Evidence map›Paper›PMID 36482151›Full record

ArticleTargeted oncology2023

Impact of KRAS Mutations on Clinical Outcomes of Patients with Advanced Non-Squamous Non-Small Cell Lung Cancer Receiving Anti-PD-1/PD-L1 Therapy.

Antonello Veccia, Mariachiara Dipasquale, Stefania Kinspergher, Sara Monteverdi, Salvatore Girlando, Mattia Barbareschi, Orazio Caffo

Open access · hybridAbstract read
In one paragraph

Article in Targeted oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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

7 authors at 1 institution in 1 country.

Antonello VecciaMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122, Trento, Italy. antonello.veccia@apss.tn.it.ORCID 0000-0002-8804-7094
Mariachiara DipasqualeMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122, Trento, Italy.
Stefania KinspergherMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122, Trento, Italy.
Sara MonteverdiMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122, Trento, Italy.
Salvatore GirlandoPathological Anatomy, Santa Chiara Hospital, Trento, Italy.
Mattia BarbareschiPathological Anatomy, Santa Chiara Hospital, Trento, Italy.
Orazio CaffoMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122, Trento, Italy.
Ospedale Santa Chiara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKRAS is the most frequently mutated gene in non-small cell lung cancer (NSCLC), however conflicting data are available on its role as a biomarker.

objectiveThe aim of our work was to investigate the impact of KRAS mutations on response and survival outcomes in advanced non-squamous NSCLC patients treated with immune checkpoint inhibitors alone or in combination with chemotherapy. PATIENTS AND

methodsWe retrospectively identified 119 patients, most of whom (58%) were KRAS wild type. For each patient we evaluated overall survival (OS), progression-free survival (PFS), and disease control rate (DCR). An exploratory analysis was performed among KRAS mutated patients to investigate the impact of specific KRAS mutations on response and survival outcomes.

resultsAfter a median follow-up of 10.3 months, the median OS was 14.9 months (95% confidence interval [CI] 7.6-22.7) in wild-type KRAS patients versus 14.7 months (95% CI 8.0-19.5) in mutated KRAS patients (p = 0.529). No differences were detected between the two groups in terms of PFS and DCR. Patients with a KRAS G12C mutation reported survival and response outcomes that were not statistically different from those of patients with other KRAS mutations.

conclusionOur data confirmed that KRAS mutational status is not associated with survival and response outcomes in advanced non-squamous NSCLC patients treated with immunotherapy alone or combined with chemotherapy.

Indexed as

Carcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsLung NeoplasmsProto-Oncogene Proteins p21(ras)B7-H1 AntigenHumansMutationRetrospective StudiesTreatment OutcomeB7-H1 AntigenImmune Checkpoint InhibitorsKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID36482151
PMCPMC9928930
OpenAlexW4310943234

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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.