Evidence map›Paper›PMID 36081560›Full record

ArticleFrontiers in oncology2022

Is ICI-based therapy better than chemotherapy for metastatic NSCLC patients who develop EGFR-TKI resistance? A real-world investigation.

Yajie Cheng, Bin Yang, Wen Ouyang, Chen Jie, Wei Zhang, Gang Chen, Junhong Zhang, Jing Yu, Conghua Xie

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  4. Progressive accumulation of circulating CD27Experimental & molecular medicine · 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

9 authors at 2 institutions in 1 country.

Yajie ChengDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Bin YangDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wen OuyangDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Chen JieDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wei ZhangDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Gang ChenDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Junhong ZhangDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jing YuDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Conghua XieDepartment of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wuhan University · CNZhongnan Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the outcomes of immune checkpoint inhibitor (ICI)-based treatments versus classical chemotherapy for metastatic non-small cell lung cancer (NSCLC) patients who develop epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) resistance and to explore the population that may benefit from ICI-based therapy. Materials and methods: All patients who had previously received EGFR-TKI therapy at two cancer centers in China and developed resistance to targeted therapies were included. Progression-free survival (PFS) and overall survival (OS) were utilized to evaluate the outcomes of the study cohort. Results: A total of 132 patients were included. The median follow-up time for this cohort was 21.7 months (IQR, 14.8-28.8 months), calculated from the date of EGFR-TKI resistance. The median PFS and OS were 4.9 months (IQR, 2.8-9.2) and 13.5 months (IQR, 6.6-26.5 months), respectively. Multivariate analysis showed that ICI-based therapy could significantly improve OS when compared to the classic chemotherapy (hazard ratio [HR], 0.55; 95% CI, 0.34-0.88; Conclusion: For patients presenting with EGFR-TKI resistance, ICI-based therapy could offer a more favorable survival than classical chemotherapy. The combination of ICI with chemotherapy may be the optimal modality for those with good ECOG PS scores.

Indexed as

combined therapyEGFR-sensitive mutationsEGFR-TKI resistanceimmunotherapymetastatic NSCLC

Identifiers

PMID36081560
PMCPMC9445807
OpenAlexW4292707752

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.