Evidence map›Paper›PMID 42891904›Full record

ArticleTargeted oncology2026

Association of TP53 Truncating Mutations with Time to Treatment Failure after First-Line Chemoimmunotherapy in HER2-Mutant Non-Small Cell Lung Cancer.

Akihiro Yoshimura, Juichiro Yoshida, Chieko Takumi, Koichi Takayama

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Article in Targeted oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Akihiro YoshimuraDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan. aki-y@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0002-3753-2110
Juichiro YoshidaDepartment of Gastroenterology and Hepatology, Japanese Red Cross Society Kyoto Daiichi Hospital, Kyoto, 605-0981, Japan.
Chieko TakumiDepartment of Clinical Oncology, Japanese Red Cross Society Kyoto Daiichi Hospital, Kyoto, 605-0981, Japan.
Koichi TakayamaDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiomarkers associated with first-line chemoimmunotherapy outcomes in HER2-mutant non-small cell lung cancer (NSCLC) remain incompletely characterized.

objectiveTo evaluate whether TP53 truncating mutations are associated with clinical outcomes after first-line pembrolizumab plus pemetrexed-platinum in patients with HER2-mutant NSCLC. PATIENTS AND

methodsWe conducted a retrospective clinicogenomic study using the nationwide Center for Cancer Genomics and Advanced Therapeutics (C-CAT) database. Patients with advanced or recurrent HER2-mutant NSCLC who received first-line pembrolizumab plus pemetrexed-platinum were included. The primary endpoint was time to treatment failure (TTF).

resultsAmong 69 patients, 21 (30.4%) harbored TP53 truncating mutations. Patients with TP53 truncating mutations had shorter TTF than those without TP53 truncating mutations (median, 6.0 versus 7.6 months; hazard ratio [HR], 1.97; 95% confidence interval [CI] 1.11-3.49; log-rank P = 0.018). The 9-month TTF rates were 4.8% and 40.6%, respectively. After adjustment for age, Eastern Cooperative Oncology Group performance status, and programmed death-ligand 1 tumor proportion score, TP53 truncating mutations remained associated with shorter TTF (HR, 1.98; 95% CI 1.08-3.63; P = 0.026). No significant differences were observed in overall survival or objective response rate.

conclusionsTP53 truncating mutations were associated with shorter TTF during first-line pembrolizumab plus pemetrexed-platinum in HER2-mutant NSCLC, without significant differences in overall survival or objective response rate. These findings suggest a potential association with shorter treatment durability and require validation in independent cohorts.

Identifiers

PMID42891904

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