Evidence map›Paper›PMID 40002263›Full record

ReviewCancers2025

Osimertinib in the Treatment of Epidermal Growth Factor Receptor-Mutant Early and Locally Advanced Stages of Non-Small-Cell Lung Cancer: Current Evidence and Future Perspectives.

Antonello Veccia, Mariachiara Dipasquale, Martina Lorenzi, Sara Monteverdi, Stefania Kinspergher, Elena Zambotti, Orazio Caffo

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

7 authors.

Antonello VecciaMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.ORCID 0000-0002-8804-7094
Mariachiara DipasqualeMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.
Martina LorenziMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.ORCID 0000-0003-4874-0422
Sara MonteverdiMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.
Stefania KinspergherMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.
Elena ZambottiMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.
Orazio CaffoMedical Oncology, Santa Chiara Hospital, Largo Medaglie d'Oro 1, 38122 Trento, Italy.ORCID 0000-0001-7968-2531

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of epidermal growth factor receptor (EGFR)-mutant non-small-cell lung cancer (NSCLC) patients was dramatically revolutionized by the introduction of EGFR tyrosine kinase inhibitors in clinical practice, both in advanced and locally advanced/early stages. The present work focuses on osimertinib use in locally advanced and early NSCLC stages. Phase 3 clinical trials have supported the use of osimertinib as the new standard of care, both in the adjuvant setting and in locally advanced disease. The ADAURA study reported an overall survival (OS) advantage for adjuvant osimertinib in completely resected stage II-IIIA EGFR-mutant tumors, while the LAURA study proved a statistically significant benefit in progression-free survival (PFS) and a delay of central nervous system metastasis development in EGFR-mutant patients treated with osimertinib maintenance after concurrent chemoradiotherapy for locally advanced disease. In the neoadjuvant setting, data on osimertinib's efficacy are conflicting; therefore, the Neo-ADAURA study is evaluating the efficacy and safety of neoadjuvant osimertinib alone or in combination with chemotherapy in patients with stage II-IIIB NSCLC and common EGFR mutations. We discuss several issues that need to be clarified, such as the efficacy of the drug on uncommon mutations, the long-term impact on survival, and the management of resistance mechanisms. Moreover, we report the studies that are trying to identify potential biomarkers of response, such as the circulating tumor DNA (ctDNA), with the aim of selecting patients who will benefit most from osimertinib.

Indexed as

adjuvantearly stagemaintenanceneoadjuvantosimertinibresistance

Identifiers

PMID40002263
PMCPMC11853037

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.