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The impact of EGFR T790M mutation status following the development of Osimertinib resistance on the efficacy of Osimertinib in non‐small cell lung cancer: A meta‐analysis
Background Previous studies have suggested that loss of the EGFR T790M gene mutation may contribute to the development of resistance to Osimertinib in non‐small cell lung cancer (NSCLC). Aims This study aims to assess the relationship between the clinical effectiveness of Osimertinib in NSCLC patien...
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Published in: | The clinical respiratory journal 2024-04, Vol.18 (4), p.e13748-n/a |
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description | Background
Previous studies have suggested that loss of the EGFR T790M gene mutation may contribute to the development of resistance to Osimertinib in non‐small cell lung cancer (NSCLC).
Aims
This study aims to assess the relationship between the clinical effectiveness of Osimertinib in NSCLC patients and the T790M mutation status following resistance to Osimertinib and examine differences between plasma and tissue tests and between Asian and non‐Asian groups.
Methods
The PubMed, Web of Science, Cochrane, and EMBASE databases were comprehensively searched for studies on the association between T790M mutation status and the efficacy of Osimertinib between January 2014 and November 2023. Meta‐analysis was carried out using Review Manager 5.4 software.
Results
After evaluating 2727 articles, a total of 14 studies were included in the final analysis. Positive correlations between EGFR T790M mutation status after Osimertinib resistance and longer PFS (HR: 0.44, 95% CI: 0.30–0.66), longer OS (HR: 0.3, 95% CI: 0.10–0.86), longer TTD (HR: 0.69, 95% CI: 0.45–1.07), and improved clinical outcomes including PFS and TTD subgroups (HR: 0.58, 95% CI: 0.47–0.73) were observed. Subgroup analysis revealed that, compared with the blood tests, the results of the T790M mutation tests by the tissue are more significant (HR: 0.24, 95% CI: 0.11–0.52 for tissue tests; HR: 0.47, 95% CI: 0.22–1.00 for plasma tests), and the PFS of Osimertinib were similar for Asian and non‐Asian patients (HR: 0.46, 95% CI: 0.31–0.68 for Asians; HR: 0.12, 95% CI: 0.01–1.27 for non‐Asians).
Conclusions
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection.
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection. Furthermore, Asian patients were found to experience similar benefits from Osimertinib treatment as non‐Asian patients. |
doi_str_mv | 10.1111/crj.13748 |
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Previous studies have suggested that loss of the EGFR T790M gene mutation may contribute to the development of resistance to Osimertinib in non‐small cell lung cancer (NSCLC).
Aims
This study aims to assess the relationship between the clinical effectiveness of Osimertinib in NSCLC patients and the T790M mutation status following resistance to Osimertinib and examine differences between plasma and tissue tests and between Asian and non‐Asian groups.
Methods
The PubMed, Web of Science, Cochrane, and EMBASE databases were comprehensively searched for studies on the association between T790M mutation status and the efficacy of Osimertinib between January 2014 and November 2023. Meta‐analysis was carried out using Review Manager 5.4 software.
Results
After evaluating 2727 articles, a total of 14 studies were included in the final analysis. Positive correlations between EGFR T790M mutation status after Osimertinib resistance and longer PFS (HR: 0.44, 95% CI: 0.30–0.66), longer OS (HR: 0.3, 95% CI: 0.10–0.86), longer TTD (HR: 0.69, 95% CI: 0.45–1.07), and improved clinical outcomes including PFS and TTD subgroups (HR: 0.58, 95% CI: 0.47–0.73) were observed. Subgroup analysis revealed that, compared with the blood tests, the results of the T790M mutation tests by the tissue are more significant (HR: 0.24, 95% CI: 0.11–0.52 for tissue tests; HR: 0.47, 95% CI: 0.22–1.00 for plasma tests), and the PFS of Osimertinib were similar for Asian and non‐Asian patients (HR: 0.46, 95% CI: 0.31–0.68 for Asians; HR: 0.12, 95% CI: 0.01–1.27 for non‐Asians).
Conclusions
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection.
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection. Furthermore, Asian patients were found to experience similar benefits from Osimertinib treatment as non‐Asian patients.</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.13748</identifier><identifier>PMID: 38584122</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Acrylamides ; Aniline Compounds ; Asian people ; Carcinoma, Non-Small-Cell Lung - drug therapy ; Carcinoma, Non-Small-Cell Lung - genetics ; drug resistance ; EGFR T790M mutation ; ErbB Receptors - genetics ; Humans ; Indoles ; Lung cancer ; Lung Neoplasms - drug therapy ; Lung Neoplasms - genetics ; meta‐analysis ; Mutation ; non‐small cell lung cancer ; Osimertinib ; Protein Kinase Inhibitors - pharmacology ; Protein Kinase Inhibitors - therapeutic use ; Pyrimidines ; Review</subject><ispartof>The clinical respiratory journal, 2024-04, Vol.18 (4), p.e13748-n/a</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. The Clinical Respiratory Journal published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4708-d9e23f571025e0c4c5820b51636dbad97788f736fa887144ccc033db65af74693</cites><orcidid>0009-0008-3629-9979 ; 0000-0001-5094-3195</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999367/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999367/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,27924,27925,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38584122$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guo, Liuxian</creatorcontrib><creatorcontrib>Zhou, Guojin</creatorcontrib><creatorcontrib>Huang, Min</creatorcontrib><creatorcontrib>Tang, Kejing</creatorcontrib><creatorcontrib>Xu, Jing</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><title>The impact of EGFR T790M mutation status following the development of Osimertinib resistance on the efficacy of Osimertinib in non‐small cell lung cancer: A meta‐analysis</title><title>The clinical respiratory journal</title><addtitle>Clin Respir J</addtitle><description>Background
Previous studies have suggested that loss of the EGFR T790M gene mutation may contribute to the development of resistance to Osimertinib in non‐small cell lung cancer (NSCLC).
