Evidence map›Paper›PMID 34958168›Full record

ArticleThoracic cancer2022

Immunotherapy plus chemotherapy showed superior clinical benefit to chemotherapy alone in advanced NSCLC patients after progression on osimertinib.

Yaping Long, Qi Xiong, Qi Song, Yao Li, Xiaoyan Li, Boyu Qin, Ziwei Huang, Yi Hu, Bo Yang

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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, 1 synthesis or guideline pooled it, 15 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

9 authors at 2 institutions in 1 country.

Yaping Long *School of Medicine, Nankai University, Tianjin, China.
Qi Xiong *Department of Oncology, Chinese PLA General Hospital, Beijing, China.
Qi SongDepartment of Oncology, Chinese PLA General Hospital, Beijing, China.
Yao LiDepartment of Graduate Administration, Chinese PLA General Hospital, Beijing, China.
Xiaoyan LiDepartment of Oncology, Chinese PLA General Hospital, Beijing, China.
Boyu QinDepartment of Oncology, Chinese PLA General Hospital, Beijing, China.
Ziwei HuangDepartment of Oncology, Chinese PLA General Hospital, Beijing, China.
Yi HuSchool of Medicine, Nankai University, Tianjin, China.ORCID 0000-0001-9319-5692
Bo YangDepartment of Oncology, Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-8989-9387
Chinese PLA General Hospital · CNNankai University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsimertinib is the standard first-line treatment for non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) mutation. Resistance to osimertinib remains a clinical challenge. However, the optimal therapy for these patients is still controversial. In this study, we aimed to assess the efficacy and safety of immunotherapy plus chemotherapy (IO+C) compared with chemotherapy (C) in NSCLC patients after progression on osimertinib.

methodsAdvanced NSCLC patients after progression on osimertinib were retrospectively reviewed. Progression-free survival (PFS), overall survival (OS), objective response rate (ORR), disease control rate (DCR), and safety were evaluated between the patients treated with IO+C and C.

resultsA total of 40 patients were included in the study. There were 20 patients each in the IO+C group or C group. The ORR was significantly higher in patients in the IO+C group (45% vs. 25%, p < 0.01). The median PFS was 6.4 months for patients in the IO+C group compared to 2.8 months for patients in C group (HR: 0.41, 95% confidence interval [CI]: 0.20-0.82, p < 0.01). The median OS was significantly longer in the IO+C group than the C group (OS: 12.8 vs. 10.5 months, HR: 0.39, 95% CI: 0.19-0.80, p < 0.01). In subgroup analysis, patients of both sexes, age ≤ 65, bone or adrenal metastasis, exon19 del mutation, and third-line treatment obtained more OS benefits from immunotherapy. The safety profile of both groups was comparable.

conclusionsOur study provides the clinical evidence of favoring immunotherapy plus chemotherapy in NSCLC patients after progression on osimertinib.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAcrylamidesAniline CompoundsErbB ReceptorsFemaleHumansImmunotherapyIndolesMaleMutationProtein Kinase InhibitorsPyrimidinesRetrospective StudiesAcrylamidesAniline CompoundsErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidineschemotherapyEGFR mutationimmunotherapynon-small cell lung cancerosimertinib

Identifiers

PMID34958168
PMCPMC8807266
OpenAlexW4200151387

What OpenQuestion holds

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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.