Table 2 Evaluation of efficacy of neoadjuvant Aumolertinib (n = 51)

From: Neoadjuvant Aumolertinib for unresectable stage III EGFR-mutant non-small cell lung cancer: a single-arm phase II trial

Variables

All Patients

Mutant Subtypes, No. (%)

  

Ex19-Del

Ex21-L858R

P

Median Neoadjuvant Treatment cycle (range)

   

0.397

 

4.0 (2–6)

4.0 (3–4)

4.0 (3–6)

 

Surgery Treatment

   

0.445

Performed

23

9 (40.9)

14 (51.9)

 

Non-Performed

28

13 (50.1)

13 (48.1)

 

Tumor Response

   

0.006

PR

36 (70.6)

20 (90.9)

16 (59.3)

 

SD

15 (29.4)

2 (9.1)

11 (40.7)

 

ORR (%)

   

0.362

 

70.6

90.9

59.3

 

DCR (%)

   

/

 

100.0

100.0

100.0

 

TLD Response in CT, % (range)

   

0.003

 

37.8 (-4–86)

45.8 (6–86)

31.2 (0–58)

 

PT-S Response in PET-CT, % (range)*

   

0.557

 

64.8 (3.5–100.0)

66.0 (3.0–100.0)

72.3 (7.8–89.7)

 

ypN Downstaging#

   

0.190

 

17 (73.9)

8 (88.9)

9 (64.3)

 

ypTNM#

   

0.219

0/I

13 (56.6)

7 (77.8)

6 (42.9)

 

II

3 (13.0)

1 (11.1)

2 (14.2)

 

III

7 (30.4)

1 (11.1)

6 (42.9)

 

Type of Surgery#

   

/

Thoracotomy

2 (8.7)

2 (22.2)

0 (0.0)

 

VATS

21 (91.3)

7 (77.8)

14 (100.0)

 

Surgical Resection#

   

0.106

Lobectomy

19 (82.6)

6 (66.7)

13 (92.9)

 

Bi-Lobectomy

4 (17.4)

3 (33.3)

1 (7.1)

 

Residual Tumor Cell, % (range)#

   

0.015

 

45.9 (0–100)

19.8 (0–55)

63.3 (5–100)

 

Pathologic Regression#

   

0.034

pCR

3 (13.0)

3 (33.3)

0 (0.0)

 

MPR

5 (21.7)

4 (44.4)

1 (7.1)

 

Non-MPR

18 (78.3)

5 (55.6)

13 (92.9)

 
  1. DCR disease control rate, MPR major pathological response, NO number, ORR objective response rate, pCR pathological complete response, PR partial response, PT-S maximum standardized uptake value of glucose metabolism of primary tumor, SD stable disease, TLD target-lesions dimension.
  2. *Patients received PET-CT before and after neoadjuvant therapy, #Patients received neoadjuvant therapy followed by surgery.