Evidence map›Paper›PMID 34888234›Full record

ArticleFrontiers in oncology2021

Front-Line ICI-Based Combination Therapy Post-TKI Resistance May Improve Survival in NSCLC Patients With EGFR Mutation.

Tian Tian, Min Yu, Juan Li, Maoqiong Jiang, Daiyuan Ma, Shubin Tang, Zhiyu Lin, Lin Chen, Youling Gong, Jiang Zhu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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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 7 institutions in 1 country.

Tian TianDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Min YuDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Juan LiDepartment of Thoracic Cancer, Medical Oncology Center, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Maoqiong JiangDepartment of Thoracic Oncology, The Second People's Hospital of Yibin, Yibin, China.
Daiyuan MaDepartment of Oncology, Cancer Center, Affiliated Hospital of North Sichuan Medical College, Nan Chong, China.
Shubin TangDepartment of Oncology, The First People's Hospital of Neijiang, Neijiang, China.
Zhiyu LinDepartment of Oncology and Hematology, Leshan People's Hospital, Leshan, China.
Lin ChenDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Youling GongDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Jiang ZhuDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Qiang ZhouCancer Center, Suining Central Hospital, Suining, China.
Meijuan HuangDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
You LuDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Sichuan University · CNAffiliated Hospital of North Sichuan Medical College · CNLeshan Normal University · CNNeijiang Normal University · CNSecond People’s Hospital of Yibin · CNSuizhou Central Hospital · CNUniversity of Electronic Science and Technology of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the use of immune checkpoint inhibitors (ICIs) in advanced non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) mutation are limited. The current study aimed to assess the efficacy of ICIs in EGFR-mutant advanced NSCLC and explore the relevant influential factors. MATERIALS AND

methodsRelevant clinical data of EGFR-mutant NSCLC patients who had received ICIs were collected from multiple hospitals. The primary endpoint was progression-free survival (PFS), and the secondary endpoints were overall survival (OS), objective response rate (ORR), and relevant influential factors.

resultsA total of 122 advanced EGFR-mutant NSCLC patients were included in the final analysis. The total cohort had an objective response rate (ORR) of 32.0%, a median progression-free survival (mPFS) of 5.0 months, and a median overall survival (mOS) of 14.4 months. Among 96 patients with common EGFR mutations (19Del, 52 patients; L858R, 44 patients), those who were administered front-line ICI exhibited better survival benefits than those who received later-line ICI after disease progression on tyrosine kinase inhibitors (TKIs) treatment (mPFS: 7.2 months

conclusionsTaken together, combination immunotherapy in front-line was associated with improvement of survival in EGFR-mutant NSCLC patients post-TKI resistance. Further prospective studies with large sample sizes are required to identify the optimal combinatorial treatment strategy.

Indexed as

epidermal growth factor receptorimmune checkpoint inhibitornon–small cell lung cancerresistancetyrosine kinase inhibitor

Identifiers

PMID34888234
PMCPMC8648573
OpenAlexW3216014740

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Registered trials

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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.