Evidence map›Paper›PMID 34320421›Full record

ArticleLung cancer (Amsterdam, Netherlands)2021

Real-world insights into patients with advanced NSCLC and MET alterations.

Marisa Bittoni, James Chih-Hsin Yang, Jin-Yuan Shih, Nir Peled, Egbert F Smit, D Ross Camidge, Rajeswara Rao Arasada, Dina Oksen, Emmanuelle Boutmy, Christopher Stroh and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Lung cancer (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.3field-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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Non-small cell lung cancer withFrontiers in oncology · 2023
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Health Utility Analysis of Tepotinib in Patients With Non-Small Cell Lung Cancer Harboring MET Exon 14 Skipping.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
    Article
  10. Article
  11. Article
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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

13 authors at 9 institutions in 5 countries.

Marisa BittoniJames Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA. Electronic address: Marisa.Bittoni@osumc.edu.
James Chih-Hsin YangDepartment of Medical Oncology, National Taiwan University Cancer Center, Taiwan. Electronic address: chihyang@ntu.edu.tw.
Jin-Yuan ShihDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address: jyshih@ntu.edu.tw.
Nir PeledOncology Department, Shaare Zedek Medical Center, Jerusalem, Israel. Electronic address: peled.nir@gmail.com.
Egbert F SmitDepartment of Thoracic Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands. Electronic address: e.smit@nki.nl.
D Ross CamidgeMedical Oncology Department, University of Colorado, Aurora, CO, USA. Electronic address: ross.camidge@ucdenver.edu.
Rajeswara Rao ArasadaJames Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA. Electronic address: rajeswara_rao.arasada@boehringer-ingelheim.com.
Dina OksenResearch and Development, Merck Healthcare KGaA, Darmstadt, Germany. Electronic address: dina.oksen@merckgroup.com.
Emmanuelle BoutmyResearch and Development, Merck Healthcare KGaA, Darmstadt, Germany. Electronic address: emmanuelle.boutmy@merckgroup.com.
Christopher StrohResearch and Development, Merck Healthcare KGaA, Darmstadt, Germany. Electronic address: christopher.stroh@merckgroup.com.
Andreas JohneResearch and Development, Merck Healthcare KGaA, Darmstadt, Germany. Electronic address: andreas.johne@merckgroup.com.
David P CarboneJames Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA. Electronic address: David.Carbone@osumc.edu.
Paul K PaikThoracic Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA. Electronic address: paikp@mskcc.org.
Merck (Germany) · DEThe Ohio State University · USMemorial Sloan Kettering Cancer Center · USNational Taiwan University · TWNational Taiwan University Hospital · TWShaare Zedek Medical Center · ILThe Netherlands Cancer Institute · NLThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Colorado Anschutz Medical Campus · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesTo describe characteristics, treatment and outcomes of non-small cell lung cancer (NSCLC) patients with MET alterations (MET exon 14 [METex14] skipping or MET amplification [METamp]) in real-world clinical care.

methodsThis non-interventional cohort study used real-world data extracted from electronic medical records from academic oncology sites in Israel, The Netherlands, Taiwan, and the USA. Patients had confirmed diagnosis of advanced (Stage IIIB-IV) NSCLC harboring MET alterations (date of diagnosis = index date) between 1 Jan 2010 and 30 Sept 2018. Medical history was assessed prior to and at the index date (baseline period), and outcomes from first date of treatment to death, loss to follow-up, or end of study period.

resultsA total of 117 patients were included (METex14 n = 70; METamp n = 47); testing methods were heterogeneous. Concomitant oncogenic mutations were more common in the METamp cohort than METex14. Patients in the METex14 cohort were older than those in METamp, and a larger proportion were never smokers. Anticancer first-line therapies received by patients (METex14; METamp) included chemotherapy only (44%; 41%), MET inhibitors (33%; 29%), immune checkpoint inhibitor (ICI) mono-(12%; 15%) and combination-therapy (8%; 3%). Second-line therapies included chemotherapy (35%; 30%) and MET inhibitors (30%; 39%). In the METex14 cohort, objective response rate (ORR) was generally low (first-line 28%; second-line 30%); no patients who received ICIs had a response. In the METamp cohort, ORR was 36% in first-line and 22% in second-line. Median (95% confidence interval) overall survival from start of first-line therapy was 12.0 months (6.8, 19.2) in the METex14 cohort and 22.0 months (9.8, 31.2) in METamp.

conclusionsHeterogeneous treatments reflect the changing landscape and availability of new treatments, as well as the high unmet medical need in older, METex14 patients who had more advanced disease at diagnosis. MET-targeted therapies could be beneficial in patients with these rare MET alterations.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAgedCohort StudiesExonsHumansMutationAdvanced NSCLCBiomarkersMET amplificationMET exon 14OutcomesReal-world dataTreatment patterns

Identifiers

PMID34320421
PMCPMC9345068
OpenAlexW3184303806

What OpenQuestion holds

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LicenceCC BY
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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.