Evidence map›Paper›PMID 36614938›Full record

ArticleJournal of clinical medicine2022

Impact of Results of TTF-1 Immunostaining on Efficacy of Platinum-Doublet Chemotherapy in Japanese Patients with Nonsquamous Non-Small-Cell Lung Cancer.

Akira Nakao, Hiroyuki Inoue, Nobumitsu Ikeuchi, Fumiyasu Igata, Takashi Aoyama, Makoto Hamasaki, Hisatomi Arima, Masaki Fujita

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Akira NakaoDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.ORCID 0000-0001-8308-4227
Hiroyuki InoueDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.
Nobumitsu IkeuchiDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.
Fumiyasu IgataDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.ORCID 0000-0001-7806-4643
Takashi AoyamaDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.
Makoto HamasakiDepartment of Pathology, Fukuoka University School of Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.ORCID 0000-0002-2481-3888
Hisatomi ArimaDepartment of Preventive Medicine & Public Health, Fukuoka University Hospital, Fukuoka 814-0180, Japan.ORCID 0000-0002-2064-2014
Masaki FujitaDepartment of Respiratory Medicine, Fukuoka University Hospital, Fukuoka 814-0180, Japan.
Fukuoka University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPemetrexed is a key drug in chemotherapy for nonsquamous non-small-cell lung cancer (nonsq NSCLC). Several studies have reported thyroid transcription factor-1 (TTF-1) as a biomarker of the efficacy in chemotherapy regimens, including pemetrexed in non-Asian people.

objectiveWe aimed to examine the impact of the results of the TTF-1 immunostaining of tumor cells on the therapeutic effect of chemotherapy in Japanese patients with nonsq NSCLC.

methodsWe examined the results of TTF-1 immunostaining and the clinical background of Japanese patients with nonsq NSCLC who received platinum-doublet chemotherapy at our hospital, from April 2009 to April 2021, and the correlation between regimens with or without pemetrexed in progression-free survival (PFS) and overall survival (OS). The efficacy of each regimen was then compared between TTF-1-positive and TTF-1-negative tumors.

resultsTTF-1 immunostaining was performed in 145 patients during the study period: 92 were positive, and 53 were negative. A total of 24 patients presented with EGFR/ALK gene abnormality (16.6%). The PFS and OS of patients who were TTF-1-positive tended to be longer than those of the patients who were TTF-1-negative under either regimen. In other words, patients who were TTF-1-negative were frequently resistant to numerous chemotherapy drugs and experienced a poor prognosis under both regimens. The OS of patients who were TTF-1-positive and treated with the pemetrexed regimen was significantly longer than those on regimens without pemetrexed (963 vs. 412 days, HR = 0.73; 95% CI 0.55-0.96,

conclusionsThe positivity of TTF-1 immunostaining in tumors could be a predominant prognostic marker for patients who have advanced nonsq NSCLC. Our analysis examined the possibility of a pemetrexed regimen leading to a longer prognosis in Asian patients who were TTF-1-positive for nonsq NSCLC, as shown in previous studies.

Indexed as

biomarkernon-small-cell lung cancerpemetrexedplatinum-doublet chemotherapythyroid transcription factor-1 (TTF-1)

Identifiers

PMID36614938
PMCPMC9821382
OpenAlexW4313260443

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.