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editorial
. 2018 Feb;7(Suppl 1):S39–S45. doi: 10.21037/tlcr.2018.01.06

Table 1. Timeline of clinical trials evaluating the efficacy of EGFR TKIs in an unselected or EGFR-wt NSCLC population.

Trial title Author(s) Year Trial phase Treatment Disease line and population PFS (months)
ISEL Thatcher et al. 2005 III Gefitinib vs. placebo Second; third-line chemotherapy refractory*; prior platinum mandatory; EGFR unselected 5.6 (g) vs. 5.1 (p); P=0.087
BR.21 Shepherd et al. 2005 III Erlotinib vs. placebo Second; third-line, prior combination chemotherapy and not eligible for further chemotherapy; EGFR unselected (EGFR expression testing optional) 2.2 (e) vs. 1.8 (p); P<0.001
ISTANA Lee et al. 2008 III Gefitinib vs. docetaxel Second-line, platinum refractory or recurrence and candidate for further chemotherapy; EGFR unselected 3.4 (d) vs. 3.3 (g); P=0.0134
V-15-32 Maruyama et al. 2008 III Gefitinib vs. docetaxel Second; third-line, chemotherapy failure including platinum; EGFR unselected 2.0 (d) vs. 2.0 (g); P=0.335
INTEREST Kim et al. 2008 III Gefitinib vs. docetaxel Second-line platinum refractory and non-refractory; EGFR unselected (EGFR copy number gain sub-group reported) 2.7 (d) vs. 2.2 (g); P=0.47
IPASS Mok et al. 2008 III Gefitinib vs. platinum-doublet chemotherapy First line, EGFR-wt sub-group (EGFR mutated and unknown population also reported) Not reported as absolute number, approx. 2 mo (g); significantly in favour of chemotherapy (HR =2.85; 95% CI, 2.05–3.98, P<0.001)
SATURN Capuzzo et al. 2010 III Erlotinib vs. placebo Maintenance post first-line platinum chemotherapy; EGFR-unselected (EGFR testing mandatory with missing data) 2.9 (e) vs. 2.6 (p); P<0.0001
CTONG0806 Zhou et al. 2011 II Gefitinib vs. pemetrexed Second-line, platinum pre-treated; EGFR-wt 4.8 (p) vs. 1.6 (g); P<0.001
IFCT-GFPC Pérol et al. 2012 III Erlotinib or gemcitabine vs. observation Maintenance post first-line platinum chemotherapy; EGFR-unselected (also included EGFR mutations) 3.8 (g) vs. 2.9 (e) vs. 1.9 (o); P=0.3867
TITAN Ciuleanu et al. 2012 III Erlotinib vs. docetaxel Second-line; disease progression on platinum doublet chemotherapy* shared first line chemotherapy run-in phase with SATURN; EGFR-wt 2.0 (d) vs. 1.5 (e); P=0.089
TORCH Gridelli et al. 2012 III Erlotinib then second-line chemotherapy vs. chemotherapy then second-line erlotinib First (and second-line), switch therapy; EGFR-wt and mutated 5.4 (c) vs. 2.2 (e) (P value not reported)
TAILOR Garassino et al. 2013 III Erlotinib vs. docetaxel Second-line; recurrence or progression after failing platinum chemotherapy; EGFR-wt 2.9 (d) vs. 2.4 (e); P=0.02
DELTA Kawaguchi et al. 2014 III Erlotinib vs. docetaxel Second; third-line; post chemotherapy (including platinum); EGFR-wt 3.2 (d) vs. 2.0 (e); P=0.09
HORG Karampeazis et al. 2013 III Erlotinib vs. pemetrexed Second; third-line; disease progression after chemotherapy (platinum not mandatory in ≥65 years); EGFR unselected [subgroup (n=11/123) with EGFR mutation reported on] 3.6 (e) vs. 2.9 (p); P=0.136
LUX-Lung 8 Soria et al. 2015 III Afatinib vs. erlotinib Second-line; squamous histology, progression after prior platinum chemotherapy; EGFR unselected 2.4 (a) vs. 1.9 (e); P=0.043
IUNO Cicènas et al. 2016 III Maintenance erlotinib vs. placebo and late erlotinib at disease progression in placebo arm Second-line; prior platinum chemotherapy without progression; EGFR-wt Maintenance-3 (e) vs. 2.9 (p); P=0.48;
‘Early’ vs. ‘Late’ erlotinib; P=0.4759

*, refractory defined as recurrent or progressive disease within 90 days of the last chemotherapy dose; PFS, progression free survival. g, gefitinib; p, placebo; e, erlotinib; d, docetaxel; o, observation; c, chemotherapy; a, afatinib.