Evidence map›Paper›PMID 40831938›Full record

ReviewFrontiers in oncology2025

Mapping the clinical trial landscape of multiple primary lung cancer in the era of precision oncology: persistent exclusion and design limitations hamper evidence-based treatment development.

Jianwei Shi, Linchuan Liang, Yushun Gao

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Jianwei Shi *Department of Thoracic Surgery, National Cancer Centre/National Clinical Research Centre for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Linchuan Liang *Department of Thoracic Surgery, National Cancer Centre/National Clinical Research Centre for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yushun GaoDepartment of Thoracic Surgery, National Cancer Centre/National Clinical Research Centre for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple primary lung cancer (MPLC) is increasingly recognized for its clinical and biological significance, yet it remains strikingly underrepresented in clinical trials. We systematically analyzed 8,212 lung cancer trials registered between 2015 and 2024 across four major international registries, finding that only 18 (0.22%) explicitly included MPLC patients. Most of these trials were early-phase, observational, and surgery-focused, with minimal incorporation of biomarker-driven or precision strategies. This underrepresentation reflects a structural exclusion rooted in traditional single-lesion trial paradigms. It is further exacerbated by limited engagement from industry and government sponsors due to high trial complexity and low commercial incentive. Inclusion-oriented frameworks are urgently needed to align research with MPLC's clinical reality.

Indexed as

clinical trial designmultiple primary lung cancer (MPLC)patient underrepresentationprecision oncologytumor heterogeneity

Identifiers

PMID40831938
PMCPMC12358376

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.