Evidence map›Paper›PMID 38860089›Full record

ReviewCureus2024

KRAS as a Prognostic and Predictive Marker in Metastatic Non-Small Cell Lung Carcinoma: A Systematic Review.

Sheereen Fatima, Nirav Pansuriya, Alisha Lakhani, Sai Madhuri, Reshma Ajmal, Ruchira Clementina, Zahabiya Lakdawala, Kinjal Shah, Husna Dilshana, Maya Andrea and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. Article
  4. [Advances in Immunotherapy of KRAS-mutated Non-small Cell Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2025
    Review
  5. Review
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

12 authors.

Sheereen FatimaCancer Center, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, IND.
Nirav PansuriyaMedicine, Surat Municipal Institute of Medical Education and Research, Surat, IND.
Alisha LakhaniResearch, Research MD, Vadodara, IND.
Sai MadhuriMedicine, Indian Institute of Public Health, Hyderabad, IND.
Reshma AjmalMedicine, K.S. (Kawdoor Sadananda) Hegde Medical Academy, Mangalore, IND.
Ruchira ClementinaMedicine, Government Medical College, Nizamabad, Telangana, IND.
Zahabiya LakdawalaMedicine, C.U. (Chimanlal Ujamshibhai) Shah Medical College and Hospital, Surendranagar, IND.
Kinjal ShahMedicine, Robert Wood Johnson University Hospital, Rahway, USA.
Husna DilshanaPathology, Al Azhar Medical College, Kumaramangalam, IND.
Maya AndreaMedicine, American University of Integrative Science, Tucker, USA.
Bejoi MathewInternal Medicine, Sri Devaraj Urs Medical College, Kolar, IND.
Aashna RahejaMedicine, BGS Global Institute of Medical Sciences, Bengaluru, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic non-small cell lung cancer (NSCLC) poses a significant clinical challenge, prompting a focused investigation into the role of KRAS mutations in prognosis and treatment response. Targeted therapies offer promising avenues for intervention, motivating a comprehensive analysis of existing evidence. Conducted in June 2023, our review delved into MEDLINE (Medical Literature Analysis and Retrieval System Online), Embase, Scopus, and the Cochrane Register of Controlled Trials. Rigorous inclusion and exclusion criteria guided the selection of 12 articles, comprising two randomized controlled trials (RCTs) and 10 observational studies. Multiple investigators independently executed data extraction, evaluating prognostic factors (overall and progression-free survival) and predictive outcomes (treatment and objective response). The Newcastle-Ottawa Scale (NOS) and modified Jadad scores were used for study quality assessment of observational studies and RCTs, respectively. From an initial pool of 120 articles, the 12 selected studies, spanning 2013 to 2022, encompassed 2,845 metastatic NSCLC patients. KRAS mutations, particularly the G12C variant, emerged as a pivotal factor influencing treatment response. Notably, KRAS wild type patients displayed enhanced responses to platinum-based chemotherapy, while those with KRAS mutations exhibited favourable outcomes with immune checkpoint inhibitors (ICIs). The role of KRAS mutations as prognostic indicators in metastatic NSCLC is underscored by this systematic review, with implications for both survival and treatment response. The discernment between KRAS wild type and mutant patients offers insights into tailored therapeutic strategies, with platinum-based chemotherapy and immune checkpoint inhibitors emerging as context-dependent options. Nevertheless, more research is required to solidify the predictive role of KRAS and explore the efficacy of KRAS inhibitors and other targeted therapies, paving the way for refined and personalized interventions in the management of metastatic NSCLC.

Indexed as

kras mutationlung cancermetastatic non-small cell lung carcinomapredictive markersprognostic markers

Identifiers

PMID38860089
PMCPMC11162968

What OpenQuestion holds

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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.