Review Article

Combining Whole-Brain Radiotherapy with Gefitinib/Erlotinib for Brain Metastases from Non-Small-Cell Lung Cancer: A Meta-Analysis

Table 1

Characteristics of included studies.

StudiesSamplesMedian age (years) Intervention regimens Control regimens DesignPhase Median OS (months)Median nPFS (months)
W-TWW-TW

Zhuang et al., 2013 [21]233160 (37–76)63 (43–81)WBRT 30 Gy/10 f plus erlotinib 150 mg/dayWBRT 30 Gy/10 fCase-controlIINRNR

Lee et al., 2014 [22]404061.3 (48–75)62.2 (41–73)WBRT 20 Gy/5 f plus erlotinib 100 mg/dayWBRT 20 Gy/5 f + placeboRandomizedII3.4/2.91.6/1.6

Fu et al., 2012 [23]38123A56 (38–77)WBRT 30–40 Gy/2-3 W plus gefitinib 250 mg/dayWBRT 30–40 Gy/2-3 WCase-controlNRNRNR

Wu et al., 2012 [24]351818–65WBRT 40 Gy/20 f plus gefitinib 250 mg/dayWBRT 40 Gy/20 fRandomizedNR12.1/9.8NR

Zhou et al., 2013 [25]362227–75WBRT 40 Gy/20 f or 30 Gy/10 f plus gefitinib 250 mg/day or erlotinib 100 mg/dayWBRT 40 Gy/20 f or 30 Gy/10 f plus Taxol 135–175 mg/m2 d1 or Alimta 500 mg/m2 d1 or DDP 25 mg/m2 (d1–3)Case-controlNR23.2/7.1NR

Pesce et al., 2012 [26]164357 (46–82)63 (45–79)WBRT 30 Gy/10 f plus gefitinib 250 mg/dayWBRT 30 Gy/10 f plus TMZ 75 mg/m2/dayRandomizedII6.3/4.9NR

Cai et al., 2013 [27]659266 (35–81)WBRT 29.37~41.24 Gy, 3 Gy/d, 5 times/week plus gefitinib 250 mg/day or erlotinib 100 mg/dayWBRT 29.37~41.24 Gy, 3 Gy/d, 5 times/weekCase-controlNR10.6/7.76/3.4

Notes. W-T: WBRT plus erlotinib/gefitinib; W: WBRT; NR: not reported; OS: overall survival; PFS: progression-free survival.