Evidence map›Paper›PMID 35637759›Full record

ArticleJTO clinical and research reports2022

High-Dose Osimertinib for CNS Progression in EGFR+ NSCLC: A Multi-Institutional Experience.

A J Piper-Vallillo, Julia K Rotow, Jacqueline V Aredo, Khvaramze Shaverdashvili, Jia Luo, Jennifer W Carlisle, Hatim Husain, Alona Muzikansky, Rebecca S Heist, Deepa Rangachari and 7 more

Open access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

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

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  20. Efficacy of Osimertinib in Patients with Lung Cancer Positive for Uncommon EGFR Exon 19 Deletion Mutations.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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

17 authors at 7 institutions in 1 country.

A J Piper-VallilloMassachusetts General Hospital, Boston, Massachusetts.
Julia K RotowHarvard Medical School, Boston, Massachusetts.
Jacqueline V AredoStanford University School of Medicine, Stanford, California.
Khvaramze ShaverdashviliAbramson Cancer Center at the University of Pennsylvania, Philadelphia, Pennsylvania.
Jia LuoHarvard Medical School, Boston, Massachusetts.
Jennifer W CarlisleWinship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Hatim HusainUniversity of California San Diego Medical Center, La Jolla, California.
Alona MuzikanskyMassachusetts General Hospital, Boston, Massachusetts.
Rebecca S HeistMassachusetts General Hospital, Boston, Massachusetts.
Deepa RangachariBeth Israel Deaconess Medical Center, Boston, Massachusetts.
Suresh S RamalingamWinship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Heather A WakeleeStanford University School of Medicine, Stanford, California.
Helena A YuMemorial Sloan Kettering Cancer Center, New York, New York.
Lecia V SequistMassachusetts General Hospital, Boston, Massachusetts.
Joshua M BaumlAbramson Cancer Center at the University of Pennsylvania, Philadelphia, Pennsylvania.
Joel W NealStanford University School of Medicine, Stanford, California.
Zofia PiotrowskaMassachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital · USHarvard University · USStanford University · USEmory University · USMemorial Sloan Kettering Cancer Center · USUniversity of Pennsylvania · USUniversity of California San Diego Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Introduction: This multicenter review evaluated the efficacy and safety of osimertinib dose escalation for central nervous system (CNS) progression developing on osimertinib 80 mg in Methods: Retrospective review identified 105 patients from eight institutions with advanced Results: Among 105 patients treated with osimertinib 160 mg, 69 were escalated for CNS progression, including 24 treated with dose escalation alone (cohort A), 34 who received dose-escalated osimertinib plus concurrent chemotherapy and/or radiation (cohort B), and 11 who received osimertinib 160 mg without any prior 80 mg exposure. The median duration of CNS control was 3.8 months (95% confidence interval [CI], 1.7-5.8) in cohort A, 5.1 months (95% CI, 3.1-6.5) in cohort B, and 4.2 months (95% CI 1.6-not reached) in cohort C. Across all cohorts, the median duration of CNS control was 6.0 months (95% CI, 5.1-9.0) in isolated leptomeningeal progression (n = 27) and 3.3 months (95% CI, 1.0-3.1) among those with parenchymal-only metastases (n = 23). Patients on osimertinib 160 mg experienced no severe or unexpected side effects. Conclusion: Among patients with

Indexed as

160 mgCNS progressionEGFRLeptomeningeal progressionOsimertinib

Identifiers

PMID35637759
PMCPMC9142556
OpenAlexW4224250853

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.