Evidence map›Paper›PMID 41110381›Full record

Observational studyLung cancer (Amsterdam, Netherlands)2025

Outcomes with neoadjuvant osimertinib and/or chemotherapy in patients with EGFR-mutant resectable non-small cell lung cancers.

Prashasti Agrawal, Julia Rotow, Gaetano Rocco, William Travis, Eduardo Ortiz, Rebecca Scalabrino, Jaclyn LoPiccolo, Francesco Facchinetti, Mark G Kris, Helena A Yu and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Lung cancer (Amsterdam, Netherlands), 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. 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

12 authors.

Prashasti AgrawalThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA.
Julia RotowLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Gaetano RoccoDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
William TravisDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Eduardo OrtizDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Rebecca ScalabrinoDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Jaclyn LoPiccoloLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Francesco FacchinettiLowe Center for Thoracic Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
Mark G KrisThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA.
Helena A YuThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA.
David JonesDepartment of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Jamie E ChaftThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA; Weill Cornell Medical College, 525 East 68th Street, New York, NY 10065, USA. Electronic address: chaftj@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundEGFR-inhibitors are currently not approved for neoadjuvant treatment of resectable EGFR-mutant non-small cell lung cancers (NSCLC). We report a real-world multi-institutional analysis of surgical and pathologic outcomes in patients with resectable EGFR-mutant NSCLC treated with neoadjuvant therapies.

methodsWe identified patients with clinical stage II-IIIB NSCLC with sensitizing EGFR mutations who received neoadjuvant osimertinib and/or platinum-based doublet chemotherapy with intent for definitive surgical resection. Clinicopathologic characteristics and treatment outcomes were annotated. Event-free survival (EFS) was defined from the start of neoadjuvant treatment.

resultsWe identified 51 patients who received neoadjuvant osimertinib (N = 23, 45 %), chemotherapy alone (N = 18, 35 %), or osimertinib and chemotherapy (N = 10, 20 %). R0 resection rates were 91 % with osimertinib, 72 % with chemotherapy, and 90 % with osimertinib and chemotherapy. Rates of pathologic complete response were 17 % with osimertinib, 0 % with chemotherapy, and 0 % with osimertinib and chemotherapy. Rates of major pathologic response were 44 % with osimertinib, 0 % with chemotherapy, and 10 % with osimertinib and chemotherapy. Pathologic tumor downstaging occurred in 48 % with osimertinib, 44 % with chemotherapy, and 40 % with osimertinib and chemotherapy; pathologic lymph node downstaging occurred in 35 % with osimertinib, 28 % with chemotherapy, and 40 % with osimertinib and chemotherapy. Median follow up time was 19 months. Median EFS was 61 months with osimertinib, 32 months with chemotherapy, and 20 months with osimertinib and chemotherapy.

conclusionsPathologic complete responses and major pathologic responses were only observed in patients with EGFR-mutant NSCLC treated with osimertinib. EGFR-inhibitors may play an important role in the preoperative management of EGFR-mutant lung cancer.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsMutationAdultAgedAged, 80 and overErbB ReceptorsFemaleHumansIndolesMaleMiddle AgedNeoadjuvant TherapyAcrylamidesAniline CompoundsEGFR protein, humanErbB ReceptorsIndolesosimertinibProtein Kinase InhibitorsPyrimidinesEGFRNeoadjuvantOsimertinibResectable lung cancer

Identifiers

PMID41110381
PMCPMC12772451

What OpenQuestion holds

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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.