Evidence map›Paper›PMID 41724848›Full record

ArticleEuropean journal of clinical pharmacology2026

Exploring potential biomarkers and constructing prediction models of osimertinib based on a retrospective study.

Lili Cui, Mao Tang, SuLi Liang, Chen Bu, Yunlei Yun, Shouhong Gao, Zhipeng Wang, Xia Tao

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Lili Cui *Department of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China.
Mao Tang *Department of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China.
SuLi Liang *Department of Pharmacy, Shanghai Yongci Rehabilitation Hospital, Shanghai, 201100, P. R. China.
Chen BuDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China.
Yunlei YunDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China.
Shouhong GaoDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China. gaoshouhong@smmu.edu.cn.
Zhipeng WangDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China. wangzhipeng@smmu.edu.cn.
Xia TaoDepartment of Pharmacy, Second Affiliated Hospital of Naval Medical University, No. 415, Fengyang Road, Shanghai, 200003, P. R. China. taoxia@smmu.edu.cn.

Funding

Bethune Charitable Foundation: Shining China Z04JKM2023E040National Natural Science Foundation of China 82204819National Natural Science Foundation of China 82274173the "Shenlan" talent project of Naval Medical University SL63
6 · The paper itself

Abstract

purposeThis study aimed to identify potential biomarkers for adverse reactions (ADRs) and efficacy of osimertinib, and to construct prediction models in patients with non-small cell lung cancer(NSCLC).

methodsNSCLC patients treated with osimertinib were retrospectively enrolled from January 2021 to July 2022. Their clinical characteristics, ADRs and prognostic outcomes (e.g., progression-free survival, objective response rate) were extracted from medical records. Univariate and multivariate analysis were performed on baseline data to identify potential biomarkers associated with ADRs and efficacy. Prediction models were constructed and validated using logistic regression. All analysis were conducted with SPSS 19.0 and Graphpad Prism 8.0.

resultsA total of 90 patients in training cohort and 74 patients in the validation cohort were enrolled. Univariate analysis revealed that drinking history, total bilirubin(TB), indirect bilirubin(I-Bil), and aspartate aminotransferase(AST) were potential biomarkers for ADRs. Multivariate analysis identified drinking history, TB, and AST as key predictors of severe ADRs. No variate was associated with efficacy. A prediction model for severe ADRs was established using logistic regression: y= -2.714×(drinking history) − 0.4×(TB) − 0.099×(AST) + 6.196 [Area Under the Curve (AUC) = 0.87; 95% confidence interval (CI): 0.752–0.995; P < 0.001; sensitivity: 90%; specificity: 82.5%; optimal Youden index: 0.725]. Validation of this model in 74 NSCLC patients showed a sensitivity of 83.3% and specificity of 98.2%.

conclusionThis study developed and validated a prediction model for severe osimertinib-related ADRs in NSCLC patients based on baseline characteristics. The model exhibits good predictive performance for severe osimertinib-related ADRs and may facilitate individualized osimertinib therapy in clinical practice.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic AgentsCarcinoma, Non-Small-Cell LungLung NeoplasmsAgedAspartate AminotransferasesBilirubinBiomarkersFemaleHumansIndolesLogistic ModelsMaleMiddle AgedPrediction AlgorithmsAcrylamidesAniline CompoundsAntineoplastic AgentsAspartate AminotransferasesBilirubinBiomarkersIndolesosimertinibPyrimidinesAdverse reactionsBiomarkersOsimertinibPrediction modelRetrospective study

Identifiers

What Socratic holds

Textmetadata
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.