Evidence map›Paper›PMID 33804721›Full record

ArticleCancers2021

Neutrophil-to-Lymphocyte Ratio Is a Predictive Biomarker in Patients with Epidermal Growth Factor Receptor (EGFR) Mutated Advanced Non-Small Cell Lung Cancer (NSCLC) Treated with Tyrosine Kinase Inhibitor (TKI) Therapy.

Nicole K Yun, Sherin J Rouhani, Christine M Bestvina, Ethan M Ritz, Brendan A Gilmore, Imad Tarhoni, Jeffrey A Borgia, Marta Batus, Philip D Bonomi, Mary Jo Fidler

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 11% of its field
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

23 citing papers in PubMed, 28 citations in OpenAlex.

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  9. Overcoming EGFR-TKI resistance by targeting the tumor microenvironment.Chinese medical journal pulmonary and critical care medicine · 2024
    Review
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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

10 authors at 2 institutions in 1 country.

Nicole K YunDepartment of Internal Medicine, Rush University Medical Center, Chicago, IL 60612, USA.ORCID 0000-0002-3668-9618
Sherin J RouhaniSection of Hematology/Oncology, Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL 60637, USA.
Christine M BestvinaSection of Hematology/Oncology, Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL 60637, USA.
Ethan M RitzBioinformatics and Biostatistics Core, Rush University Medical Center, Chicago, IL 60612, USA.
Brendan A GilmoreHematology, Oncology and Cell Therapy, Department of Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
Imad TarhoniCell & Molecular Medicine, Pathology, Rush University Medical Center, Chicago, IL 60612, USA.
Jeffrey A BorgiaCell & Molecular Medicine, Pathology, Rush University Medical Center, Chicago, IL 60612, USA.
Marta BatusHematology, Oncology and Cell Therapy, Department of Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
Philip D BonomiHematology, Oncology and Cell Therapy, Department of Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
Mary Jo FidlerHematology, Oncology and Cell Therapy, Department of Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
Rush University Medical Center · USUniversity of Chicago · US

Funding

BASIC RESEARCH TRAINING IN MEDICAL ONCOLOGYT32CA009566 · NCI · UNIVERSITY OF CHICAGO · PI OLUFUNMILAYO F. OLOPADE · 1987 to 2026
$10.5M
MicroRNA Targets for Chemoprevention of Squamous Cell Carcinoma (R01 CA194062-01A1)R01CA194062 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI TSAI, KENNETH Y · 2016 to 2020
$1.6M
Investigation and targeting of the transcriptional and epigenetic landscape of Small Cell Lung CancerK99CA201618 · NCI · DANA-FARBER CANCER INST · PI CHRISTENSEN, CAMILLA L · 2016 to 2017
$257k
NCI NIH HHS K99 CA201618NCI NIH HHS T32 CA009566
6 · The paper itself

Abstract

backgroundFirst-line treatment for patients with non-small cell lung cancer (NSCLC) with a sensitizing epidermal growth factor receptor (

methodsThis study is a retrospective review of 137 patients with advanced

resultsOn univariable analysis, NLR ≥ 5 or higher NLR on a continuous scale were both associated with significantly worse PFS and overall survival (OS) at treatment initiation, and after 6 or 12 weeks of treatment. On multivariable analysis, NLR ≥ 5 was associated with increased risk of death at 12 weeks of therapy (HR 3.002, 95% CI 1.282-7.029,

conclusionsPatients with NLR ≥ 5 have a worse median PFS and median OS than patients with NLR < 5. NLR may have value as a predictive biomarker and may be useful for selecting patients for therapy intensification in the front-line setting either at diagnosis or after 12 weeks on therapy. NLR needs to be validated prospectively.

Indexed as

advanced non-small cell lung cancer (NSCLC)body mass index (BMI)epidermal growth factor receptor (EGFR)neutrophil-to-lymphocyte ratio (NLR)predictive biomarkertyrosine kinase inhibitor (TKI)

Identifiers

PMID33804721
PMCPMC8003851
OpenAlexW3137031969

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.