Aims
This study aims to assess the relationship between the clinical effectiveness of Osimertinib in NSCLC patients and the T790M mutation status following resistance to Osimertinib and examine differences between plasma and tissue tests and between Asian and non‐Asian groups.
Methods
The PubMed, Web of Science, Cochrane, and EMBASE databases were comprehensively searched for studies on the association between T790M mutation status and the efficacy of Osimertinib between January 2014 and November 2023. Meta‐analysis was carried out using Review Manager 5.4 software.
Results
After evaluating 2727 articles, a total of 14 studies were included in the final analysis. Positive correlations between EGFR T790M mutation status after Osimertinib resistance and longer PFS (HR: 0.44, 95% CI: 0.30–0.66), longer OS (HR: 0.3, 95% CI: 0.10–0.86), longer TTD (HR: 0.69, 95% CI: 0.45–1.07), and improved clinical outcomes including PFS and TTD subgroups (HR: 0.58, 95% CI: 0.47–0.73) were observed. Subgroup analysis revealed that, compared with the blood tests, the results of the T790M mutation tests by the tissue are more significant (HR: 0.24, 95% CI: 0.11–0.52 for tissue tests; HR: 0.47, 95% CI: 0.22–1.00 for plasma tests), and the PFS of Osimertinib were similar for Asian and non‐Asian patients (HR: 0.46, 95% CI: 0.31–0.68 for Asians; HR: 0.12, 95% CI: 0.01–1.27 for non‐Asians).
Conclusions
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection.
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection. Furthermore, Asian patients were found to experience similar benefits from Osimertinib treatment as non‐Asian patients.</description><subject>Acrylamides</subject><subject>Aniline Compounds</subject><subject>Asian people</subject><subject>Carcinoma, Non-Small-Cell Lung - drug therapy</subject><subject>Carcinoma, Non-Small-Cell Lung - genetics</subject><subject>drug resistance</subject><subject>EGFR T790M mutation</subject><subject>ErbB Receptors - genetics</subject><subject>Humans</subject><subject>Indoles</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - genetics</subject><subject>meta‐analysis</subject><subject>Mutation</subject><subject>non‐small cell lung cancer</subject><subject>Osimertinib</subject><subject>Protein Kinase Inhibitors - pharmacology</subject><subject>Protein Kinase Inhibitors - therapeutic use</subject><subject>Pyrimidines</subject><subject>Review</subject><issn>1752-6981</issn><issn>1752-699X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>DOA</sourceid><recordid>eNp1kkFu1DAUhiMEoqWw4ALIEhtYTGvHTmyzQdWoLUVFlapBYmd5nOfWI8ce7KTV7DgCJ-FQnATPTBnRSmRhR8n3f89-elX1muBDUp4jkxaHhHImnlT7hDf1pJXy29PduyB71YucFxg3gtPmebVHRSMYqev96tfsBpDrl9oMKFp0cnZ6hWZc4i-oHwc9uBhQLvuYkY3exzsXrtFQIh3cgo_LHsImd5ldD2lwwc1RguxKJhhAJb2GwVpntFk9Jl1AIYbfP37mXnuPDJTFj6WCWafTB3SMehh0AXTQflW0L6tnVvsMr-73g-rr6cls-mlycXl2Pj2-mBjGsZh0EmpqG05w3QA2zDSixvOGtLTt5rqTnAthOW2tFoITxowxmNJu3jbactZKelCdb71d1Au1TK7XaaWidmrzIaZrpcsljAcFbc1KNcq7EiWECaglsxgorpnhlBXXx61rOc576ExpWdL-gfThn-Bu1HW8VQRLKWnLi-HdvSHF7yPkQfUur7ulA8QxK4op46U4awv69hG6iGMq3VtTrJFYUlkX6v2WMinmnMDuTkOwWo-UKiOlNiNV2Df_Hn9H_p2hAhxtgTvnYfV_k5pefd4q_wD3o9iX</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Guo, Liuxian</creator><creator>Zhou, Guojin</creator><creator>Huang, Min</creator><creator>Tang, Kejing</creator><creator>Xu, Jing</creator><creator>Chen, Jie</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0009-0008-3629-9979</orcidid><orcidid>https://orcid.org/0000-0001-5094-3195</orcidid></search><sort><creationdate>202404</creationdate><title>The impact of EGFR T790M mutation status following the development of Osimertinib resistance on the efficacy of Osimertinib in non‐small cell lung cancer: A meta‐analysis</title><author>Guo, Liuxian ; Zhou, Guojin ; Huang, Min ; Tang, Kejing ; Xu, Jing ; Chen, Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4708-d9e23f571025e0c4c5820b51636dbad97788f736fa887144ccc033db65af74693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acrylamides</topic><topic>Aniline Compounds</topic><topic>Asian people</topic><topic>Carcinoma, Non-Small-Cell Lung - drug therapy</topic><topic>Carcinoma, Non-Small-Cell Lung - genetics</topic><topic>drug resistance</topic><topic>EGFR T790M mutation</topic><topic>ErbB Receptors - genetics</topic><topic>Humans</topic><topic>Indoles</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - drug therapy</topic><topic>Lung Neoplasms - genetics</topic><topic>meta‐analysis</topic><topic>Mutation</topic><topic>non‐small cell lung cancer</topic><topic>Osimertinib</topic><topic>Protein Kinase Inhibitors - pharmacology</topic><topic>Protein Kinase Inhibitors - therapeutic use</topic><topic>Pyrimidines</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Liuxian</creatorcontrib><creatorcontrib>Zhou, Guojin</creatorcontrib><creatorcontrib>Huang, Min</creatorcontrib><creatorcontrib>Tang, Kejing</creatorcontrib><creatorcontrib>Xu, Jing</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Wiley-Blackwell Open Access Backfiles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guo, Liuxian</au><au>Zhou, Guojin</au><au>Huang, Min</au><au>Tang, Kejing</au><au>Xu, Jing</au><au>Chen, Jie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of EGFR T790M mutation status following the development of Osimertinib resistance on the efficacy of Osimertinib in non‐small cell lung cancer: A meta‐analysis</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>Clin Respir J</addtitle><date>2024-04</date><risdate>2024</risdate><volume>18</volume><issue>4</issue><spage>e13748</spage><epage>n/a</epage><pages>e13748-n/a</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Background
Previous studies have suggested that loss of the EGFR T790M gene mutation may contribute to the development of resistance to Osimertinib in non‐small cell lung cancer (NSCLC).
Aims
This study aims to assess the relationship between the clinical effectiveness of Osimertinib in NSCLC patients and the T790M mutation status following resistance to Osimertinib and examine differences between plasma and tissue tests and between Asian and non‐Asian groups.
Methods
The PubMed, Web of Science, Cochrane, and EMBASE databases were comprehensively searched for studies on the association between T790M mutation status and the efficacy of Osimertinib between January 2014 and November 2023. Meta‐analysis was carried out using Review Manager 5.4 software.
Results
After evaluating 2727 articles, a total of 14 studies were included in the final analysis. Positive correlations between EGFR T790M mutation status after Osimertinib resistance and longer PFS (HR: 0.44, 95% CI: 0.30–0.66), longer OS (HR: 0.3, 95% CI: 0.10–0.86), longer TTD (HR: 0.69, 95% CI: 0.45–1.07), and improved clinical outcomes including PFS and TTD subgroups (HR: 0.58, 95% CI: 0.47–0.73) were observed. Subgroup analysis revealed that, compared with the blood tests, the results of the T790M mutation tests by the tissue are more significant (HR: 0.24, 95% CI: 0.11–0.52 for tissue tests; HR: 0.47, 95% CI: 0.22–1.00 for plasma tests), and the PFS of Osimertinib were similar for Asian and non‐Asian patients (HR: 0.46, 95% CI: 0.31–0.68 for Asians; HR: 0.12, 95% CI: 0.01–1.27 for non‐Asians).
Conclusions
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection.
Persistence of the T790M gene mutation after the development of Osimertinib resistance is associated with higher therapeutic benefits of Osimertinib in NSCLC patients. The results of tissue detection are more significant than those of plasma detection. Furthermore, Asian patients were found to experience similar benefits from Osimertinib treatment as non‐Asian patients.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>38584122</pmid><doi>10.1111/crj.13748</doi><tpages>14</tpages><orcidid>https://orcid.org/0009-0008-3629-9979</orcidid><orcidid>https://orcid.org/0000-0001-5094-3195</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Acrylamides Aniline Compounds Asian people Carcinoma, Non-Small-Cell Lung - drug therapy Carcinoma, Non-Small-Cell Lung - genetics drug resistance EGFR T790M mutation ErbB Receptors - genetics Humans Indoles Lung cancer Lung Neoplasms - drug therapy Lung Neoplasms - genetics meta‐analysis Mutation non‐small cell lung cancer Osimertinib Protein Kinase Inhibitors - pharmacology Protein Kinase Inhibitors - therapeutic use Pyrimidines Review |
title | The impact of EGFR T790M mutation status following the development of Osimertinib resistance on the efficacy of Osimertinib in non‐small cell lung cancer: A meta‐analysis |
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