Evidence map›Paper›PMID 39157674›Full record

ArticleJTO clinical and research reports2024

Characteristics of Long-Term Survivors With EGFR-Mutant Metastatic NSCLC.

William Tompkins, Connor B Grady, Wei-Ting Hwang, Krishna Chandrasekhara, Caroline McCoach, Fangdi Sun, Geoffrey Liu, Devalben Patel, Jorge Nieva, Amanda Herrmann and 19 more

Abstract read
In one paragraph

Article in JTO clinical and research reports, 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. Characteristics of Short-Term Survivors WithJTO clinical and research reports · 2025
    Article
  3. Article
  4. Article
  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

29 authors.

William TompkinsDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Connor B GradyDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Wei-Ting HwangDepartment of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Krishna ChandrasekharaDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Caroline McCoachUCSF School of Medicine, University of California San Francisco, San Francisco, California.
Fangdi SunUCSF School of Medicine, University of California San Francisco, San Francisco, California.
Geoffrey LiuPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Devalben PatelPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.
Jorge NievaUniversity of Southern California/Norris Comprehensive Cancer Center, Los Angeles, California.
Amanda HerrmannUniversity of Southern California/Norris Comprehensive Cancer Center, Los Angeles, California.
Kristen MarroneJohns Hopkins University School of Medicine, Baltimore, Maryland.
Vincent K LamJohns Hopkins University School of Medicine, Baltimore, Maryland.
Vamsi VelchetiNYU Grossman School of Medicine, New York University, New York, New York.
Stephen V LiuLombardi Comprehensive Cancer Center, Georgetown University, Washington, District of Columbia.
Gabriela Liliana Bravo MontenegroLombardi Comprehensive Cancer Center, Georgetown University, Washington, District of Columbia.
Tejas PatilUniversity of Colorado Cancer Center, Aurora, Colorado.
Jared WeissLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Kelsey Leigh MillerLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
William SchwartzmanHarold C Simmons Comprehensive Cancer Center, UT Southwestern, Dallas Texas.
Jonathan E DowellHarold C Simmons Comprehensive Cancer Center, UT Southwestern, Dallas Texas.
Khvaramze ShaverdashviliUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.
Liza VillaruzUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.
Amanda CassDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Wade IamsDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Dara AisnerUniversity of Colorado Cancer Center, Aurora, Colorado.
Charu AggarwalDivision of Hematology and Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
D Ross CamidgeUniversity of Colorado Cancer Center, Aurora, Colorado.
Melina E MarmarelisDivision of Hematology and Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Lova SunDivision of Hematology and Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Characteristics of long-term survivors in EGFR-mutant (EGFRm) NSCLC are not fully understood. This retrospective analysis evaluated a multi-institution cohort of patients with EGFRm NSCLC treated in the pre-osimertinib era and sought to describe characteristics of long-term survivors. Methods: Clinical characteristics and outcomes were abstracted from the electronic medical records of patients with EGFRm metastatic NSCLC who started first-line therapy before 2015. Demographics and comutations were compared between greater than or equal to 5-year survivors and less than 5-year survivors. Multivariable Cox proportional hazard and logistic regression models were used to evaluate factors associated with survival and the odds of death within 5 years, respectively. Results: Overall, 133 patients were greater than or equal to 5-year survivors; 127 were less than 5-year survivors. Burden of pathogenic comutations including TP53 and PIK3CA was similar between greater than or equal to 5-year survivors and less than 5-year survivors. Receipt of first-line chemotherapy rather than EGFR tyrosine kinase inhibitor was similar between the groups (22% of <5-y versus 31% of ≥5-y). Baseline brain metastasis and history of smoking were associated with higher odds of death within 5 years (odds ratio = 2.16, Conclusions: Within patients treated for EGFRm metastatic NSCLC before 2015, absence of brain metastasis and nonsmoking status were predictive of 5-year survival. Our findings help to define a subset of patients with EGFRm NSCLC with excellent survival outcomes who may not require intensification of initial therapy.

Indexed as

Brain metastasisEGFREGFR TKINext-generation sequencingNSCLC

Identifiers

PMID39157674
PMCPMC11328087

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.