Evidence map›Paper›PMID 34526717›Full record

ArticleNature2021

Structure-based classification predicts drug response in EGFR-mutant NSCLC.

Jacqulyne P Robichaux, Xiuning Le, R S K Vijayan, J Kevin Hicks, Simon Heeke, Yasir Y Elamin, Heather Y Lin, Hibiki Udagawa, Ferdinandos Skoulidis, Hai Tran and 23 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Nature, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06062823 (An Open-label Phase II Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations Categorized According to Structural Based Classification), which is not on this map. Cited by 291 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
291citing papers in PubMed, 1 pooled it
41.8field-weighted citation impact, top 1% 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.

NCT06062823 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

An Open-label Phase II Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations Categorized According to Structural Based Classification

TypeinterventionalSponsorNational University Hospital, SingaporeRan2024 to 2026Enrolled35ConditionsNSCLCArmsAfatinib 40 MG
3 · Its place in the literature

Who cites it

291 citing papers in PubMed, 1 synthesis or guideline pooled it, 427 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. A Multicenter Open-Label Randomized Phase II Study of Osimertinib With and Without Ramucirumab in Tyrosine Kinase Inhibitor-NaïveJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  6. Article
  7. Article
  8. Article
  9. Retrospective real-world associations betweenTranslational lung cancer research · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Novel Co-Occurrence of GermlineInternational journal of molecular sciences · 2026
    Article
  18. Article
  19. Review
  20. Article

231 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 4 institutions in 2 countries.

Jacqulyne P RobichauxDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Xiuning LeDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
R S K VijayanInstitute for Applied Cancer Science, MD Anderson Cancer Center, Houston, TX, USA.
J Kevin HicksDepartment of Individualized Cancer Management, Moffitt Cancer Center, Tampa, FL, USA.
Simon HeekeDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-5916-534X
Yasir Y ElaminDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-5312-909X
Heather Y LinDepartment of Biostatistics, MD Anderson Cancer Center, Houston, TX, USA.
Hibiki UdagawaDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Ferdinandos SkoulidisDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Hai TranDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Susan VargheseDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Junqin HeDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Fahao ZhangDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Monique B NilssonDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Lemei HuDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Alissa PoteeteDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Waree RinsurongkawongQuantitative Research Computing, MD Anderson Cancer Center, Houston, TX, USA.
Xiaoshan ZhangDepartment of Thoracic and Cardiovascular Surgery, MD Anderson Cancer Center, Houston, TX, USA.
Chenghui RenDepartment of Thoracic and Cardiovascular Surgery, MD Anderson Cancer Center, Houston, TX, USA.
Xiaoke LiuDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Lingzhi HongDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.
Jianjun ZhangDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-7872-3477
Lixia DiaoDepartment of Bioinformatics and Computational Biology, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-6995-4492
Russell MadisonFoundation Medicine, Cambridge, MA, USA.
Alexa B SchrockFoundation Medicine, Cambridge, MA, USA.
Jennifer SaamGuardant Health, Redwood City, CA, USA.
Victoria RaymondGuardant Health, Redwood City, CA, USA.
Bingliang FangDepartment of Thoracic and Cardiovascular Surgery, MD Anderson Cancer Center, Houston, TX, USA.
Jing WangDepartment of Bioinformatics and Computational Biology, MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-5398-0802
Min Jin HaDepartment of Biostatistics, MD Anderson Cancer Center, Houston, TX, USA.
Jason B CrossInstitute for Applied Cancer Science, MD Anderson Cancer Center, Houston, TX, USA.
Jhanelle E GrayDepartment of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA.
John V HeymachDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, TX, USA. JHeymach@mdanderson.org.ORCID http://orcid.org/0000-0001-9068-8942
The University of Texas MD Anderson Cancer Center · USFoundation Medicine (United States)Guardant (United States) · USMoffitt Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V., MINNA, JOHN D. · 1996 to 2024
$57.4M
University of Texas PDX Development and Trial CenterU54CA224065 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DAMODARAN, SENTHILKUMAR, MERIC-BERNSTAM, FUNDA · 2017 to 2022
$7.7M
Molecular features impacting drug resistance in atypical EGFR exon 18 and exon 20 mutant non-small cell lung cancers and the development of novel mutant-selective inhibitorsR01CA247975 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HEYMACH, JOHN V., JONES, PHILIP · 2020 to 2024
$2.8M
Therapeutic strategies against EGFR exon 20 mutant lung cancerR01CA234183 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HEYMACH, JOHN V., WONG, KWOK KIN · 2020 to 2024
$2.8M
Overcoming Resistance to Anti-EGFR Therapy by Drug RepurposingR01CA190628 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI FANG, BINGLIANG, HEYMACH, JOHN V. · 2015 to 2019
$2.6M
Targeting EGFR mutant tyrosine kinase inhibitors (TKIs) resistant and drug-tolerant persister cells in non-small cell lung cancer (NSCLC)R50CA265307 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI NILSSON, MONIQUE B · 2021 to 2025
$585k
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA070907NCI NIH HHS R01 CA190628NCI NIH HHS R01 CA234183NCI NIH HHS R01 CA247975NCI NIH HHS R50 CA265307NCI NIH HHS U54 CA224065
6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR) mutations typically occur in exons 18-21 and are established driver mutations in non-small cell lung cancer (NSCLC)

Indexed as

AfatinibAnimalsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungCell Line, TumorDrug RepositioningDrug Resistance, NeoplasmErbB ReceptorsExonsFemaleHumansLung NeoplasmsMiceMolecular Docking SimulationMutationStructure-Activity RelationshipAfatinibAntineoplastic AgentsEGFR protein, humanErbB Receptors

Identifiers

PMID34526717
PMCPMC8481125
OpenAlexW3199928453

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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.