Table 1.
Mutation | Frequency in EGFR-mutant lung adenocarcinoma (%) | Clinical properties
|
|||||
---|---|---|---|---|---|---|---|
Response rate to EGFR TKIs
|
Median PFS
|
Median OS
|
|||||
% | Reference | Months | Reference | Months | Reference | ||
Exon 19 deletions | 45 | 82.8 | 13 | 11.5 | 13 | 30.8 | 171 |
84.8 | 170 | 9.0 | 14 | 34 | 174 | ||
63 | 171 | 11 | 12 | 17.7 | 172 | ||
64 | 172 | 14.6 | 171 | 33.1 | 173 | ||
70 | 173 | 12 | 174 | ||||
9.3 | 172 | ||||||
9.8 | 173 | ||||||
L858R (exon 21) | 40 | 67.3 | 13 | 10.8 | 13 | 14.8 | 171 |
60.9 | 170 | 9.6 | 14 | 8 | 174 | ||
50a | 171 | 8.4b | 12 | 20.5c | 172 | ||
62 | 172 | 9.7 | 171 | ||||
5 | 174 | ||||||
6.9 | 172 | ||||||
Exon 20 insertions | 2–9 | The variable response to EGFR TKIs is thought to be related to the effect of varying insertion length on the drug-binding pocket175. Median OS of 16 months176 in one series and 4 years in another177. | |||||
G719X | 3 | ~50 | 178 | 8.1 | 179 | 16.4 | 179 |
L861X | 2 | 60 | 179 | 6 | 15.2 | ||
Exon 19 insertions | 1 | Case series report responsiveness to erlotinib180 | |||||
T790M | 0.5–3 (in some case series) | Associated with lack of response to EGFR TKIs in patients with EGFR-activating mutations41,179 |
P = 0.39 compared to exon 19 deletions in this series.
P = 0.075 compared to exon 19 deletions in this series.
P = 0.65 compared to exon 19 deletions in this series.
PFS, progression-free survival; OS, overall survival.