Evidence map›Paper›PMID 35329953›Full record

ArticleJournal of clinical medicine2022

Correlation of KRAS G12C Mutation and High PD-L1 Expression with Clinical Outcome in NSCLC Patients Treated with Anti-PD1 Immunotherapy.

Marco Cefalì, Samantha Epistolio, Giulia Ramelli, Dylan Mangan, Francesca Molinari, Vittoria Martin, Stefania Freguia, Luca Mazzucchelli, Patrizia Froesch, Milo Frattini and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Literature review of advances and challenges inTranslational lung cancer research · 2025
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  5. Article
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  8. Immunotherapy in advanced,Therapeutic advances in medical oncology · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
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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

11 authors at 1 institution in 1 country.

Marco CefalìEnte Ospedaliero Cantonale (EOC), Oncology Institute of Southern Switzerland, Via Ospedale 12, CH-6500 Bellinzona, Switzerland.ORCID 0000-0002-7578-9603
Samantha EpistolioEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.ORCID 0000-0003-1236-2722
Giulia RamelliEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Dylan ManganEnte Ospedaliero Cantonale (EOC), Oncology Institute of Southern Switzerland, Via Ospedale 12, CH-6500 Bellinzona, Switzerland.
Francesca MolinariEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Vittoria MartinEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Stefania FreguiaEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Luca MazzucchelliEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Patrizia FroeschEnte Ospedaliero Cantonale (EOC), Oncology Institute of Southern Switzerland, Via Ospedale 12, CH-6500 Bellinzona, Switzerland.
Milo FrattiniEnte Ospedaliero Cantonale (EOC), Institute of Pathology, Via in Selva 24, CH-6601 Locarno, Switzerland.
Luciano WannessonEnte Ospedaliero Cantonale (EOC), Oncology Institute of Southern Switzerland, Via Ospedale 12, CH-6500 Bellinzona, Switzerland.ORCID 0000-0002-5902-0757
Ente Ospedaliero Cantonale · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) targeting PD-1 or PD-L1 improved the survival of non-small cell lung cancer (NSCLC) patients with PD-L1 expression ≥50% and without alterations in EGFR, ALK, ROS1, RET. However, markers able to predict the efficacy of ICIs, in combination with PD-L1 expression are still lacking. Our aim in this hypothesis-generating pilot study was to evaluate whether the KRAS G12C variant may predict the efficacy of ICIs in advanced NSCLC patients with PD-L1 ≥ 50%.

methodsGenomic DNA or tissue sections of 44 advanced ICI-treated NSCLC cases with PD-L1 ≥ 50% without EGFR, ALK, ROS1, RET alterations were tested using Next Generation Sequencing, Fluorescence in Situ Hybridization and immunohistochemistry. Statistical analyses were carried out fitting univariate and multivariate time to event models.

resultsKRAS G12C mutant patients (N = 11/44) showed a significantly longer progression-free survival (PFS) at univariate and multivariate analyses (

conclusionsGiven the limitations due to the small sample size and exploratory nature of this study, we tentatively conclude the KRAS G12C mutation should be considered in future trials as a predictive marker of prolonged response to first-line ICIs in NSCLC patients overexpressing PD-L1. This finding could be relevant as anti-KRAS G12C therapies enter the therapeutic landscape of NSCLC.

Indexed as

immune checkpoint inhibitor (ICI)KRAS mutationnon-small cell lung cancer (NSCLC)overall survival (OS)PD-L1progression-free survival (PFS)

Identifiers

PMID35329953
PMCPMC8954500
OpenAlexW4220801140

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.