Evidence map›Paper›PMID 36193787›Full record

ArticleThoracic cancer2022

Durable response to afatinib rechallenge in a long-term survivor of non-small cell lung cancer harboring EGFR L858R and L747V mutations.

Mio Kanbe, Noriaki Sunaga, Kenichiro Hara, Hiiru Sawada, Ikuo Wakamatsu, Kentaro Hara, Sohei Muto, Yuri Sawada, Hiroaki Masubuchi, Mari Sato and 11 more

Open access · goldAbstract readCase Reports
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

21 authors at 2 institutions in 1 country.

Mio KanbeDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Noriaki SunagaDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.ORCID 0000-0002-5966-4579
Kenichiro HaraDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Hiiru SawadaDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Ikuo WakamatsuDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Kentaro HaraDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Sohei MutoDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Yuri SawadaDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Hiroaki MasubuchiDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Mari SatoDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Yosuke MiuraDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Hiroaki TsurumakiDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.ORCID 0000-0003-0837-9329
Masakiyo YatomiDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Reiko SakuraiOncology Center, Gunma University Hospital, Maebashi, Gunma, Japan.
Yasuhiko KogaDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Yoichi OhtakiDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.ORCID 0000-0001-5485-3234
Toshiteru NagashimaDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Naoko OkanoDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Nobuteru KuboDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Toshitaka MaenoDepartment of Respiratory Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.ORCID 0000-0002-8428-1617
Takeshi HisadaGunma University Graduate School of Health Sciences, Maebashi, Gunma, Japan.
Gunma University · JPGunma University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors are standard therapeutic agents for non-small cell lung cancer (NSCLC) patients with major EGFR mutations such as exon 19 deletions and a L858R mutation, whereas treatment strategies for cases with uncommon EGFR mutations remain to be fully established. Here, we report a long-term (≥20 years from initial diagnosis) NSCLC survivor carrying EGFR L858R and L747V mutations. The patient received gefitinib monotherapy, systemic chemotherapy/chemoimmunotherapy, and local consolidative therapies for oligometastatic lesions, and responded to afatinib rechallenge with a progression-free survival of 12 months. The current case suggests that afatinib is effective in NSCLC patients with EGFR L858R and L747V mutations and that a therapeutic approach combining appropriately timed systemic therapies with local consolidative therapies for oligometastatic lesions improves long-term survival.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAfatinibErbB ReceptorsHumansMutationProtein Kinase InhibitorsSurvivorsAfatinibEGFR protein, humanErbB ReceptorsProtein Kinase Inhibitorsafatinibepidermal growth factor receptorprogression-free survival

Identifiers

PMID36193787
PMCPMC9663673
OpenAlexW4301391629

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.