Table 1 Patient demographics in the overall population, 332 advanced or recurrent NSCLC who received 1st or 2nd generation EGFR TKI.
Characteristics | All (N = 332) | De novo resistance (N = 28) | Intermediate responders (N = 240) | Long-term responders (N = 64) | P values |
|---|---|---|---|---|---|
Age at diagnosis, n (%) | 0.44 | ||||
Median (IQR) | 64 (54.3–72) | 60.5 (50–68) | 64 (55–72) | 63 (55–72) | |
< 60 years | 136 (41%) | 14 (50%) | 99 (41.3%) | 23 (35.9%) | |
≥ 60 years | 196 (59%) | 14 (50%) | 141 (58.7%) | 41 (64.1%) | |
Gender, n (%) | 0.56 | ||||
Male | 118 (35.5%) | 12 (42.9%) | 86 (35.8%) | 20 (31.3%) | |
Female | 214 (64.5%) | 16 (57.1%) | 154 (64.2%) | 44 (68.8%) | |
ECOG PS, n (%) | 0.07 | ||||
0–1 | 272 (86.6%) | 21 (75%) | 197 (86.4%) | 54 (93.1%) | |
≥ 2 | 42 (13.4%) | 7 (25%) | 31 (13.6%) | 4 (6.9%) | |
Missing | 18 | 12 | 6 | ||
Smoking status, n (%) | 0.10 | ||||
Never | 229 (80.4%) | 16 (64%) | 168 (82%) | 45 (81.8%) | |
Current/former | 56 (19.6%) | 9 (36%) | 37 (18%) | 10 (18.2%) | |
Missing | 47 | 3 | 35 | 9 | |
Histology, n (%) | 0.48 | ||||
Adenocarcinoma | 310 (95.4%) | 28 (100%) | 225 (95%) | 57 (95%) | |
Non adenocarcinoma | 15 (4.6%) | 0 | 12 (5%) | 3 (5%) | |
Missing | 7 | 3 | 4 | ||
Stage at diagnosis, n (%) | 0.003* | ||||
Recurrent | 79 (23.8%) | 1 (3.6%) | 55 (22.9%) | 23 (35.9%) | |
Metastatic | 253 (76.2%) | 27 (96.4%) | 185 (77.1%) | 41 (64.1%) | |
Curative surgery, n (%) | 70 (21.1%) | 1 (3.6%) | 48 (20%) | 21 (32.8%) | 0.01* |
Number of metastatic sites, n (%) | 0.002* | ||||
1–2 sites | 248 (74.7%) | 20 (71.4%) | 169 (70.4%) | 59 (92.2%) | |
≥ 3 sites | 84 (25.3%) | 8 (28.6%) | 71 (29.6%) | 5 (7.8%) | |
Brain metastasis, n (%) | 73 (22%) | 9 (32.1%) | 54 (22.5%) | 10 (15.6%) | 0.20 |
Liver metastasis, n (%) | 37 (11.1%) | 2 (7.1%) | 29 (12.1%) | 6 (9.4%) | 0.65 |
EGFR mutation subtypes, n (%) | < 0.001* | ||||
Del19 | 169 (50.9%) | 10 (35.7%) | 126 (52.5%) | 33 (51.6%) | |
L858R | 136 (41%) | 10 (35.7%) | 98 (40.8%) | 28 (43.8%) | |
G719X | 6 (1.8%) | 3 (10.7%) | 3 (1.3%) | 0 | |
L861G or Q | 6 (1.8%) | 3 (10.7%) | 3 (1.3%) | 0 | |
S768I | 1 (0.3%) | 0 | 1 (0.4%) | 0 | |
Exon 20 insertion | 2 (0.6%) | 1 (3.6%) | 1 (0.4%) | 0 | |
Any or combined mutations | 12 (3.6%) | 1 (3.6%) | 8 (3.3%) | 3 (4.7%) | |
EGFR mutation subtypes, n (%) | < 0.001* | ||||
Del19 | 169 (50.9%) | 10 (35.7%) | 126 (52.5%) | 33 (51.6%) | |
L858R | 136 (41%) | 10 (35.7%) | 98 (40.8%) | 28 (43.8%) | |
Uncommona | 15 (4.5%) | 7 (25%) | 8 (3.3%) | 0 | |
Any or combined mutations | 12 (3.6%) | 1 (3.6%) | 8 (3.3%) | 3 (4.7%) | |
Line of EGFR TKIs, n (%) | 0.21 | ||||
First line | 218 (65.7%) | 17 (60.7%) | 153 (63.8%) | 48 (75%) | |
Later line | 114 (34.3%) | 11 (39.3%) | 87 (36.3%) | 16 (25%) | |
Type of EGFR TKIs, n (%) | 0.01* | ||||
Gefitinib | 197 (59.3%) | 17 (60.7%) | 145 (60.4%) | 35 (54.7%) | |
Erlotinib | 121 (36.4%) | 8 (28.6%) | 84 (35%) | 29 (45.3%) | |
2nd generationb | 14 (4.3%) | 3 (10.7%) | 11 (4.6%) | 0 | |
Duration of TKI treatment, median (IQR, months) | 12.4 (7.1–20.5) | 2.3 (1.6–3) | 11.9 (7.6–15.9) | 32.4 (27.8–37.3) | < 0.001* |
ORR, n (%) | 201 (60.5%) | 1 (3.6%) | 159 (66.2%) | 41 (64.1%) | < 0.001* |