Evidence map›Paper›PMID 37218139›Full record

ArticleCancer research and treatment2023

Final Report on Real-World Effectiveness of Sequential Afatinib and Osimertinib in EGFR-Positive Advanced Non-Small Cell Lung Cancer: Updated Analysis of the RESET Study.

Taeyun Kim, Tae Won Jang, Chang Min Choi, Mi-Hyun Kim, Sung Yong Lee, Yoon Soo Chang, Kye Young Lee, Seung Joon Kim, Sei Hoon Yang, Jeong Seon Ryu and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. J-REGISTER: real-world study of Japanese patients withFuture oncology (London, England) · 2025
    Observational
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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

17 authors at 15 institutions in 2 countries.

Taeyun KimDepartment of Internal Medicine, Samsung Medical Center, Seoul, Korea.
Tae Won JangDepartment of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
Chang Min ChoiDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Mi-Hyun KimDepartment of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, Busan, Korea.
Sung Yong LeeDivision of Pulmonology, Allergy, and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea.
Yoon Soo ChangDepartment of Internal Medicine, Yonsei University Gangnam Severance Hospital, Seoul, Korea.
Kye Young LeeDepartment of Internal Medicine, Konkuk University Medical Center, Seoul, Korea.
Seung Joon KimDepartment of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Sei Hoon YangDepartment of Internal Medicine, Wonkwang University Hospital, Iksan, Korea.
Jeong Seon RyuDepartment of Internal Medicine, Inha University Hospital, Incheon, Korea.
Jeong Eun LeeDepartment of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea.
Shin Yup LeeDepartment of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Chan Kwon ParkDepartment of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Sang Hoon LeeDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Seung Hun JangDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Seong Hoon YoonDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
Hyung-Joo OhDepartment of Internal Medicine, Chonnam National University Hwasun Hospital, Hwasun, Korea.
Chungnam National University Hospital · KRKyungpook National University · KRCatholic University of Korea · KRChonnam National University Hwasun Hospital · KRHallym University Sacred Heart Hospital · KRInha University Hospital · KRKonkuk University Medical Center · KRKosin University Gospel Hospital · KRPusan National University Hospital · KRSamsung Medical Center · KRSeverance Hospital · KRThe Catholic University of Korea Yeouido St. Mary's Hospital · KRUlsan College · KRUniversity of Ulsan · KRWonkwang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to report the final analysis of time-on-treatment (TOT) and overall survival (OS) in patients with advanced-stage epidermal growth factor receptor (EGFR)+ non-small cell lung cancer (NSCLC) who received sequential afatinib and osimertinib and to compare the outcomes with other second-line regimens (comparator group). MATERIALS AND

methodsIn this updated report, the existing medical records were reviewed and rechecked. TOT and OS were updated and analyzed according to clinical features using the Kaplan-Meier method and log-rank test. TOT and OS were compared with those of the comparator group, in which most patients received pemetrexed-based treatments. A multivariable Cox proportional hazard model was used to evaluate features that could affect survival outcomes.

resultsThe median observation time was 31.0 months. The follow-up period was extended to 20 months. A total of 401 patients who received first-line afatinib were analyzed (166 with T790M+ and second-line osimertinib, and 235 with unproven T790M and other second-line agents). Median TOTs on afatinib and osimertinib were 15.0 months (95% confidence interval [CI], 14.0 to 16.1) and 11.9 months (95% CI, 8.9 to 14.6), respectively. The median OS in the osimertinib group was 54.3 months (95% CI, 46.7 to 61.9), much longer than that in the comparator group. In patients who received osimertinib, the OS was longest with Del19+ (median, 59.1; 95% CI, 48.7 to 69.5).

conclusionThis is one of the largest real-world studies reporting the encouraging activity of sequential afatinib and osimertinib in Asian patients with EGFR+ NSCLC who acquired the T790M mutation, particularly Del19+.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAcrylamidesAfatinibAniline CompoundsErbB ReceptorsHumansIndolesMutationProtein Kinase InhibitorsPyrimidinesAcrylamidesAfatinibAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesAfatinibErbB receptorsNon–small-cell lung carcinomaOsimertinibReal-world effectiveness

Identifiers

PMID37218139
PMCPMC10582551
OpenAlexW4377138139

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.