Evidence map›Paper›PMID 38033095›Full record

ArticleCancer medicine2023

Apatinib added when NSCLC patients get slow progression with EGFR-TKI: A prospective, single-arm study.

Minghui Liu, Xin Li, Hongbing Zhang, Fan Ren, Jinghao Liu, Yongwen Li, Ming Dong, Honglin Zhao, Song Xu, Hongyu Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. Review
  5. 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

11 authors at 1 institution in 1 country.

Minghui LiuDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Xin LiDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Hongbing ZhangDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Fan RenDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Jinghao LiuDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Yongwen LiTianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, China.
Ming DongDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Honglin ZhaoDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Song XuDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.ORCID 0000-0001-6153-387X
Hongyu LiuTianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, China.
Jun ChenDepartment of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.ORCID 0000-0001-9552-4429
Tianjin Medical University General Hospital · CN

Funding

National Natural Science Foundation of China 61973232National Natural Science Foundation of China 81773207National Natural Science Foundation of China 82072595National Natural Science Foundation of China 82172569Natural Science Foundation of Tianjin Municipality 19JCYBJC27000Natural Science Foundation of Tianjin Municipality 19YFZCSY00040Tianjin Key Medical Discipline (Specialty) Construction Project. Tianjin Health Science and Technology Project ZC20179Tianjin Municipal Education Commission Natural Science Foundation 2019KJ202Tianjin Municipal Education Commission Natural Science Foundation 2021KJ221
6 · The paper itself

Abstract

backgroundEpidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI) acquired resistance was an inevitably events in NSCLC treatment.

aimsIntending to overcome the acquired resistance of EGFR-TKI. MATERIALS &

methodsA clinical trial was, we enrolled 12 patients who were slowly progressing on first-generation EGFR-TKI, and added apatinib when the patients got slow progression.

resultsSeven patients were included in the efficacy analysis. The median PFS2 of apatinib combined with EGFR-TKI was 8.2 months (95% CI, 7.3 m-NA), and the total PFS reached 20.9 months (95% CI, 17.3 m-NA) when plus PFS1. All the adverse events were manageable. The median PFS was significantly longer for circulating tumor DNA (ctDNA)-cleared patients (8.4 months; 95% CI, 8.2-NA) than for those ctDNA not cleared (7.1 months; 95% CI, 6.9-NA) (p = 0.0082). DISCUSSION: The addition of apatinib did improve the duration of first-generation EGFR-TKI use, and the duration was better than the first-line use of third-generation EGFR-TKI.

conclusionThe addition of apatinib when the patients got slow progression after initial EGFR-TKI therapy may be a good treatment option and the side effects are controllable. It is possible to monitor treatment efficacy using ctDNA.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsErbB ReceptorsHumansMutationProspective StudiesProtein Kinase InhibitorsPyridinesTyrosine Kinase InhibitorsapatinibEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsPyridinesTyrosine Kinase Inhibitorsapatinibcirculating tumor DNAEGFR-TKINSCLCsafety

Identifiers

PMID38033095
PMCPMC10757148
OpenAlexW4389161280

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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.