Table 4 Response comparison of different lorlatinib real world studies and the trial data.

From: Lorlatinib in the second line and beyond for ALK positive lung cancer: real-world data from resource-constrained settings

 

Trial data (Solomon et al.)

EAP South Asia and US. Zhu V et al. [18]

EAP Germany. Frost et al. [16]

EAP France. Baldacci et al. [17]

China. Lee et al. [19]

This study

Total number

229*

76

37

208

22

38

Number evaluable

215

64

14

191

22

31

 mFU (months)

7.2

6.8

16.1

23.3

-

49

Best Response

 Progressive disease

34 (15.8)

13

-

25 (13)

5 (23)

5 (16)

 Complete response

5 (2.3)

2

-

8 (4)

8 (36)

1 (3)

 Partial response

115 (53.5)

19

-

85 (45)

5 (23)

5 (16)

 Stable disease

60 (27.9)

30

-

71 (37)

4 (18)

20 (65)

 mDOR (95% CI, months)

NR

-

10.4 (6.5-12.8)

14.9 (10.1 to NR)

-

-

 ORR

51%

33%

42.4%

49%

35.7%

19%

 DCR

79%

80%

86%

86%

64.3%

84%

 mPFS (months)

NR

9.3

7.1

9.9

6.2

16

 mOS (months)

NR

NR

24.7

32.9

NR

21

 Brain metastasis

 

N = 9

N = 26

N = 160

N = 18

N = 21

 mPFS (months)

NR

9.3

-

-

-

-

 RR (Brain mets)

63%

35%

62.5% vs 35.7%

56%

100%

80%

Cause of treatment discontinuation

1. Disease progression

2. Toxicity

3. Death

4. Investigator’s decision

5. Patient ‘s decision

6. Intercurrent disease

-

-

-

60 (29)

28 (14)

15 (7)

7 (3)

1 (1)

1 (1)

-

12 (32)

0 (0)

12 (32)

0

0

0

  1. “EAP”- Expanded access program. “-” depicts data not available.
  2. *Only ALK positive patients included in this analysis (study involved both ALK and ROS positive patients).