Evidence map›Paper›PMID 34689382›Full record

Trial reportCancer science2022

Predictive value of EGFR mutation in non-small-cell lung cancer patients treated with platinum doublet postoperative chemotherapy.

Toshiaki Takahashi, Kazuko Sakai, Hirotsugu Kenmotsu, Kiyotaka Yoh, Haruko Daga, Tatsuo Ohira, Tsuyoshi Ueno, Tadashi Aoki, Hidetoshi Hayashi, Koji Yamazaki and 17 more

Open access · goldAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Pathological Features and Differential Efficacy of Cisplatin-Based Adjuvant Chemotherapy in Lung Cancer Harboring Epidermal Growth Factor Receptor Mutations.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2025
    Article
  7. Article
  8. Observational
  9. Effect of Tegafur-Uracil in Resected Stage IB Lung Adenocarcinoma According to Presence or Absence of Epidermal Growth Factor Receptor Gene Mutation: A Retrospective Cohort Study.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

27 authors at 20 institutions in 1 country.

Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Nagaizumi-cho, Sunto-gun, Japan.
Kazuko SakaiDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka-sayama, Japan.ORCID https://orcid.org/0000-0003-1822-2720
Hirotsugu KenmotsuDivision of Thoracic Oncology, Shizuoka Cancer Center, Nagaizumi-cho, Sunto-gun, Japan.ORCID https://orcid.org/0000-0003-0590-9259
Kiyotaka YohDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.ORCID https://orcid.org/0000-0001-6928-357X
Haruko DagaDepartment of Medical Oncology, Osaka City General Hospital, Osaka, Japan.
Tatsuo OhiraDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Tsuyoshi UenoDepartment of Thoracic Surgery, National Hospital Organization, Shikoku Cancer Center, Matsuyama, Japan.
Tadashi AokiDepartment of Chest Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Hidetoshi HayashiDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.ORCID https://orcid.org/0000-0001-8787-5587
Koji YamazakiDepartment of Thoracic Surgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan.
Yukio HosomiDepartment of Thoracic Oncology and Respiratory Medicine, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Toyofumi F Chen-YoshikawaDepartment of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Norihito OkumuraDepartment of Thoracic Surgery, Kurashiki Central Hospital, Kurashiki, Japan.ORCID https://orcid.org/0000-0001-6850-6284
Yuichi TakiguchiDepartment of Medical Oncology, Chiba University Hospital, Chiba, Japan.ORCID https://orcid.org/0000-0001-6059-7476
Akimasa SekineDepartment of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan.
Tomohiro HarukiDivision of General Thoracic Surgery, Department of Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
Hiromasa YamamotoDepartment of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.ORCID https://orcid.org/0000-0002-5330-5460
Yuki SatoDepartment of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
Hiroaki AkamatsuInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Takashi SetoDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Sho SaekiDepartment of Respiratory Medicine, Kumamoto University Hospital, Kumamoto, Japan.
Kenji SugioDepartment of Thoracic and Breast Surgery, Oita University, Oita, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation For Cancer Research, Tokyo, Japan.ORCID https://orcid.org/0000-0003-4969-4165
Hidetoshi InokawaDivision of Thoracic Surgery, Yamaguchi Ube Medical Center, Ube, Japan.
Nobuyuki YamamotoInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Kazuto NishioDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka-sayama, Japan.ORCID https://orcid.org/0000-0002-8275-0846
Masahiro TsuboiDivision of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Kindai University · JPNational Cancer Center Hospital East · JPShizuoka Cancer Center · JPWakayama Medical University · JPChiba University Hospital · JPKanagawa Cardiovascular and Respiratory Center · JPKindai University Hospital · JPKobe City Medical Center General Hospital · JPKumamoto University Hospital · JPKurashiki Central Hospital · JPNagoya University · JPNational Hospital Organization Kyushu Cancer Center · JPNational Kyushu Medical Center · JPNiigata Cancer Center Hospital · JPOita University · JPOkayama University Hospital · JPOsaka City General Hospital · JPShikoku Cancer Center · JPThe Cancer Institute Hospital · JPTokyo Medical University · JP

Funding

University Grants for Fundamental Research of Kindai University
6 · The paper itself

Abstract

The mutation status of tumor tissue DNA (n = 389) of resected stage II-III non-squamous non-small-cell lung cancer (Ns-NSCLC) was analyzed using targeted deep sequencing as an exploratory biomarker study (JIPANG-TR) for the JIPANG study, a randomized phase III study of pemetrexed/cisplatin (Pem/Cis) vs vinorelbine/cisplatin (Vnr/Cis). The TP53 mutation, common EGFR mutations (exon 19 deletion and L858R), and KRAS mutations were frequently detected. The frequency of the EGFR mutation was significant among female patients. Patients with an EGFR mutation-positive status had a significantly shorter recurrence-free survival (RFS) time (24 mo vs not reached) (HR, 1.64; 95% CI, 1.22-2.21; P = .0011 for EGFR mutation status). Multivariable analysis identified both the pathological stage and EGFR mutation status as independent prognostic factors for RFS (HR, 1.78; 95% CI, 1.30-2.44; P = .0003 for disease stage; and HR, 1.57; 95% CI, 1.15-2.16; P = .0050 for EGFR mutation status). This study demonstrated that the EGFR mutation has either a poor prognostic or predictive impact on a poor response to postoperative chemotherapy with platinum doublet chemotherapy for stage II-III Ns-NSCLC patients. This result supports a role for mandatory molecular diagnosis of early-stage Ns-NSCLC for precision oncology and signifies the importance of adjuvant for the 3rd generation tyrosine kinase inhibitor rather than platinum-based chemotherapy. This study is registered with the UMIN Clinical Trial Registry (UMIN 000012237).

Indexed as

MutationAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungChemotherapy, AdjuvantCisplatinErbB ReceptorsFemaleHigh-Throughput Nucleotide SequencingHumansLung NeoplasmsMalePemetrexedPrecision MedicinePrognosisSequence Analysis, DNASurvival AnalysisCisplatinEGFR protein, humanErbB ReceptorsPemetrexedVinorelbineEGFR mutationnext-generation sequencingnon-squamous non-small-cell lung cancerpostoperative chemotherapyprognosis

Identifiers

PMID34689382
PMCPMC8748214
OpenAlexW3208984379

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.