Evidence map›Paper›PMID 37542339›Full record

SynthesisEuropean journal of medical research2023

Efficacy and safety of osimertinib for leptomeningeal metastases from EGFR-mutant non-small cell lung cancer: a pooled analysis.

Lei Wen, Junjie Zhen, Changguo Shan, Mingyao Lai, Weiping Hong, Hui Wang, Mingting Ye, Yanying Yang, Shaoqun Li, Zhaoming Zhou and 8 more

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

18 authors at 3 institutions in 1 country.

Lei Wen *Department of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Junjie Zhen *Department of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Changguo Shan *Department of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Mingyao LaiDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Weiping HongDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Hui WangDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Mingting YeDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Yanying YangDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Shaoqun LiDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Zhaoming ZhouDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Jiangfen ZhouDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Qingjun HuDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Juan LiDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Xuwei TianDepartment of Radiation Oncology, The First People's Hospital of Kashi Prefecture, Kashi, China.
Longhua ChenDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China.
Linbo CaiDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China.
Zhanhong XieState Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute for Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, People's Republic of China. 13556184135@163.com.
Cheng ZhouDepartment of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou, China. czhou.rob@gmail.com.
Guangdong 999 Brain Hospital · CNSouthern Medical University · CNState Key Laboratory of Respiratory Disease · CN

Funding

China Postdoctoral Science Foundation No. 2019M662974Medical Scientific Research Foundation of Guangdong Province No. A2020499Medical Scientific Research Foundation of Guangdong Province No. A2020505Medical Scientific Research Foundation of Guangdong Province No. B2021139Medical Scientific Research Foundation of Guangdong Province No. B2021203the Natural Science Foundation of Guangdong Province No. 2019A1515011943
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the efficacy and safety of osimertinib for the treatment of leptomeningeal metastases (LM) from epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC).

methodsWe conducted a systematic review and meta-analysis to aggregate the clinical outcomes of patients with LM from EGFR-mutant NSCLC treated with osimertinib. A comprehensive literature search for published and unpublished studies was implemented in April 2021 of PubMed, EMBASE, the Cochrane Library, and several international conference databases, in accordance with the PRISMA guidelines. Meta-analysis of proportions was conducted to calculate the pooled rate of overall response rate (ORR), disease control rate (DCR), one-year overall survival (OS), and adverse events (AEs).

resultsA total of eleven studies (five prospective and six retrospective) including 353 patients were included. The majority of patients (346/353, 98.0%) received osimertinib as ≥ 2nd-line treatment for LM, either at a dosage of 80 mg (161/353, 45.6%) or 160 mg (191/353, 54.1%). The pooled rates of ORR and DCR were 42% (95% CI 24% to 59%) and 93% (95% CI 88% to 97%), respectively. The pooled one-year OS rate was 59% (95% CI 53% to 65%) in 233 patients from five studies. The highest incidence of AEs of all grades was rash (53%), followed by diarrhea (45%), paronychia (35%), decreased appetite (35%), and dry skin (27%), based on data from four studies.

conclusionsOur study highlighted and confirmed the meaningful efficacy and a manageable safety profile of osimertinib for the treatment of LM from EGFR-mutant advanced NSCLC.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsAcrylamidesAniline CompoundsErbB ReceptorsHumansIndolesMutationProspective StudiesProtein Kinase InhibitorsPyrimidinesRetrospective StudiesAcrylamidesAniline CompoundsAntineoplastic AgentsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesEfficacyEGFRLeptomeningeal metastases (LM)Meta-analysisNSCLCOsimertinib

Identifiers

PMID37542339
PMCPMC10403821
OpenAlexW4385565586

What OpenQuestion holds

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LicenceCC BY
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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.