Evidence map›Paper›PMID 41066731›Full record

ArticleJCO precision oncology2025

Role of Circulating Tumor DNA Tumor Fraction in Advanced Non-Small Cell Lung Cancer and Its Impact on Patient Treatment Outcomes: A Prospective Real-World Study.

Ben Man Fei Cheung, Elaine Yee-Ling Ko, David Jen Hao Shih, Jason Wing Hon Wong, Matthew Kin-Liang Chiu, Gin Wai Kwok, Isaac Ho, Dennis Kwok-Chuen Leung, Anne Wing-Mui Lee, Victor Ho-Fun Lee and 1 more

Abstract readMulticenter Study
In one paragraph

Article in JCO precision oncology, 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

11 authors.

Ben Man Fei CheungDepartment of Clinical Oncology, Queen Mary Hospital, Hong Kong SAR, China.ORCID 0000-0003-0419-6082
Elaine Yee-Ling KoDepartment of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China.ORCID 0009-0005-9442-4756
David Jen Hao ShihSchool of Biomedical Science, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Jason Wing Hon WongSchool of Biomedical Science, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0003-2953-7728
Matthew Kin-Liang ChiuDepartment of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China.ORCID 0009-0007-7189-5883
Gin Wai KwokDepartment of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.
Isaac HoDepartment of Clinical Oncology, Queen Mary Hospital, Hong Kong SAR, China.ORCID 0000-0003-2535-0069
Dennis Kwok-Chuen LeungDepartment of Clinical Oncology, Queen Mary Hospital, Hong Kong SAR, China.
Anne Wing-Mui LeeDepartment of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China.ORCID 0000-0003-2972-0231
Victor Ho-Fun LeeDepartment of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China.ORCID 0000-0002-6283-978X
Aya El HelaliDepartment of Clinical Oncology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, Hong Kong SAR, China.ORCID 0000-0001-6427-114X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComprehensive genomic profiling (CGP) using targeted panel next-generation sequencing (TP-NGS) is pivotal in the clinical management of advanced non-small cell lung cancer (aNSCLC). Despite the limitations associated with tumor tissue sampling, circulating tumor DNA (ctDNA) presents a promising alternative. This study aims to assess the prognostic value of ctDNA tumor fraction (TF) in aNSCLC. MATERIALS AND

methodsWe conducted a multicenter prospective study in Hong Kong. Patients with aNSCLC provided blood samples within 31 days before treatment initiation, followed by CGP using a validated ctDNA assay.

resultsAmong 878 patients, those with ctDNA TF ≥1% had significantly worse outcomes, with median progression-free survival (PFS) of 13.2 months and overall survival (OS) of 17.6 months compared with the ctDNA TF <1% group (

conclusionOur findings establish ctDNA TF as a clinically relevant biomarker in aNSCLC, providing robust prognostic and predictive information. The findings support the integration of ctDNA TF quantification into routine clinical workflows, reinforcing its role in advancing precision oncology and improving risk stratification and outcomes for patients with aNSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungCirculating Tumor DNALung NeoplasmsAdultAgedAged, 80 and overFemaleHong KongHumansMaleMiddle AgedPrognosisProspective StudiesTreatment OutcomeCirculating Tumor DNA

Identifiers

PMID41066731
PMCPMC12513052

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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.