Evidence map›Paper›PMID 36369763›Full record

ArticleThoracic cancer2023

Real-world outcomes of anti-EGFR therapy in advanced non-small cell lung cancer EGFR mutated in Peru.

Marco Galvez-Nino, Rossana Ruiz, Katia Roque, Ofelia Coanqui, Natalia Valdivieso, Mivael Olivera, Apar Kishor Ganti, Luis Mas

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 5 institutions in 2 countries.

Marco Galvez-NinoDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0002-1408-4474
Rossana RuizDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0001-5199-6686
Katia RoqueDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0003-3267-7107
Ofelia CoanquiDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0002-1637-8732
Natalia ValdiviesoDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0002-4300-5958
Mivael OliveraDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0003-4127-0800
Apar Kishor GantiVA Nebraska Western Iowa Health Care System, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0003-3724-2671
Luis MasDepartment of Medical Oncology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0002-2323-9271
Universidad Privada San Juan Bautista · PEInstituto Nacional de Enfermedades Neoplásicas · PEUniversidad Científica del Sur · PEUniversidad Peruana Cayetano Heredia · PEVA Nebraska Western Iowa Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the advances in the management of advanced non-small cell lung cancer (NSCLC), the access to genetic profiling and target therapies remains a challenge in Latin America, even in countries with a higher rate of targetable mutations. The aim of this study is to evaluate the clinical outcomes of anti-epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKI) treatment in a Peruvian real-world setting.

methodsThis is a retrospective study of recurrent or advanced NSCLC EGFR mutated patients diagnosed and treated with anti-EGFR TKI at Instituto Nacional de Enfermedades Neoplásicas (INEN) between January 1, 2015 to December 31, 2020. The outcomes were objective response rate (ORR), progression free survival (PFS), and overall survival (OS).

resultsWe identify 613 stage IV or recurrent NSCLC patients who were tested for EGFR mutations and found a pathogenic mutation in 39.5% of patients. Only 51.2% of them received anti-EGFR TKI as institutional treatment. ORR was 58%, after median follow-up of 32 months, the estimated median PFS was 13.9 months (11.1-16.7 months), and the estimated median OS was 21.7 months (18.5-24.9 months). No differences were found in PFS according to line of treatment or brain metastases at diagnosis (p = 0.46 and p = 0.07, respectively), respect to OS there were no differences line of treatment (p = 0.12), significant difference were found in presence of brain metastases (p = 0.006).

conclusionOur study demonstrates that erlotinib for advanced NSCLC harboring EGFR-activating mutations is effective even in patients usually excluded from clinical trial, like those previously exposed to one or more lines of chemotherapy or with brain metastases.

Indexed as

Brain NeoplasmsCarcinoma, Non-Small-Cell LungLung NeoplasmsErbB ReceptorsHumansMutationNeoplasm Recurrence, LocalPeruProtein Kinase InhibitorsRetrospective StudiesEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsEGFRLatin Americanlung cancerreal-worldsurvival

Identifiers

PMID36369763
PMCPMC9807447
OpenAlexW4308796306

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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.