Table 2.
Median survival and time from primary diagnosis to brain metastasis by gene status and tyrosine kinase inhibition
Factor | n (%) | MS, mo | IQR, mo | P values vs EGFR & ALK−;* vs no TKI† | Mean time: primary diagnosis to BM, mo | P value vs EGFR & ALK−‡ |
---|---|---|---|---|---|---|
Adenocarcinoma overall | 1521 | 15 | 14–17 | 16 | ||
Alteration status unknown | 705 (46) | 12 | 5–25 | .12* | 19 | .08‡ |
Alteration status known | 816 (54) | 19 | 7–40 | 13 | ||
EGFR & ALK− | 284 (35) | 14 | 10 | ref* | 10 | ref‡ |
EGFR+ | 235 (29) | 23 | 20–28 | <.01* | 15 | .02‡ |
No TKI before BM | 161 (69) | 30 | 12–47 | ref† | ||
Received TKI before BM | 74 (31) | 17 | 9–26 | <.01† | ||
ALK+ | 86 (10) | 45 | 32–62 | <.01* | 20 | <.01‡ |
No TKI before BM | 53 (61) | 45 | 31-NR | ref† | ||
Received TKI before BM | 33 (39) | NR | 5-NR | .43† | ||
KRAS+ | 211 (26) | 12 | 5–32 | .84* | 13 | .25‡ |
Abbreviations: MS = median survival; NR = not reached; ref = reference; TKI = tyrosine kinase inhibition.
Percentages (%) are within the subgroup whose total is above and 1 column left. For example, 211/816 = 26% of patients with known alterations were KRAS+, and 161/235 = 69% of patients who were EGFR+ did not receive TKI before BM.
Forty-five patients had invalid dates and were excluded for metastasis time evaluation.
P values are from log-rank tests comparing survival distributions between each alteration group—EGFR+, ALK+, KRAS+, and unknown—and the EFGR & ALK− group as reference.
P values are from log-rank tests comparing survival distributions between each TKI group, within EGFR+ and ALK+ subgroups, respectively.
P values are from Wilcoxon rank sum tests comparing the time from primary diagnosis to BM between each alteration group and the EGFR & ALK− group as reference. TKI could be initiated at any time between primary diagnosis and BM, so time from primary diagnosis to BM was compared for TKI with time-dependent analyses (results not presented in table).