Evidence map›Paper›PMID 34590037›Full record

ArticleJTO clinical and research reports2021

High Incidence of C797S Mutation in Patients With Long Treatment History of EGFR Tyrosine Kinase Inhibitors Including Osimertinib.

Atsushi Osoegawa, Masafumi Yamaguchi, Tomomi Nakamura, Ryotaro Morinaga, Kentaro Tanaka, Kosuke Kashiwabara, Takashi Miura, Takayuki Suetsugu, Taishi Harada, Tatsuma Asoh and 6 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

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

  1. Pooled it
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  3. Review
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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

16 authors at 12 institutions in 1 country.

Atsushi OsoegawaDepartment of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Yufu, Japan.
Masafumi YamaguchiDepartment of Thoracic Oncology, National Kyushu Cancer Center, Fukuoka, Japan.
Tomomi NakamuraDivision of Hematology, Respiratory Medicine and Oncology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Ryotaro MorinagaDepartment of Thoracic Medical Oncology, Oita Prefectural Hospital, Oita, Japan.
Kentaro TanakaResearch Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kosuke KashiwabaraDivision of Respiratory Disease, Kumamoto Regional Medical Center, Kumamoto, Japan.
Takashi MiuraDepartment of Thoracic Surgery, Shinbeppu Hospital, Beppu, Japan.
Takayuki SuetsuguDepartment of Respiratory Medicine, Sendai Medical Association Hospital, Satsumasendai, Japan.
Taishi HaradaDepartment of Respiratory Medicine, Japan Community Healthcare Organization Kyushu Hospital, Kitakyushu, Japan.
Tatsuma AsohDepartment of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan.
Kenichi TaguchiDepartment of Pathology, National Kyushu Cancer Center, Fukuoka, Japan.
Kazuki NabeshimaDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Junji KishimotoCenter for Clinical and Translational Research, Kyushu University Hospital, Japan.
Kazuko SakaiDepartment of Genome Biology, Faculty of Medicine, Kindai University, Higashiosaka, Japan.
Kazuto NishioDepartment of Genome Biology, Faculty of Medicine, Kindai University, Higashiosaka, Japan.
Kenji SugioDepartment of Thoracic and Breast Surgery, Oita University Faculty of Medicine, Yufu, Japan.
Kindai University · JPNational Hospital Organization Kyushu Cancer Center · JPOita University · JPBeppu Medical Center · JPFukuoka University · JPHamanomachi Hospital · JPKumamoto Medical Center · JPKyushu Hospital · JPKyushu University · JPKyushu University Hospital · JPOita Prefectural Hospital · JPSaga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough treatment with osimertinib confers survival benefits in patients with lung cancer with the

methodsPatients with

resultsBetween November 2016 and March 2020, a total of 87 patients were screened. Among them, 44 developed acquired resistance. Of these, 19 samples from rebiopsies and 12 from preosimertinib biopsies were able to be analyzed by an Oncomine Comprehensive Assay. A ccfDNA analysis was performed in 16 patients. Regarding the mechanisms of acquired resistance, structural change in EGFR, namely, C797S, G796S, or L792V, was the most frequent alteration, being observed in 57.9% of the cases.

conclusionsA repeated tissue biopsy and a ccfDNA analysis were useful in analyzing the mechanisms underlying acquired resistance. A long treatment history of EGFR TKIs may result in a high percentage of EGFR structural change.

Indexed as

Acquired resistanceEGFR T790MOsimertinibTargeted resequencing

Identifiers

PMID34590037
PMCPMC8474195
OpenAlexW3163290328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.