Evidence map›Paper›PMID 34195574›Full record

ArticleEClinicalMedicine2021

Afatinib versus erlotinib as second-line treatment of patients with advanced squamous cell carcinoma of the lung: Final analysis of the randomised phase 3 LUX-Lung 8 trial.

Glenwood D Goss, Manuel Cobo, Shun Lu, Konstantinos Syrigos, Ki Hyeong Lee, Erdem Göker, Vassilis Georgoulias, Dolores Isla, Alessandro Morabito, Young J Min and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01523587 (LUX-Lung 8), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.5field-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.

NCT01523587 phase3completednot on this map

LUX-Lung 8: A Randomized, Open-label Phase III Trial of Afatinib Versus Erlotinib in Patients With Advanced Squamous Cell Carcinoma of the Lung as Second-line Therapy Following First-line Platinum-based Chemotherapy

TypeinterventionalSponsorBoehringer IngelheimRan2012 to 2017Enrolled795ConditionsCarcinoma, Non-Small-Cell LungArmsafatinib, erlotinib
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Lung-MAP Next-Generation Sequencing Analysis of Advanced Squamous Cell Lung Cancers (SWOG S1400).Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2024
    Article
  5. Review
  6. [Advances of Molecular Targeted Therapy in EGFR-mutated Squamous Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2024
    Review
  7. Observational
  8. Article
  9. Article
  10. Observational
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 at 14 institutions in 9 countries.

Glenwood D GossThe Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON K1H 8L6, Canada.
Manuel CoboUnidad de Gestión Clínica Intercentros de Oncología Médica, Hospitales Universitarios Regional y Virgen de la Victoria, IBIMA, Málaga, Spain.
Shun LuShanghai Chest Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Konstantinos SyrigosNational & Kapodistrian University of Athens, Athens, Greece.
Ki Hyeong LeeChungbuk National University College of Medicine, Cheongju, South Korea.
Erdem GökerEge University Faculty of Medicine, Izmir, Turkey.
Vassilis GeorgouliasDepartment of Medical Oncology, University Hospital of Heraklion, Heraklion, Crete, Greece.
Dolores IslaHospital Lozano Blesa, Zaragoza, Spain.
Alessandro MorabitoIstituto Nazionale Tumori - IRCCS "Fondazione G. Pascale", Naples, Italy.
Young J MinUlsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Andrea ArdizzoniPoliclinico S. Orsola, Bologna, Italy.
Shaun BenderBoehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, USA.
Agnieszka CsehBoehringer Ingelheim International GmbH, Ingelheim 55216, Germany.
Enriqueta FelipVall d'Hebron University Hospital and Institute of Oncology (VHIO), UVic-UCC, IOB-Quiron, Barcelona, Spain.
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (United States) · USChungbuk National University · KREge University · TRHospital Clínico Universitario Lozano Blesa · ESInstituto de Investigación Biomédica de Málaga · ESIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITNational and Kapodistrian University of Athens · GROttawa Hospital · CAPoliclinico S.Orsola-Malpighi · ITShanghai Chest Hospital · CNUlsan College · KRUniversitat de Vic - Universitat Central de Catalunya · ESUniversity Hospital of Heraklion · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLUX-Lung 8 was a randomised, controlled, phase 3 study comparing afatinib and erlotinib as second-line treatment of patients with advanced squamous cell carcinoma (SCC) of the lung. We report the final overall survival (OS) and safety analyses of LUX-Lung 8 and investigate the characteristics of patients who achieved long-term benefit (≥12 months' treatment).

methodsLUX-Lung 8 (NCT01523587) enroled patients between March 2012 and January 2014 in 183 cancer centres located in 23 countries worldwide and this final analysis had a data cut-off of March 2018. Eligible patients had stage IIIB or IV lung SCC and had progressed after at least four cycles of platinum-based chemotherapy. Patients were randomly assigned (1:1) to receive afatinib (40 mg per day) or erlotinib (150 mg per day) until disease progression. Endpoints included OS and safety; a post-hoc analysis of patients with long-term benefit (≥12 months on treatment) was also conducted.

findings795 eligible patients were randomly assigned (398 to afatinib, 397 to erlotinib). OS was significantly prolonged with afatinib compared with erlotinib (median 7·8 months vs 6·8 months; hazard ratio 0·84; 95% CI 0·73-0·97;

interpretationAfatinib is a treatment option for patients with SCC of the lung progressing on chemotherapy who are ineligible for immunotherapy, particularly those with

Indexed as

AfatinibERBBNon-small cell lung cancerSecond-lineSquamous cell lung carcinoma

Identifiers

PMID34195574
PMCPMC8225678
OpenAlexW3175516050

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.