Non-small Cell Lung Cancer in South Wales: Are Exon 19 Deletions and L858R Different?

被引:0
作者
Davies, Rhian Sian [1 ]
Nelmes, Daniel John [2 ]
Butler, Rachel [2 ]
Lester, Jason Francis [1 ]
机构
[1] Velindre Canc Ctr, Cardiff, S Glam, Wales
[2] Cardiff Univ, Inst Canc Genet, Cardiff, S Glam, Wales
关键词
EGFR mutation; exon; 19; deletion; L858R; advanced non-small cell lung cancer; NSCLC; FACTOR RECEPTOR MUTATIONS; 1ST-LINE TREATMENT; OPEN-LABEL; PHASE-III; CARBOPLATIN-PACLITAXEL; EGFR MUTATIONS; GEFITINIB; CHEMOTHERAPY; MULTICENTER; ERLOTINIB;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: In advanced non-small cell lung cancer (NSCLC), the epidermal growth factor receptor (EGFR) mutations L858R and exon 19 deletion (del19) predict response to EGFR tyrosine kinase inhibitors (TKIs). Trials have suggested a differential response to the second-generation EGFR TKI afatinib in favour of del19. We investigated whether this differential response is observed in clinical practice. Materials and Methods: Retrospective demographic, treatment and outcome data were collected on patients with: stage III/IV NSCLC and either del19 or L858R, receiving an EGFR TKI as first-line treatment. Results: There was no significant difference in overall survival (OS) between del19 (648 days, 95% confidence interval (CI)=461-835) and L858R (813 days, 95% CI=3871,238), (p=0.616), or in duration of therapy between del19 (365 days, 95% CI=192-538) and L858 (428 days, 95% CI=263-593), (p=0.928). Conclusion: Patients with exon del19 did not have a significantly longer OS with first-generation TKIs.
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页码:4267 / 4271
页数:5
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