized Phase II Study of 3 Months or 2 Years of Adjuvant Afatinib in Patients With Surgically Resected Stage I-III

Joel W Neal, Daniel B Costa, Alona Muzikansky, Joseph B Shrager, Michael Lanuti, James Huang, Kavitha J Ramachandran, Deepa Rangachari, Mark S Huberman, Zofia Piotrowska and 4 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Targeted therapy for stage IA non-small cell lung cancer withTranslational lung cancer research · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Current status of molecular diagnostics for lung cancer.Exploration of targeted anti-tumor therapy · 2024
    Review
  9. Article
  10. Article
  11. Cancers · 2022
    Review
  12. 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

14 authors.

Joel W NealStanford Cancer Institute, Stanford, CA.
Daniel B CostaBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Alona MuzikanskyMassachusetts General Hospital and Harvard Medical School, Boston, MA.
Joseph B ShragerStanford Cancer Institute, Stanford, CA.
Michael LanutiStanford Cancer Institute, Stanford, CA.
James HuangThoracic Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
Kavitha J RamachandranStanford Cancer Institute, Stanford, CA.
Deepa RangachariBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Mark S HubermanBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Zofia PiotrowskaMassachusetts General Hospital and Harvard Medical School, Boston, MA.
Mark G KrisThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Christopher G AzzoliMassachusetts General Hospital and Harvard Medical School, Boston, MA.
Lecia V SequistMassachusetts General Hospital and Harvard Medical School, Boston, MA.
Jamie E ChaftThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
The Activation of ERBB3 Signaling as a Resistance Mechanism to Targeted TherapiesR01CA137008 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Aaron N Hata, ZOFIA PIOTROWSKA · 2009 to 2026
$5.7M
Unmet needs for specific subsets of EGFR mutated lung cancerR37CA218707 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI COSTA, DANIEL BOTELHO · 2018 to 2024
$2.8M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA137008NCI NIH HHS R37 CA218707
6 · The paper itself

Abstract

For patients with surgically resected disease, multiple studies suggest a benefit of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) in delaying cancer recurrence. The necessary duration of therapy for benefit is unknown. MATERIALS AND

methodsThis randomized phase II study enrolled patients with completely resected stage IA-IIIB

resultsForty-six patients enrolled and 45 were treated. The assigned course of afatinib treatment was completed by 96% (22/23) of patients in the 3-month group and only 41% (9/22) in the 2-year group. The 2-year recurrence-free survival (RFS) rates were 70% in the 3-month group and 81% in the 2-year group (

conclusionRecurrences at 2 years were 11% less common with 2 years versus 3 months of adjuvant afatinib. This difference did not meet the 20% primary study target, likely because of underaccrual and early drug discontinuation on the 2-year group. With the availability of osimertinib with better efficacy and tolerability than earlier-generation agents, the optimal duration of adjuvant EGFR TKI therapy remains an important question.

Indexed as

MutationAfatinibAgedAged, 80 and overAntineoplastic AgentsCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantErbB ReceptorsFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingProspective StudiesTime FactorsAfatinibAntineoplastic AgentsEGFR protein, humanErbB Receptors

Identifiers

PMID34151132
PMCPMC8205223

What OpenQuestion holds

Textmetadata
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.