Research Article

The Impact of Sequence of Chemotherapy and EGFR-TKI Treatment on Different EGFR Mutation Lung Adenocarcinoma

Table 2

Outcomes of stage IV, mutant EGFR lung adenocarcinoma patients who received 2nd-line versus 1st-line chemotherapy.

Outcome1st TKIs/2nd chemotherapy1st chemotherapy/2nd TKIs value

Response to 1st-line treatment, (%)
 Disease control (PR + SD)45 (81.8%)50 (89.3%)0.26
 PR30 (54.5%)23 (41.7%)0.16
 SD15 (27.3%)27 (47.6%)0.02
 PD10 (18.2%)6 (10.7%)0.26
Patients received 2nd-line treatment27 (49.1%)52 (92.9%)<0.0001


Response to 2nd-line treatment, (%)
 Disease control (PR + SD)12 (44.4%)37 (71.2%)0.02
 PR3 (11.1%)13 (25%)0.15
 SD9 (33.3%)24 (46.2%)0.27
 PD15 (55.6%)15 (28.8%)0.02
Survival time, days, median (IQR)
 OS390 (254–499)662 (342–773)<0.0001
 PFS to 1st-line treatment188 (102–276)214 (142–310)0.06
 PFS to 2nd-line treatment85 (59–148)199 (67–354)<0.0001

IQR: interquartile range; PR; partial response; SD: stable disease; PD: progressive disease; OS: overall survival time; PFS: progression-free survival.