Evidence map›Paper›PMID 34807331›Full record

Observational studyInvestigational new drugs2022

First-line osimertinib for poor performance status patients with EGFR mutation-positive non-small cell lung cancer: A prospective observational study.

Satoshi Igawa, Tomoya Fukui, Masashi Kasajima, Taihei Ono, Takahiro Ozawa, Mikiko Kakegawa, Seiichiro Kusuhara, Takashi Sato, Yoshiro Nakahara, Mitsufuji Hisashi and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Investigational new drugs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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  4. The OPEN trial-from the darkness, comes light.Translational lung cancer research · 2025
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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

12 authors at 1 institution in 1 country.

Satoshi IgawaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan. igawa@kitasato-u.ac.jp.ORCID http://orcid.org/0000-0002-7527-8766
Tomoya FukuiDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Masashi KasajimaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Taihei OnoDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Takahiro OzawaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Mikiko KakegawaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Seiichiro KusuharaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Takashi SatoDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Yoshiro NakaharaDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Mitsufuji HisashiKitasato University School of Nursing, Sagamihara-city, Kanagawa, Japan.
Jiichiro SasakiResearch and Development Center for New Medical Frontiers, Kitasato University School of Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Katsuhiko NaokiDepartment of Respiratory Medicine, Kitasato University School of Medicine, Sagamihara-city, Kanagawa, Japan.
Kitasato University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe clinical outcomes of poor performance status (PS) patients with epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) who are treated with osimertinib as a first-line treatment have not been sufficiently evaluated. This study aimed to assess the efficacy and safety of osimertinib in chemotherapy-naive and poor PS (2 or more) patients with NSCLC harboring sensitive EGFR mutations. MATERIALS AND

methodsWe assessed the clinical effects of osimertinib as a first-line treatment for patients with poor PS NSCLC with an exon 19 deletion or exon 21 L858R mutation in EGFR. All patients were administered osimertinib (80 mg/day) as the initial treatment.

resultsSixteen patients (nine women and seven men) who were treated between August 2018 and July 2021 were included in this study; their median age was 78 years. The overall objective response rate was 56.3%. The median progression-free survival (PFS) of the entire patient population was 10.5 months and the PS score improved in 8 of 16 patients (50%). The most common adverse event was acneiform rash (42%), followed by diarrhea (36%) and paronychia (36%); none of these were of grade ≥ 3. Interstitial lung disease occurred in 2 patients (12.5%); however, no treatment-related deaths occurred.

conclusionConsidering the findings of this study, osimertinib appears to be an effective and safe treatment option for patients with poor PS and advanced NSCLC harboring sensitive EGFR mutations. To obtain conclusive results, further studies with larger cohorts are warranted.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAcrylamidesAgedAniline CompoundsErbB ReceptorsFemaleHumansIndolesMaleMutationProtein Kinase InhibitorsPyrimidinesAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesEfficacyNon-small cell lung carcinomaOsimertinibPoor performance status

Identifiers

PMID34807331
OpenAlexW3205631773

What OpenQuestion holds

Textmetadata
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.