Table 1.
Gene alteration | Study | Therapy | n | ORR (%) | DCR (%) | PFS (m) | Reference |
---|---|---|---|---|---|---|---|
EGFR | FURLONG | Furmonertinib | 178 | 89.0 | 84.0 | 20.8 | [4] |
Gefitinib | 179 | 96.0 | 93.0 | 11.1 | |||
AENEAS | Aumolertinib | 214 | 73.8 | 72.1 | 19.3 | [5] | |
Gefitinib | 215 | 93.0 | 96.7 | 9.9 | |||
NCT02108964 | Nazartinib | 45 | 69.0 | 91.0 | 18.0 | – | |
AfaBev‐CS | Afatinib + bevacizumab | 49 | – | – | 16.3 | [6] | |
Afatinib | 50 | – | – | 16.1 | |||
WJOG9717L | Osimertinib + bevacizumab | 61 | – | – | 22.1 | [7] | |
Osimertinib | 61 | – | – | 20.2 | |||
Osimertinib + PEM + carboplatin | 33 | 90.9 | 97.0 | – | [8] | ||
CHRYSALIS | Amivantamab + lazertinib | 20 | 100.0 | 100.0 | NE | [9] | |
EGFR TKI resistance | U31402‐A‐U102 | HER3‐DXd | 44 | 39.0 | 68.0 | 8.2 | [10] |
SAVANNAH | Osimertinib+savolitinib (IHC50 + and/or FISH5+) | 193 | 32.0 | 61.0 | 5.3 | [11] | |
Osimertinib+savolitinib (IHC90 + and/or FISH10+) | 108 | 49.0 | 74.0 | 7.1 | |||
NCT02099058 | Osimertinib + Teliso − V | 25 | 58.0 | – | – | [12] | |
Osimertinib + Teliso − V 1.9 mg/kg | 18 | 67.0 | – | – | |||
ORIENT‐31 | Sintilimab + IBI305 + platinum‐based chemotherapy | 158 | 48.1 | 86.1 | 7.2 | [13] | |
Sintilimab + platinum‐based chemotherapy | 158 | 34.8 | 81.6 | 5.5 | |||
Platinum‐based chemotherapy | 160 | 29.4 | 75.6 | 4.3 | |||
EGFR Ex20ins |
WU‐KONG1 WU‐KONG2 WU‐KONG6 |
Sunvozertinib | 84 | 52.4 | – | – | [14] |
POSITION20 | High dose osimertinib | 25 | 28.0 | – | 6.8 | [15] | |
EGFR G719X, S768I and L861Q mutations | ARTICUNO | Osimertinib (G719X) | 19 | 50.0 | 89.0 | 11.0 | [16] |
Osimertinib (L861X) | 15 | 50.0 | 86.0 | 9.0 | |||
Osimertinib (S768I) | 11 | 55.0 | 91.0 | 17.0 | |||
ALK | CROWN Asian | Lorlatinib | 59 | 78.0 | – | NR | [17] |
Crizotinib | 61 | 57.4 | – | 11.1 | |||
J‐ALEX | Alectinib | 103 | – | – | 34.1 | [18] | |
Crizotinib | 104 | – | – | 10.2 | |||
NCT03909971 | lorlatinib (cohort 1: previous crizotinib) | 67 | 70.1 | 82.0 | NR | [19] | |
lorlatinib (cohort 2: one ALK TKI other than crizotinib [±prior crizotinib]) | 42 | 47.6 | 61.9 | 5.6 | |||
MET14 exon skipping mutation | NCT02897479 | Savolitinib | 70 | 47.1 | 81.4 | 6.9 | [20] |
VISION | Tepotinib (cohort C) | 161 | 54.7 | 80.1 | 13.8 | [21] | |
GLORY | SCC244 | 73 | 60.9 | 82.6 | 7.6 | [22] | |
HER2 mutation | DESTINY‐Lung02 | T‐DXd 5.4 mg/kg Q3W | 52 | 53.8 | 90.4 | – | [23] |
T‐DXd 6.4 mg/kg Q3W | 28 | 42.9 | 92.9 | – | |||
BRAF V600 mutation | NCT04452877 | Dabrafenib + trametinib | 18 | 75 | – | NR | [24] |
RET fusion | ARROW | Pralsetinib (prior platinum treatment) | 130 | 82 | – | 16.4 | [25] |
Pralsetinib (no prior systemic treatment) | 107 | 83 | – | 12.6 | |||
LIBRETTO‐001 | Selpercatinib (treatment‐naïve) | 69 | 84.1 | – | 22.0 | [26] | |
Selpercatinib (previous platinum chemotherapy) | 247 | 61.1 | – | 24.9 | |||
LIBRETTO‐321 | Selpercatinib (treatment‐naïve) | 8 | 87.5 | – | NR | [27] | |
Selpercatinib (pretreated) | 18 | 61.1 | – | NR | |||
KRAS | CodeBreaK 200 | Sotorasib | 169 | 28.1 | 82.5 | 5.6 | [28] |
Docetaxel | 151 | 13.2 | 60.3 | 4.5 | |||
KRYSTAL‐1 | MRTX849 | 112 | 43 | 80 | 6.5 | [29] | |
ROS1 fusion | EUCROSS | Crizotinib | 34 | 70 | 90 | 19.4 | [30] |
STARTRK‐1, STARTRK2, ALKA‐372‐001 (EudraCT 2012‐000148‐8) | Entrectinib | 172 | 67.4 | 86.7 | 16.8 | [31] | |
Entrectinib (first‐line cohort) | 67 | 68.7 | 79.1 | 17.7 | |||
NCT03972189 | Unecritinib | 111 | 78.4 | 87.4 | 15.6 | [32] | |
NTRK gene | Larotrectinib | 26 | 83 | 100 | NR | [33] | |
Fusion in a pan‐cancer setting | STARTRK‐1, STARTRK2, ALKA‐372‐001 (EudraCT 2012‐000148‐8) | EntrectinibA | 31 | 64.5 | – | – | [34] |
STARTRK 2 | Entrectinib (mainland China, Hong Kong, Taiwan) | 21 | 81 | 85.8 | 30.3 | [35] |
Abbreviations: ALK, anaplastic lymphoma kinase; DSR, disease control rate; EGFR, epidermal growth factor receptor; NSCLC, nonsmall cell lung cancer; ORR, objective response rate; PFS, progression‐free survival; TKI, tyrosine kinase inhibitor.