Evidence map›Paper›PMID 39724403›Full record

ArticleThe oncologist2025

COMPOSIT study: evaluating osimertinib combination with targeted therapies in EGFR-mutated non-small cell lung cancer.

Camille Mehlman, Aurelie Swalduz, Isabelle Monnet, Clara Morin, Marie Wislez, Florian Guisier, Hubert Curcio, Pauline Du Rusquec, Alexis B Cortot, Valerie Gounant and 7 more

Abstract readMulticenter Study
In one paragraph

Article in The oncologist, 2025. 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. Review
  2. Article
  3. Review
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  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

17 authors.

Camille MehlmanDepartment of Pneumology and Thoracic Oncology, Tenon Hospital, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France.
Aurelie SwalduzDepartment of Medical Oncology, Léon Bérard Cancer Centre, Lyon, France.
Isabelle MonnetDepartment of Pneumology, Centre Hospitalier Inter-Communal de Creteil (CHIC), Creteil, France.
Clara MorinDepartment of Thoracic Oncology, Centre Hospitalier Universitaire Larrey, Toulouse, France.
Marie WislezUnité d'Oncologie Thoracique Service de Pneumologie Hopital Cochin, AP-HP Equipe "cancer, immune control and escape" Inserm U1138 Centre de Recherches des Cordeliers Université Paris Cité, France.
Florian GuisierNormandie Univ, UNIROUEN, LITIS Lab QuantIF team EA4108, CHU Rouen, Department of Pneumology and Inserm CIC-CRB 1404, F-76000 Rouen, France.
Hubert CurcioDepartment of Medical Oncology, Centre Francois Baclesse, Caen, France.
Pauline Du RusquecInstitut Curie, Institut du Thorax Curie-Montsouris, Paris-St Cloud, France.
Alexis B CortotThoracic Oncology Department, Université de Lille, CHU Lille, CNRS, INSERM, Institut Pasteur de Lille, UMR9020-UMR-S 1277-Canther, Lille, France.
Valerie GounantUniversité Paris Cité, Thoracic Oncology Department, CIC INSERM 1425, Institut du Cancer AP-HP Nord, Hôpital Bichat-Claude Bernard, Paris, France.
Baptiste AbbarDepartment of Medical Oncology Assistance Publique - Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Institut Universitaire de Cancérologie, INSERM U1135, CLIP² Galilée, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Paris, France.
Boris DuchemannDepartement of Thoracic and Medical Oncology, Assistance Publique - Hôpitaux de Paris (AP-HP), Avicenne, Bobigny, France.
Etienne Giroux-LeprieurDepartment of Respiratory Diseases and Thoracic Oncology, Université Paris-Saclay, UVSQ, APHP-Hopital Ambroise Paré, Boulogne-Billancourt, France.
Thomas PierretDepartment of Pneumology, Hospices Civils of Lyon, Lyon, France.
Fleur-Marie QuilotDepartment of Thoracic Oncology, University Hospital, Bourgogne-Franche Comté, Dijon, France.
Jacques CadranelDepartment of Pneumology and Thoracic Oncology, Tenon Hospital, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France.
Vincent FalletDepartment of Pneumology and Thoracic Oncology, Tenon Hospital, Assistance Publique Hôpitaux de Paris and GRC 4, Theranoscan, Sorbonne Université, Paris, France.ORCID 0000-0002-5153-6951

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe emergence of diverse resistance mechanisms after osimertinib therapy, including on-target epidermal growth factor receptor (EGFR) mutations and off-target alterations, warrants investigation of novel therapeutics to overcome these challenges and improve patient outcomes.

methodsCOMPOSIT was a French, retrospective, multicenter, cohort study of the effectiveness and tolerability of osimertinib in combination with other targeted therapies in patients with advanced EGFR-mutant (EGFRm) non-small cell lung cancer (NSCLC) who harbored other oncogenic drivers as primary or acquired resistance mechanisms. Real-world progression-free survival (rwPFS), overall survival (OS), and objective response rate (ORR) were the primary endpoints.

resultsThe study included 61 patients (63.9% women; median age, 61 years). Chemotherapy was administered to 26 patients (42.6%) before the combinations. The most frequently targeted resistance mechanisms were MET amplification (n = 40) and BRAF alterations (n = 11). Sixteen combinations of osimertinib with other targeted therapies were reported. Overall (except for 10 patients in clinical trials), median rwPFS and OS were 3.9 (95% CI, 2.9-5.2) and 9.8 months (95% CI, 6.8-14.8). Best ORR (n = 54) was 50% (95% CI, 33.0-72.8). In patients with MET amplification (n = 29), median rwPFS and OS were 4.9 (95% CI, 2.9-7.2) and 8.6 months (95% CI, 5.3-21.6). Grade ≥3 adverse events occurred in 15 patients (24.6%). No deaths were related to treatment.

conclusionsCombinations of osimertinib with other targeted therapies appeared to be feasible and safe and may offer clinical benefit to overcome resistance to osimertinib in EGFRm NSCLC, especially in patients with MET amplification.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overCohort StudiesErbB ReceptorsFemaleHumansIndolesMaleMiddle AgedMolecular Targeted TherapyAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinescombinationsEGFR mutationEGFR TKI resistancenon-small cell lung cancerosimertinibreal-world study

Identifiers

PMID39724403
PMCPMC12395140

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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.