Evidence map›Paper›PMID 41104938›Full record

Trial reportThe New England journal of medicine2026

Survival with Osimertinib plus Chemotherapy in

Pasi A Jänne, David Planchard, Kunihiko Kobayashi, James Chih-Hsin Yang, Ying Liu, Natalia Valdiviezo, Tae Min Kim, Liyan Jiang, Hiroshi Kagamu, Noriko Yanagitani and 13 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in The New England journal of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing 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

68 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. [Personalized drug therapy of metastatic lung cancer].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Review
  13. First-line osimertinib in advancedESMO real world data and digital oncology · 2026
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Pasi A JänneDepartment of Medical Oncology, Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, Boston.
David PlanchardDepartment of Medical Oncology, Institut Gustave Roussy, Thoracic Unit, Villejuif, France.
Kunihiko KobayashiDepartment of Respiratory Medicine, Saitama Medical University International Medical Center, Hidaka, Japan.
James Chih-Hsin YangDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Ying LiuDepartment of Thoracic Oncology, Jilin Cancer Hospital, Changchun, China.
Natalia ValdiviezoDepartment of Oncology, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru.
Tae Min KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.ORCID 0000-0001-6145-4426
Liyan JiangDepartment of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai.
Hiroshi KagamuDepartment of Respiratory Medicine, Saitama Medical University International Medical Center, Hidaka, Japan.
Noriko YanagitaniDepartment of Thoracic Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo.
Jialei WangDepartment of Thoracic Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai.
Bivas BiswasDepartment of Medical Oncology, Tata Medical Center, Kolkata, India.ORCID 0000-0002-6101-5500
Artem PoltoratskiyPetrov Research Institute of Oncology, St. Petersburg, Russia.
Yeni NeronOncology Research Center, Florianopolis, Brazil.
Carlos RojasMedical Oncology Department, Bradford Hill Clinical Research Center, Santiago, Chile.
Leona KoubkovaDepartment of Pulmonology, Motol University Hospital, Prague, Czech Republic.
Carles EscriuDepartment of Medical Oncology, Clatterbridge Cancer Centre National Health Service Foundation Trust, Liverpool, United Kingdom.ORCID 0000-0003-3638-3202
Doreen A EzeifeDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Helen MannOncology Biometrics, AstraZeneca, Cambridge, United Kingdom.
Elena Armenteros-MonterrosoOncology Research and Development, AstraZeneca, Barcelona.
Yuri RukazenkovOncology Research and Development, AstraZeneca, Cambridge, United Kingdom.
Chee Khoon LeeDepartment of Medical Oncology, Cancer Care Centre, St. George Hospital, Kogarah, NSW, Australia.
FLAURA2 Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary analysis of this trial showed that first-line treatment with osimertinib plus chemotherapy with a platinum-based agent and pemetrexed led to significantly longer progression-free survival than osimertinib monotherapy among patients with epidermal growth factor receptor (

methodsIn this phase 3, international, open-label trial, we randomly assigned in a 1:1 ratio patients with

resultsA total of 557 patients were randomly assigned to the osimertinib plus platinum-pemetrexed group (279 patients) or the osimertinib monotherapy group (278 patients). The median overall survival was 47.5 months in the osimertinib plus platinum-pemetrexed group and 37.6 months in the osimertinib monotherapy group (hazard ratio for death, 0.77; 95% confidence interval, 0.61 to 0.96; P = 0.02). Grade 3 or higher adverse events of any cause were reported in 70% of the patients in the osimertinib plus platinum-pemetrexed group and in 34% of the patients in the osimertinib monotherapy group; adverse events leading to the discontinuation of osimertinib were reported in 12% and 7%, respectively.

conclusionsAmong patients with

Indexed as

AcrylamidesAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungIndolesLung NeoplasmsPyrimidinesAdultAgedAged, 80 and overCarboplatinCisplatinErbB ReceptorsFemaleHumansMaleAcrylamidesAniline CompoundsCarboplatinCisplatinEGFR protein, humanErbB ReceptorsIndolesosimertinibPemetrexedPyrimidines

Identifiers

PMID41104938

What OpenQuestion holds

Textmetadata
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.