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. 2014 Dec 20;17(12):877–883. [Article in Chinese] doi: 10.3779/j.issn.1009-3419.2014.12.10

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