Evidence map›Paper›PMID 40796995›Full record

Observational studyClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Real-world clinical experience with osimertinib in advanced EGFR-mutated non-small cell lung cancer.

María Carmen Areses Manrique, Luis León-Mateos, Sofia Silva-Díaz, Ana Alonso, Martín Lázaro-Quintela, Natalia Fernández Núñez, Francisco Javier Afonso-Afonso, Pablo Freijido-Álvarez, Manuel Fernández-Bruno, Soledad Cameselle-García and 15 more

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. First-line osimertinib in advancedESMO real world data and digital oncology · 2026
    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

25 authors.

María Carmen Areses ManriqueMedical Oncology Department, University Clinical Hospital of Ourense, Calle Ramon Puga Noguerol, 54, 32005, Ourense, Spain. Maria.Carmen.Areses.Manrique@sergas.es.ORCID http://orcid.org/0000-0003-1827-6323
Luis León-MateosMedical Oncology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Sofia Silva-DíazMedical Oncology Department, University Hospital A Coruña, A Coruña, Spain.
Ana AlonsoMedical Oncology Department, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Martín Lázaro-QuintelaMedical Oncology Department, Hospitalario Alvaro Cunqueiro, Vigo, Spain.
Natalia Fernández NúñezMedical Oncology Department, Complexo Hospitalario Universitario Lucus Augusti, Lugo, Spain.
Francisco Javier Afonso-AfonsoMedical Oncology Department, Complexo Hospitalario Universitario de Ferrol, Ferrol, Spain.
Pablo Freijido-ÁlvarezMedical Oncology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Manuel Fernández-BrunoMedical Oncology Department, University Hospital A Coruña, A Coruña, Spain.
Soledad Cameselle-GarcíaMedical Oncology Department, University Clinical Hospital of Ourense, Calle Ramon Puga Noguerol, 54, 32005, Ourense, Spain.
Clara González-OjeaMedical Oncology Department, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Gerardo HuidobroMedical Oncology Department, Hospitalario Alvaro Cunqueiro, Vigo, Spain.
Blanca Távara-SilvaMedical Oncology Department, Complexo Hospitalario Universitario Lucus Augusti, Lugo, Spain.
Carme García-LorenzoMedical Oncology Department, Complexo Hospitalario Universitario de Ferrol, Ferrol, Spain.
Javier ÁlvarezMedical Oncology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Patricia Cordeiro GonzálezMedical Oncology Department, University Hospital A Coruña, A Coruña, Spain.
Jesús García MataMedical Oncology Department, University Clinical Hospital of Ourense, Calle Ramon Puga Noguerol, 54, 32005, Ourense, Spain.
Cristina Azpitarte-RaposeirasMedical Oncology Department, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Luis Ruiz de Almirón LomoMedical Oncology Department, Hospitalario Alvaro Cunqueiro, Vigo, Spain.
Víctor Cebey-LópezMedical Oncology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Joaquín Mosquera MartínezMedical Oncology Department, University Hospital A Coruña, A Coruña, Spain.
Jorge García-GonzálezMedical Oncology Department, University Clinical Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
Lucía SantoméMedical Oncology Department, Ribera Povisa Hospital, Vigo, Spain.
Margarita AmenedoMedical Oncology Department, Centro Oncológico de Galicia, A Coruña, Spain.
José Luis Fírvida-PérezMedical Oncology Department, University Clinical Hospital of Ourense, Calle Ramon Puga Noguerol, 54, 32005, Ourense, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the effectiveness and safety of osimertinib as a first-line therapy in patients with advanced EGFR-mutated non-small cell lung cancer (aNSCLC) in a Spanish real-world setting.

methodsThis retrospective observational study was conducted at eight centers. The primary objective was to assess the effect of osimertinib on progression-free survival (PFS). The secondary objective was to evaluate the objective response rate (ORR), disease control rate (DCR), overall survival (OS), and drug toxicity.

resultsA total of 181 patients with aNSCLC were included in this study. The median PFS and OS were 15.8 (95% CI 12.5-19.0) and 29.3 (95% CI 21.1-37.5) months, respectively. An Eastern Cooperative Oncology Group Performance Status (ECOG PS) score ≥ 2 was associated with shorter PFS, whereas the presence of common EGFR mutations (exon 19 deletion and exon 21 L858R) was associated with longer PFS. Similarly, the age ≥ 70 years and an ECOG PS ≥ 2 were associated with a shorter OS, whereas the exon 19 deletion was associated with a longer OS. In addition, the overall ORR was 71.3% (CI 95% 64.7-77.9%), and the DCR was 87.8% (CI 95% 83.1-92.6%), with exon 19 deletion associated with a greater treatment response. Finally, 77% of the patients reported mild adverse reactions. Severe toxicity was not observed.

conclusionsThis study supports the effectiveness and tolerable safety profile of osimertinib as first-line treatment for patients with aNSCLC in a real-world setting. Exon 19 deletion appears to be a strong predictor of greater effectiveness in patients with aNSCLC.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsMutationAdultAgedAged, 80 and overErbB ReceptorsFemaleHumansIndolesMaleMiddle AgedProgression-Free SurvivalAcrylamidesAniline CompoundsAntineoplastic AgentsEGFR protein, humanErbB ReceptorsIndolesosimertinibPyrimidinesEGFR mutationsEpidermal growth factor receptor (EGFR)Locally advancedMetastaticNon-small cell lung cancerOsimertinibReal-world study

Identifiers

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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.