Evidence map›Paper›PMID 37316692›Full record

Trial reportJournal of cancer research and clinical oncology2023

Real-world evidence of osimertinib in Chinese patients with EGFR T790M-positive non-small cell lung cancer: a subgroup analysis from ASTRIS study.

Qing Zhou, He-Long Zhang, Li-Yan Jiang, Yuan-Kai Shi, Yuan Chen, Jin-Ming Yu, Cai-Cun Zhou, Yong He, Yan-Ping Hu, Zong-An Liang and 16 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02474355 (Open Label, Multinational, Multicenter, Real World Treatment Study of Single Agent AZD9291 for Patients With Advanced/Metastatic Epidermal Growth Factor Receptor), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT02474355 phase3completednot on this map

Open Label, Multinational, Multicenter, Real World Treatment Study of Single Agent AZD9291 for Patients With Advanced/Metastatic Epidermal Growth Factor Receptor (EGFR) T790M Mutation-Positive Non-Small Cell Lung Cancer (NSCLC) Who Have Received Prior Therapy With an EGFR Tyrosine Kinase Inhibitor (EGFR-TKI)

TypeinterventionalSponsorAstraZenecaRan2015 to 2019Enrolled3,017ConditionsLung CancerArmsT790M+ Testing, Baseline Visit Blood & Urine Testing, Baseline ECG, Visual Slit-Lamp Testing, AZD9291 Dosing
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

26 authors at 20 institutions in 2 countries.

Qing ZhouGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
He-Long ZhangDepartment of Oncology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Li-Yan JiangDepartment of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Yuan-Kai ShiDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yuan ChenDepartment of Oncology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jin-Ming YuDepartment of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, Jinan, China.
Cai-Cun ZhouDepartment of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Yong HeDepartment of Respiratory Medicine, Daping Hospital and the Research Institute of Surgery of the Third Military Medical University, Chongqing, China.
Yan-Ping HuDepartment of Oncology, Hubei Cancer Hospital, Wuhan, China.
Zong-An LiangDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Sichuan, China.
Yue-Yin PanDepartment of Oncology, Anhui Medical University, Hefei, China.
Wen-Lei ZhuoDepartment of Oncology, Xinqiao Hospital, The Third Military Medical University, Chongqing, China.
Yong SongDepartment of Respiration, General Hospital of Eastern Theater Command of Chinese People's Liberation Army, Nanjing, China.
Gang WuCancer Center, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
Gong-Yan ChenDepartment of Respiration, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
You LuDepartment of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Cui-Ying ZhangCancer Center, Inner Mongolia Autonomous Region People's Hospital, Huhhot, China.
Yi-Ping ZhangDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, China.
Ying ChengDepartment of Oncology, Jilin Cancer Hospital, Changchun, China.
Shun LuDepartment of Shanghai Lung Cancer Center, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai, China.
Chang-Li WangDepartment of Lung Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Jian-Ying ZhouDepartment of Respiratory Disease, Thoracic Disease Center, First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China.
Yun-Peng LiuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Jian-Xing HeDepartment of Thoracic Surgery, Guangzhou Institute for Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Jie WangDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yi-Long WuGuangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. syylwu@live.cn.
Army Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNGuangdong Academy of Medical Sciences · CNSichuan University · CNAir Force Medical University · CNAnhui Medical University · CNFirst Affiliated Hospital of Guangzhou Medical University · CNFirst Hospital of China Medical University · CNHarbin Medical University · CNHubei Cancer Hospital · CNInner Mongolia People's Hospital · CNJilin Province Tumor Hospital · CNNanjing General Hospital of Nanjing Military Command · CNShandong University · CNShanghai Chest Hospital · CNShanghai Jiao Tong University · CNTianjin Medical University Cancer Institute and Hospital · CNTongji Hospital · CNTongji University · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeASTRIS study aimed the largest to evaluate the effectiveness and safety of second- or higher-line osimertinib in patients with advanced/metastatic epidermal growth factor receptor (EGFR) T790M mutation-positive non-small cell lung cancer (NSCLC) in the real-world setting. Here we report the results of Chinese patients in ASTRIS study.

methodsAdults with EGFR T790M-positive advanced NSCLC pretreated with EGFR-tyrosine kinase inhibitor (EGFR-TKI), having a WHO performance status score of 0-2 and asymptomatic, stable central nervous system (CNS) metastases were included. All patients received once-daily osimertinib 80 mg orally. The outcomes included investigator-assessed clinical response, progression-free survival (PFS), time-to-treatment discontinuation (TTD), and safety.

resultsA total of 1350 patients were included. Response rate was 55.7% (95% confidence interval [CI] 0.53-0.58). The median PFS and the median TTD were 11.7 months (95% CI 11.1-12.5) and 13.9 months (95% CI 13.1-15.2), respectively. Overall, 389 patients (28.8%) had at least one protocol-specified adverse event (AE); AEs of interstitial lung diseases/pneumonitis-like events and QT prolongation were reported in 3 (0.2%) and 59 (4.4%) patients, respectively.

conclusionOsimertinib was effective in Chinese patients with T790M-positive NSCLC who had progressed after first- or second-generation EGFR-TKI in real-word setting and the results were consistent with ASTRIS study overall population and AURA studies. No new safety signals or events were identified. CLINICAL TRIAL NUMBER: NCT02474355.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsAcrylamidesAdultAniline CompoundsEast Asian PeopleErbB ReceptorsHumansIndolesMutationProtein Kinase InhibitorsPyrimidinesAcrylamidesAniline CompoundsAntineoplastic AgentsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesEpidermal growth factor receptorNon-small cell lung cancerOsimertinibReal-worldT790M

Identifiers

PMID37316692
PMCPMC10423102
OpenAlexW4380627366

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Registered trials

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.