Evidence map›Paper›PMID 40515576›Full record

ArticleInternational journal of cancer2025

Optimizing management of stage IV EGFR mutant non-small cell lung cancer in Asia: An expert opinion.

Gee-Chen Chang, Akhil Kapoor, Chee Khoon Lee, Chunxia Su, Daniel Chan, Guia Elena Imelda Ladrera, Hye Ryun Kim, Mostafa Aziz Sumon, Moushumi Suryavanshi, Sita Andarini and 4 more

Abstract readConsensus Statement
In one paragraph

Article in International journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Gee-Chen ChangDepartment of Internal Medicine, Division of Pulmonary Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.
Akhil KapoorDepartment of Medical Oncology, Homi Bhabha Cancer Hospital & Mahamana Pandit Madanmohan Malaviya Cancer Centre, Tata Memorial Centre, Homi Bhabha National Institute, Varanasi, India.ORCID 0000-0001-6006-2631
Chee Khoon LeeDepartment of Medical Oncology, Cancer Care Centre, St George Hospital, Sydney, Australia.
Chunxia SuMedical Oncology Department, Shanghai Pulmonary Hospital, Shanghai, China.
Daniel ChanIcon Cancer Centre, Singapore, Singapore.
Guia Elena Imelda LadreraMedical Oncology, Lung Centre of the Philippines, Manilla, Philippines.
Hye Ryun KimDivision of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0002-1842-9070
Mostafa Aziz SumonDepartment of Radiation Oncology, Kurmitola General Hospital, Dhaka, Bangladesh.
Moushumi SuryavanshiDepartment of Molecular Biology & Department of Pathology, Amrita Institute of Medical Sciences and Research Centre, Faridabad, India.
Sita AndariniDepartment of Pulmonology and Respiratory Medicine, Faculty of Medicine, University of Indonesia-Persahabatan Hospital, Jakarta, Indonesia.
Tatsuya YoshidaDepartment of Thoracic Oncology/Experimental Therapeutics, National Cancer Center Hospital, Tokyo, Japan.
Thanyanan ReungwetwattanaDivision of Medical Oncology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Tuan Khoi NguyenDepartment of Internal Medicine 1, Hochiminh Oncology Hospitals, Ho Chi Minh, Vietnam.
Pei Jye VoonDepartment of Radiotherapy, Oncology and Palliative Care, Hospital Umum Sarawak, Kuching, Malaysia.

Funding

AstraZeneca
6 · The paper itself

Abstract

Lung cancer is Asia's most prevalent cancer, accounting for the highest global patient share. A significant number of non-small cell lung cancer (NSCLC) patients in Asia exhibit mutations in the epidermal growth factor receptor (EGFR). Although clinical outcomes are improving with newer therapies, challenges persist in the effective management of EGFR mutant (EGFRm) NSCLC. Given the substantial disease burden, understanding the current diagnostic and treatment patterns for EGFRm NSCLC from an Asian perspective is essential. This expert opinion presents recommendations from Asian experts on molecular testing and treatment of first-line and second-line EGFRm NSCLC. The recommendations aim to optimize patient outcomes by providing a comprehensive approach to diagnosis and management, considering the high prevalence of EGFR mutations in the Asian population. The experts discussed and recommended approaches for optimal management of EGFRm NSCLC. Next-generation sequencing (NGS) testing is recommended to be included in the reimbursement scheme, and the turnaround time of testing should be shortened, considering the high burden of the disease in Asia. The panel recommended careful selection of patients for osimertinib+chemotherapy or lazertinib+amivantamab based on safety and efficacy profile, patient age, and disease status. While the panel agreed that osimertinib+chemotherapy is acceptable for these patients, dose adjustment and careful patient selection are recommended to optimize safety outcomes. For lazertinib+amivantamab, measures to mitigate adverse events such as the use of pre-medication with steroids, prophylactic anticoagulants, and dose modification are recommended. For patients progressing on one of the combination regimens, experts recommended repeat NGS testing and continued treatment with chemotherapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsAsiaErbB ReceptorsHigh-Throughput Nucleotide SequencingHumansMutationNeoplasm StagingProtein Kinase InhibitorsEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsAsian exert opinionEGFRm NSCLCEGFR positive NSCLCNSCLC in Asia

Identifiers

PMID40515576
PMCPMC12375841

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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.