Evidence map›Paper›PMID 34307179›Full record

ArticleFrontiers in oncology2021

Afatinib in EGFR TKI-Naïve Patients with Locally Advanced or Metastatic EGFR Mutation-Positive Non-Small Cell Lung Cancer: A Pooled Analysis of Three Phase IIIb Studies.

Antonio Passaro, Filippo de Marinis, Hai-Yan Tu, Konstantin K Laktionov, Jifeng Feng, Artem Poltoratskiy, Jun Zhao, Eng Huat Tan, Maya Gottfried, Victor Lee and 9 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. UncommonCurrent oncology (Toronto, Ont.) · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Real-world first-line afatinib for advancedTranslational lung cancer research · 2023
    Article
  7. Real-world analysis of first-line afatinib in patients withTranslational lung cancer research · 2023
    Article
  8. Review
  9. Review
  10. Article
  11. 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

19 authors.

Antonio PassaroDivision of Thoracic Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Filippo de MarinisDivision of Thoracic Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Hai-Yan TuGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, Guangzhou, China.
Konstantin K LaktionovRussian Academy of Medical Sciences, Moscow, Russia.
Jifeng FengJiangsu Provincial Tumor Hospital, Nanjing, China.
Artem PoltoratskiyPetrov Research Institute of Oncology, St Petersburg, Russia.
Jun ZhaoPeking University Cancer Hospital & Institute, Beijing, China.
Eng Huat TanNational Cancer Centre, Singapore, Singapore.
Maya GottfriedTel Aviv University, Tel Aviv, Israel.
Victor LeeDepartment of Clinical Oncology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Dariusz KowalskiMaria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Cheng Ta YangChang Gung Memorial Hospital, Guishan, Taoyuan, Taiwan.
B J SrinivasaHCG Hospital, Bangalore, India.
Laura ClementiBoehringer Ingelheim Italia S.p.A., Milan, Italy.
Tejaswini JalikopSyneos Health, Raleigh, NC, United States.
Dennis Chin Lun HuangBoehringer Ingelheim Taiwan Limited, Taipei, Taiwan.
Agnieszka CsehBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Keunchil ParkDivision of Hematology Oncology, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, South Korea.
Yi-Long WuGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfatinib is approved for first-line treatment of patients with epidermal growth factor receptor mutation-positive (

methodsEGFR-TKI-naïve patients with

results1108 patients were treated. Median age was 61 years (range, 25-89); 19.2% had baseline brain metastases, 4.4% had ECOG PS ≥2, and 17.9% had tumors harboring uncommon mutations. Treatment-related AEs (TRAEs) were reported in 97.2%, most commonly diarrhea and rash. 41.6% had AEs leading to dose reduction. Median PFS was 13.0 months [95% confidence interval (CI): 12.0-13.8]; median TTSP was 14.8 months (95% CI: 13.9-16.1). Objective response rate (ORR) was 55.0%. Age, presence of baseline brain metastases, major (G719X, L861Q, S768I) or compound uncommon mutations had little/no effect on PFS, TTSP, or ORR, while outcomes were poorer in patients with ECOG PS 2 or exon 20 insertion/T790M mutations.

conclusionsAfatinib was tolerable with no new safety signals. Afatinib demonstrated encouraging efficacy in a broad patient population, including those with brain metastases or uncommon

Indexed as

afatinibEGFR mutationEGFR TKI-naïveNSCLCreal worldsafety

Identifiers

PMID34307179
PMCPMC8298067

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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.