Review Article

Advanced Non-Small-Cell Lung Cancer in Elderly Patients: Patient Features and Therapeutic Management

Table 2

Subset analysis of elderly population in clinical trials of EGFR-TKIs or ALK inhibitors for NSCLC.

StudyTreatmentAge.HR for OS (95% CI)HR for PFS (95% CI)

(A) EGFR-TKIs
IPASS [21]Gefitinib≥65NRNR0.58 (0.45–0.76)
<65NRNR0.81 (0.70–0.95)
OPTIMAL [22]Erlotinib≥6538NR0.17 (0.07–0.43)
<65116NR0.19 (0.11–0.31)
EUROTAC [23]Erlotinib≥6588NR0.28 (0.16–0.51)
<6585NR0.44 (0.25–0.75)
LUX-Lung 3 [24, 25]Afatinib≥651340.73 (0.43–1.21)0.64 (0.39–1.03)
<652110.82 (0.57–1.19)0.53 (0.36–0.76)
LUX-Lung 6 [25, 26]Afatinib≥65860.60 (0.33–1.10)0.16 (0.07–0.40)
<652780.87 (0.64–1.20)0.30 (0.21–0.43)
ARCHER1050 [27] Dacomitinib≥6594NR0.69 (0.48–0.99)
<65133NR0.51 (0.39–0.69)
AURA3 [28] Osimertinib≥65177NR0.34 (0.23–0.50)
<65242NR0.38 (0.28–0.54)
(B) ALK inhibitors
PROFILE1014 [29] Crizotinib≥6555NR0.90 (0.43–1.87)
<65288NR0.45 (0.29–0.70)
ALEX [30] Alectinib≥6570NR0.45 (0.24–0.87)
<65233NR0.48 (0.34–0.70)
J-ALEX [31] Alectinib≥7522NR0.28 (0.06–1.19)
<75285NR0.34 (0.21–0.56)

HR = hazard ratio, OS = overall survival, PFS = progression free survival, and NR = not reported.