Evidence map›Paper›PMID 37504341›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Lorlatinib Effectiveness and Quality-of-Life in Patients with ALK-Positive NSCLC Who Had Failed Second-Generation ALK Inhibitors: Canadian Real-World Experience.

Martin Rupp, Fiorella Fanton-Aita, Stephanie Snow, Paul Wheatley-Price, Barbara Melosky, Rosalyn A Juergens, Quincy Chu, Normand Blais, Shantanu Banerji, Ryan Ng and 4 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
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

14 authors at 8 institutions in 1 country.

Martin RuppPfizer Canada, 17300 Trans-Canada Hwy, Kirkland, QC H9J 2M5, Canada.
Fiorella Fanton-AitaPfizer Canada, 17300 Trans-Canada Hwy, Kirkland, QC H9J 2M5, Canada.
Stephanie SnowQueen Elizabeth II Health Sciences Centre, Dalhousie University, 1276 South Park Street, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0003-3847-0289
Paul Wheatley-PriceDepartment of Medicine, University of Ottawa, 75 Laurier Avenue East, Ottawa, ON K1N 6N5, Canada.
Barbara MeloskyBC Cancer-Vancouver, 600 West 10th Avenue, Vancouver, BC V5Z 4E6BC, Canada.ORCID 0000-0003-2865-659X
Rosalyn A JuergensJuravinski Cancer Centre, McMaster University, Hamilton, ON L8V 5C2, Canada.
Quincy ChuCross Cancer Institute, 11560 University Ave, Edmonton, AB T6G 1Z2, Canada.
Normand BlaisCentre Hospitalier de l'Université de Montréal, Rue Saint-Denis Street Pavillon R, Montreal, QC H2X 0A9, Canada.ORCID 0000-0003-2698-4362
Shantanu BanerjiCancerCare Manitoba Research Institute, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0V9, Canada.ORCID 0000-0002-7531-1378
Ryan NgIQVIA Solutions Canada, 16720 Trans-Canada Highway, Kirkland, QC H9H 5M3, Canada.
Shoghag KhoudigianIQVIA Solutions Canada, 16720 Trans-Canada Highway, Kirkland, QC H9H 5M3, Canada.
Arushi SharmaIQVIA Solutions Canada, 16720 Trans-Canada Highway, Kirkland, QC H9H 5M3, Canada.
Phu Vinh OnPfizer Canada, 17300 Trans-Canada Hwy, Kirkland, QC H9J 2M5, Canada.
Geoffrey LiuPrincess Margaret Cancer Centre, Temerty School of Medicine, University of Toronto, Toronto, ON M5G 2M9, Canada.
TransCanada (Canada) · CACancerCare Manitoba · CACentre Hospitalier de l’Université de Montréal · CADalhousie University · CAJuravinski Cancer Centre · CASpinal Cord Injury BC · CAUniversity of Ottawa · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lorlatinib is the only targeted therapy approved in Canada to treat patients with anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) whose tumor has progressed despite treatment with second-generation ALK tyrosine kinase inhibitor (TKI), a patient population with high unmet need and lack of publicly reimbursed targeted treatments in Canada. We prospectively examined the real-world effectiveness and impact of lorlatinib on quality-of-life in 59 lorlatinib-treated patients, characterized as: median age of 62.0 years; 47.5% were female; 32.2% had central nervous system metastases; 50.8% had 2+ prior ALK TKI lines; and alectinib was the most common ALK TKI (72.9%) administered before lorlatinib, including 44.1% who received first-line alectinib. With a median follow-up of 15.3 months (IQR: 6.2-19.2), median time-to-treatment discontinuation of lorlatinib was 15.3 months (95% CI: 7.9-not reached), with 54.2% (95% CI: 40.8-65.9%) of patients without treatment discontinuation at 12 months. At baseline, the mean health utility score (HUS) was 0.744 (SD: 0.200). At 3 months, patients receiving lorlatinib demonstrated a 0.069 (95% CI: 0.020-0.118;

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAminopyridinesAnaplastic Lymphoma KinaseCanadaFemaleHumansLactamsLactams, MacrocyclicMaleMiddle AgedProtein Kinase InhibitorsProtein-Tyrosine KinasesPyrazolesQuality of LifeAminopyridinesAnaplastic Lymphoma KinaseLactamsLactams, MacrocycliclorlatinibProtein Kinase InhibitorsProtein-Tyrosine KinasesPyrazoleseffectivenesslorlatinibnon-small cell lung cancerquality-of-lifereal-world evidencesecond line

Identifiers

PMID37504341
PMCPMC10377946
OpenAlexW4383982286

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.