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Table 1 Phase III trials of EGFR TKIs versus chemotherapy as first line therapy in NSCLC EGFR mutated patients

From: The epidermal growth factor receptor (EGRF) in lung cancer

Study

TKI

Chemotherapy

Population

Response rate (EGFR TKI vs chemotherapy) %

Disease control rate (EGFR TKI vs chemo) %

Progression free survival (EGFR TKI vs chemo) m

Overall survival (EGFR TKI vs chemo) m

IPASS (Sub-study) 1

Gefitinib

Carbo/Pac

Asian (E/SE)

71.2

47.3

91.7

87.6

9

6

21.6

21.9

    

p 0.001

 

p 0.001

NS

EURTAC 2

Erlotinib

Cis OR Carbo + Doc OR Gem

Caucasian

58

15

79

66

9.4

5.2

NR

NR

    

p < 0.001

p <0.001

p < 0.0001

  

OPTIMAL 3

Erlotinib

Carbo/Gem

Asian (China)

83

36

96

82

13.1

4.6

NR

NR

    

p 0.00001

p <0.0001

p < 0.0001

 

WJTOG 3405 4

Gefitinib

Cis/Doc

Asian (Japan)

62.1

32.2

93.1

78

9.2

6.3

30.9

NR

    

p < 0.0001

p 0.02

p < 0.0001

p 0.211

NEJSG 002 5

Gefitinib

Carbo/Pac

Asian (Japan)

73.7

30

86

79

10.8

5.4

30.5

23.6

    

p < 0.001

 

p < 0.001

p 0.353

LUX-Lung 3 6

Afatinib

Cis/Pem

Majority Asian

56.1

22.6

NR

NR

11.1

6.9

31.6

28.2

    

p < 0.0001

  

p 0.0004

p 0.109

LUX-Lung 6 7

Afatinib

Cis/Gem

Asian (E/SE)

67

23

93

76

11

5.6

23.6

23.5

    

p < 0.0001

p < 0.0001

p 0.001

p0.175

  1. 1Mok, et al. N Engl J Med 2009 [36]; 2; 2Rosell, et al. Lancet Oncol 2012 [40]; 3Zhou, et al. Lancet Oncol 2011 [39]; 4Mitsudomi, et al. Lancet Oncol 2010 [37]; 5Maemondo, et al. N Engl J Med 2010 [38]; 6Sequist, et al. J Clin Oncol 2013 [43]; 7Wu, et al. ASCO 2013 [44].