Evidence map›Paper›PMID 36710365›Full record

ArticleThoracic cancer2023

Next-generation sequencing clarified why first-line treatment with osimertinib was ineffective in an autopsied case of EGFR-mutated lung squamous cell carcinoma.

Tadashi Nishimura, Takumi Fujiwara, Hajime Fujimoto, Hirotoshi Tarumi, Chikashi Tsuji, Soichi Iwanaka, Yasumasa Sakakura, Masahiro Naito, Yoshinaga Okugawa, Taro Yasuma and 4 more

Open access · goldAbstract readCase Reports
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 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
1.6field-weighted citation impact, top 17% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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

14 authors at 3 institutions in 1 country.

Tadashi NishimuraDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.ORCID 0000-0002-1688-1602
Takumi FujiwaraDepartment of Pulmonary and Critical Care Medicine, Mie University Faculty and Graduate School of Medicine, Tsu, Japan.
Hajime FujimotoDepartment of Pulmonary and Critical Care Medicine, Mie University Faculty and Graduate School of Medicine, Tsu, Japan.
Hirotoshi TarumiDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Chikashi TsujiDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Soichi IwanakaDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Yasumasa SakakuraDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Masahiro NaitoDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Yoshinaga OkugawaDepartment of Genomic Medicine, Mie University Hospital, Tsu, Japan.
Taro YasumaDepartment of Immunology, Mie University Faculty and Graduate School of Medicine, Tsu, Japan.
Esteban Cesar GabazzaDepartment of Immunology, Mie University Faculty and Graduate School of Medicine, Tsu, Japan.ORCID 0000-0003-2536-898X
Yasuhiro OomotoDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Tetsu KobayashiDepartment of Pulmonary and Critical Care Medicine, Mie University Faculty and Graduate School of Medicine, Tsu, Japan.
Hidenori IbataDepartment of Pulmonary Medicine, Mie Chuo Medical Center, Tsu, Japan.
Mie Chuo Medical Center · JPMie University · JPMie University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermal growth factor receptor (EGFR)-mutated squamous cell carcinoma (SCC) is less common than adenocarcinoma. The third-generation EGFR-tyrosine kinase inhibitor, osimertinib, is effective in EGFR-mutated lung adenocarcinoma, but its efficacy in EGFR-mutated lung SCC is unclear. The patient was an 83-year-old male. He was diagnosed with SCC of the lung, and molecular analysis revealed that the tumor was positive for EGFR exon19 deletion. He was treated with osimertinib 80 mg/day. No adverse events were observed, but after 18 days of therapy, he complained of dyspnea, and a computed tomography scan showed enlarged lung cancer. The case was categorized as a progressive disease. The patient died 3 weeks later. The autopsy findings confirmed the diagnosis of lung SCC, with morphology and immunohistochemical staining identical to the tumor obtained by bronchoscopy. Next-generation sequencing showed the presence of TP53 R158L, CDK6, and KRAS amplifications. The current case report shows that next-generation sequencing can explain why osimertinib is ineffective in EGFR-mutated SCC.

Indexed as

Carcinoma, Non-Small-Cell LungCarcinoma, Squamous CellLung NeoplasmsAcrylamidesAged, 80 and overAniline CompoundsAutopsyErbB ReceptorsHigh-Throughput Nucleotide SequencingHumansIndolesLungMaleMutationProtein Kinase InhibitorsPyrimidinesAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesautopsyEGFR mutationnext-generation sequencingnon-squamous cell lung cancerosimertinib

Identifiers

PMID36710365
PMCPMC9981312
OpenAlexW4318455197

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.