Evidence map›Paper›PMID 40637305›Full record

Observational studyTumori2025

Biomarker testing implementation for molecularly targeted therapy in non-small cell lung cancer patients.

Daniele Lorenzini, Gabriella Gaudioso, Alessandro Scardoni, Lorenzo Blandi, Alessandro Del Gobbo, Paola Rafaniello Raviele, Stefano Ferrero, Silvio M Veronese, Calogero Lauricella, Fabio Pagni and 37 more

Abstract readObservational Study
In one paragraph

Observational study in Tumori, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

47 authors.

Daniele LorenziniDepartment of Diagnostic Innovation, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.ORCID 0000-0002-1425-3354
Gabriella GaudiosoDivision of Clinical Pathology, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Alessandro ScardoniWelfare General Directorate, Regione Lombardia, Milan, Italy.ORCID 0000-0003-4210-6527
Lorenzo BlandiDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Lombardia, Italy.
Alessandro Del GobboDivision of Pathology, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Paola Rafaniello RavieleDivision of Pathology, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Stefano FerreroDivision of Pathology, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
Silvio M VeroneseDivision of Pathology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Calogero LauricellaDivision of Pathology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
Fabio PagniDepartment of Medicine and Surgery, Pathology, Fondazione IRCCS San Gerardo dei Tintori, Università di Milano-Bicocca, Monza, Italy.
Davide SeminatiDepartment of Medicine and Surgery, Pathology, Fondazione IRCCS San Gerardo dei Tintori, Università di Milano-Bicocca, Monza, Italy.ORCID 0000-0002-2166-301X
Monica MiozzoMedical Genetics Unit, Department of Health Science, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
Chiara PesentiMedical Genetics Unit, Department of Health Science, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
Umberto GianelliUnit of Human Pathology, Department of Health Sciences Santi Paolo e Carlo Medical School, University of Milan, Milan, Italy.
Simona BuiatiotisUnit of Human Pathology, Department of Health Sciences Santi Paolo e Carlo Medical School, University of Milan, Milan, Italy.
Caterina FumagalliUnit of Human Pathology, Department of Health Sciences Santi Paolo e Carlo Medical School, University of Milan, Milan, Italy.
Elena Guerini RoccoDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Alessandra RappaDivision of Pathology, European Institute of Oncology IRCCS, Milan, Italy.
Massimo BarberisDivision of Pathology, European Institute of Oncology IRCCS, Milan, Italy.
Nicola FuscoDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Alberto RanghieroDivision of Pathology, European Institute of Oncology IRCCS, Milan, Italy.
Stefano La RosaUnit of Pathology, Department of Medicine and Technological Innovation, University of Insubria, Varese, Italy.
Fausto SessaUnit of Pathology, Department of Medicine and Technological Innovation, University of Insubria, Varese, Italy.
Daniela FurlanUnit of Pathology, Department of Medicine and Technological Innovation, University of Insubria, Varese, Italy.
Nora SahnaneUnit of Pathology, Department of Medicine and Technological Innovation, University of Insubria, Varese, Italy.
Carlo PatriarcaPathology Unit, St. Anna Hospital (ASST Lariana), Como, Italy.
Maria Giulia CangiPathology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Alessandra LumePathology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Claudio DoglioniPathology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maurilio PonzoniPathology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
William VermiDepartment of Molecular and Translational Medicine, University of Brescia, ASST Spedali Civili, Brescia, Italy.ORCID 0000-0002-2291-2997
Mauro NovaliRespiratory Department, Azienda Ospedaliera Spedali Civili di Brescia, Brescia, Lombardia, Italy.
Marco PaulliPathology Unit, Fondazione IRCCS Policlinico "San Matteo", Pavia, Italy.
Emanuela BoveriPathology Unit, Fondazione IRCCS Policlinico "San Matteo", Pavia, Italy.
Luigi TerraccianoDepartment of Pathology, IRCSS Humanitas Research Hospital, Rozzano-Milan, Italy.
Silvia UccellaDepartment of Pathology, IRCSS Humanitas Research Hospital, Rozzano-Milan, Italy.ORCID 0000-0002-5714-7295
Annarita DestroDepartment of Pathology, IRCSS Humanitas Research Hospital, Rozzano-Milan, Italy.
Elena TamboriniDepartment of Diagnostic Innovation, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Federica PerroneDepartment of Diagnostic Innovation, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.
Fabio PasottiDirectorate General for Health, Lombardy Region, Milan, Italy.
Francesco AgustoniMedical Oncology Department, Fondazione IRCCS Policlinico "San Matteo", Pavia, Italy.
Filippo De BraudDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Francesco GrossiDivision of Medical Oncology, Department of Medicine and Technological Innovation, University of Insubria, Varese, Italy.
Salvatore SienaDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Giuseppe CuriglianoDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Sabrina BuoroDirectorate General for Health, Lombardy Region, Milan, Italy.
Giancarlo PruneriDepartment of Diagnostic Innovation, Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.ORCID 0000-0002-7963-7172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent advancements in identifying druggable molecular drivers in lung adenocarcinoma (LUAD), have transformed treatment paradigms. In recent years, Next Generation Sequencing (NGS) has gained momentum as an essential tool for in-depth simultaneous analysis of multiple genes, thereby streamlining the diagnostic process in LUAD. Despite this, the implementation of NGS testing in both the US and Europe remains suboptimal.

aimsIn compliance with a decree issued by the Italian Ministry of Health, Lombardy Region recently launched an initiative to implement NGS testing in patients with advanced LUAD. In this context, a real-world prospective observational study was planned to assess the efficacy of the regional network of molecular laboratories in testing nine biomarkers (

resultsIn 2023, out of the 2784 advanced/metastatic LUAD patients expected in Lombardy, 2343 (84.2%) were successfully evaluated with an NGS panel including all the nine biomarkers for on-label drugs. Actionable aberrations were identified in 45.5% of the patients (1068/2343), predominantly involving

conclusionOur data provide evidence that establishing a structured network of NGS hubs is mandatory to ensure access of advanced LUAD patients to molecularly targeted treatments.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungLung NeoplasmsMolecular Targeted TherapyAdenocarcinoma of LungAgedAnaplastic Lymphoma KinaseErb-b2 Receptor Tyrosine KinasesErbB ReceptorsFemaleHigh-Throughput Nucleotide SequencingHumansItalyMaleMiddle AgedMutationALK protein, humanAnaplastic Lymphoma KinaseBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesErbB ReceptorsProtein-Tyrosine KinasesProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ROS1 protein, humanLung adenocarcinomaNGSprecision oncologytarget therapy

Identifiers

PMID40637305
PMCPMC12314203

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