2.
EGFR-TKIs治疗肺癌脑转移的临床研究
Clinical studies of EGFR-TKIs for brain metastases in lung cancer
| Intervention | Published time | Design | EGFR mutation | Number of patients | ORR/DCR(%) | mPFS/OS(mo) |
| EGFR-TKI: epidermal growth factor receptor-tyrosine kinase inhibitor; ORR: overall response rate; DCR: disease control rate; mPFS: median progress-free survival; OS: overall survival; WBRT: whole-brain radiation therapy; XRT: external-beam radiation therapy; SRS: stereotactic radiosurgery; NR: not reported. | ||||||
| Gefitinib | 2004[37] | Prospective single arm phase Ⅱ |
Unselected | 41 | 10/27 | 3/5 |
| 2007[40] | Prospective single arm phase Ⅱ |
Adenocarcinoma Asian |
40 | 38/83 | 9/15 | |
| 2009[42] | Prospective single arm phase Ⅱ WBRT+Gefitinib |
Adenocarcinoma | 21 | 81/95 | 10.0/13.0 | |
| 2013[38] | Prospective single arm phase Ⅱ |
EGFR mutation | 41 | 87.8/97.6 | 14.5/21.9 | |
| Erlotinib | 2011[39] | Retrospective Erlotinib±XRT |
Unselected | 17 EGFR mutation 39 EGFR wild-type |
82/100 0/78 |
11.7/12.9 3.1/5.8 |
| 2013[45] | Prospective single arm phase Ⅱ |
Adenocarcinoma or EGFR mutation | 48 8 EGFR mutation 15 EGFR wild-type |
58.4/75.1 75/87.5 33.3/46.7 |
9.7/18.9 15.2/37.5 4.4/18.4 |
|
| 2013[44] | Prospective single arm phase Ⅱ WBRT+Erlotinib |
Unselected | 40 | 83/86 | 8/11.8 | |
| 2013[25] | Prospective randomized phase Ⅲ WBRT+SRS vs WBRT+SRS+Erlotinib vs WBRT+SRS+temozomide |
Unselected | 126 | NR | NR 8.1/13.4 4.8/6.1 4.6/6.3 |
|
| Gefitinib or erlotinib | 2009[41] | Prospective single arm phase Ⅱ |
Never smoking Adenocarcinoma Asian |
23 | 70/74 | 7.1/18.8 |
| 2012[43] | Prospective single arm phase Ⅱ |
EGFR mutation | 28 | 83/94 | 6.6/15.9 | |