Table 2.
Clinical trials evaluating the use of TKIs without radiotherapy in EGFRact+ NSCLC
TKI studied | Type of study | Additional treatment | N | EGFR status | ORR | iRR | OS | |
---|---|---|---|---|---|---|---|---|
Erlotinib | [105] | Phase 2 | Prior CT | 48 | 8/23 EGFRact+ | 58.3% | NR | 18.9 m |
Erlotinib | [78••] | Retrospective | 1) SRS + TKI 2) TKI monotherapy |
50 | All EGFRact+ | 1)88% 2)76% |
NR | 1) 58.4 2)19.4 |
Gefitinib | [105] | Phase 2 | 1) PriorCT+XRT 2) Prior CT |
40 | Chinese NS | 1)36% 2)31% |
38% | 15 m |
Gefitinib | [23••] | Phase 2 | Prior CT | 41 | All EGFRact+ | 87.8% | 65.80% | 21.9 m |
Erlotinib | [23••] | Phase 2 | At progression on gefitinib | 12 | All EGFRact+ | 58.3% | NR | NR |
Gefitinib | [106] | Retrospective | 1) Concurrent WBRT 2) TKI monotherapy |
90 | 12/20 EGFRact+ | 1) 71.4% 2)60% |
1) 71% 2)40% |
1) 23.4 2)14.8 |
Gefitinib or erlotinib | [25•] | Retrospective | Prior CT | 43 | All EGFRact+ | 72% | 57% | 23.6 m |
Gefitinib or erlotinib | [26] | Retrospective | 1) Prior XRT 2) TKI monotherapy |
121 | All EGFRact+ | 1)83.1% 2) 85.5% |
1)79.7% 2)59.7% |
NM but iPFS 1) 16.6 m 2) 21 m |
Gefitinib or erlotinib | [45] | Phase 2 | Prior CT | 28 | All EGFRact+ | 83% | 83% | 15.9 m |
Gefitinib or erlotinib | [95] | Retrospective | 1) TKI + XRT 2) TKI monotherapy |
89 | All EGFRact+ | NR | NR | 1) 26 m 2) 21.5 m |
Gefitinib or erlotinib | [107] | Retrospective | 1) WBRT + TKI 2) TKI monotherapy |
81 | All EGFRact+ | NR | NR | 1) 18.5 m 2) 17 m |
Gefitinib or erlotinib | [96] | Retrospective | 1) SRS+ TKI 2) TKI monotherapy and salvage XRT |
162 | All EGFRact+ | NR | NR | 1) 40.8 m 2) 20.5 m |
CT chemotherapy, EGFRact+ epidermal growth factor activating mutation, m months, iPFS intracranial progression free survival, iRR intracranial response rate, NM data not matured, NS not screened for EGFRact+, NR not reported, PFS progression free survival, ORR overall response rate, OS overall survival, RR response rate, TKI tyrosine kinase inhibitor, XRT radiotherapy