Table 2 Evaluation of efficacy of neoadjuvant Afatinib (n = 47)

From: Neoadjuvant Afatinib for stage III EGFR-mutant non-small cell lung cancer: a phase II study

Variables

No. of patient (%)

Duration of NAT, cycle (range)

2.7 (1-9)

Surgery performed

33 (70.2)

Tumor response

PR

33 (70.2)

SD

11 (23.4)

PD

2 (4.3)

No Re-evaluation

1 (2.1)

ORR (%)

70.2

DCR (%)

93.6

MTD regression, % (range)

36.0 (−28–78)

cN downstaging

37 (78.7)

ypN downstaging #

19 (57.6)

ypTNM #

0/I

14 (42.4)

II

5 (15.2)

III

14 (42.4)

Type of surgery #

Thoracotomy

16 (48.5)

VATS

17 (51.5)

Surgical resection #

Lobectomy

28 (84.8)

Bi-Lobectomy

5 (15.2)

Resection #

R0

29 (87.9)

R1

1 (3.0)

R2

3 (9.1)

Residual tumor cell, % (range) #

57.3 (0-95)

Residual tumor cell ≤ 60% #

17 (51.5)

Pathologic regression #

pCR

1 (3.0)

MPR

3 (9.1)

Non-MPR

30 (90.9)

Mean operation time (hour)

2.4

Mean blood loss (mL)

100

Mean hospital stay postoperatively, day (range)

6.6

Mean chest drainage time, day (range)

12.5

  1. #: Patients received neoadjuvant therapy followed by surgery.
  2. DCR disease control rate, MPR major pathological response, MTD maximum tumor dimension, NAT neoadjuvant Afatinib treatment, ORR objective response rate, pCR pathological complete response, PD progressive disease, PR partial response, SD stable disease.