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Front-line EGFR TKIs vs chemotherapy

Trial

TKI

Chemo

Mutation

mPFS

(TKI vs Chemo), p

PFS HR

(95%CI)

ORR% (TKI vs

Chemo)

≥G3 TKI tox

(%)

IPASS

Gefitinib

Carbo-Taxol

All

9.5 vs 6.3; p<0.001

0.48

(0.36-0.64)

71 vs 47

33

NEJ002

Gefitinib

Carbo-Taxol

L858R, Del19

10.8 vs 5.4; p<0.001

0.30

(0.22-0.41)

74 vs 31

41

WJTOG

3405

Gefitinib

Cis-Doce

L858R, Del19

9.2 vs 6.3; p<0.001

0.49

(0.34-0.71)

62 vs 32

NR

OPTIMAL

Erlotinib

Carbo-Gem L858R, Del19

13.1 vs 4.6; p<0.001

0.16

(0.10-0.26)

83 vs 36

17

EURTAC

Erlotinib

Cis/Carbo-

Doce/Gem

L858R, Del19

9.7 vs 5.2; p<0.001

0.37

(0.25-0.54)

58 vs 15

46

LUX-3

Afatinib

Cis-Pem L858R, Del19

13.6 vs 6.9; p<0.0001

0.47

(0.34-0.65)

56 vs 23

49

LUX-6

Afatinib

Cis-Gem L858R, Del19

11.0 vs 5.6; p<0.0001

0.28

(0.20-0.39)

67 vs 23

36

Mok NEJM (2009), Mitsudomi Lancet Oncol (2010); Maemondo NEJM (2010); Zhou Lancet Oncol (2011); Rossell Lancet Oncol (2012); Sequist JCO (2013); Wu Lancet Oncol (2014); NR, not reported