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. 2018 Jan 16;2018(1):CD006847. doi: 10.1002/14651858.CD006847.pub2

Comparison 6. Gefitinib versus chemotherapy (EGFR mutation).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 HR Overall survival = 1st line 5   Hazard Ratio (Fixed, 95% CI) 0.97 [0.77, 1.21]
1.1 Biomarker driven selection 2   Hazard Ratio (Fixed, 95% CI) 0.98 [0.72, 1.33]
1.2 Clinical feature driven selection 3   Hazard Ratio (Fixed, 95% CI) 0.95 [0.68, 1.33]
2 HR Overall survival = 2nd line 1   Hazard Ratio (Fixed, 95% CI) 0.83 [0.41, 1.66]
2.1 G vs docetaxel 1   Hazard Ratio (Fixed, 95% CI) 0.83 [0.41, 1.66]
3 HR Progression‐free survival = 1st line 5   Hazard Ratio (Random, 95% CI) 0.47 [0.36, 0.61]
3.1 Biomarker driven selection 2   Hazard Ratio (Random, 95% CI) 0.39 [0.26, 0.59]
3.2 Clinical feature driven selection 3   Hazard Ratio (Random, 95% CI) 0.53 [0.41, 0.70]
4 HR Progression‐free survival = 2nd line 2   Hazard Ratio (Fixed, 95% CI) 0.24 [0.12, 0.47]
4.1 G vs docetaxel 1   Hazard Ratio (Fixed, 95% CI) 0.16 [0.05, 0.50]
4.2 G vs pemetrexed 1   Hazard Ratio (Fixed, 95% CI) 0.30 [0.13, 0.70]
5 Overall response rate 7 758 Risk Ratio (M‐H, Random, 95% CI) 1.71 [1.34, 2.19]
5.1 First‐line biomarker driven selection 2 347 Risk Ratio (M‐H, Random, 95% CI) 2.23 [1.75, 2.85]
5.2 First‐line, clinical feature driven selection 3 353 Risk Ratio (M‐H, Random, 95% CI) 1.45 [1.05, 1.99]
5.3 2nd line 2 58 Risk Ratio (M‐H, Random, 95% CI) 1.65 [0.88, 3.09]
6 Stable disease 3 397 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.28, 0.97]
6.1 First‐line, biomarker driven selection 2 347 Risk Ratio (M‐H, Random, 95% CI) 0.47 [0.22, 0.98]
6.2 First‐line, clinical feature driven selection 1 50 Risk Ratio (M‐H, Random, 95% CI) 0.87 [0.26, 2.85]
7 Disease control rate 5 2001 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.93, 1.19]
7.1 First‐line, biomarker driven selection 2 347 Risk Ratio (M‐H, Random, 95% CI) 1.15 [1.05, 1.26]
7.2 First‐line, clinical feature driven selection 2 1267 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.87, 0.99]
7.3 Second‐line 1 387 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.77, 1.36]