Research Article

Rational Application of First-Line EGFR-TKIs Combined with Antiangiogenic Inhibitors in Advanced EGFR-Mutant Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis

Table 1

The characteristics of the included studies.

Study/author nameJO25567 [12]Kitagawa C [19]Stinchcombe T [20]NEJ026 [13]RELAY [15]CTONG1509 [14]

Study phasePhase II RCTPhase II RCTPhase II RCTPhase III RCTPhase III RCTPhase III RCT
Study armsErlGefErlErlErlErl
No. of patients ()75776104345112112224225157154
Median age, years676773.572.5656367686564NRNR
Male (, %)30 (40%)26 (33.8%)1 (16.7%)3 (30%)12 (27.9%)14 (31.1%)41 (36.6%)39 (34.8%)83 (37.1%)83 (36.9%)60 (38.2%)58 (37.7%)
Never smoker42 (56%)45 (58.4%)4 (66.7%)8 (80%)25 (58.1%)23 (51.1%)65 (58%)64 (54.5%)134 (59.8%)139 (61.8%)NRNR
Former smoker9 (12%)6 (7.8%)2 (33.3%)2 (20%)14 (32.6%)15 (33.3%)6 (5.4%)7 (6.3%)NRNRNRNR
EGFR L858R (, %)35 (46.7%)37 (48.1%)2 (33.3%)3 (30%)14 (32.6%)15 (33.3%)56 (50%)57 (50.9%)99 (44.2%)105 (46.7%)75 (47.8%)75 (48.7%)
ECOG PS 1 (, %)32 (42.7%)36 (46.8%)4 (66.7%)3 (30%)19 (44.2%)26 (57.8%)48 (42.9%)42 (37.5%)108 (48.2%)106 (47.1%)132 (84.1%)137 (89%)
Adenocarcinoma (, %)74 (98.7%)76 (98.7%)6 (100%)9 (90%)NRNR110 (98.2%)112 (100%)215 (96%)218 (96.9%)157 (100%)154 (100%)
Stage IIIB (, %)1 (1%)001 (10%)NRNR8 (7.1%)8 (7.1%)NRNR4 (2.6%)6 (3.9%)
Stage IV (, %)60 (80%)62 (80.5%)6 (100%)9 (90%)39 (90.7%)39 (86.7%)82 (73.2%)84 (75%)195 (87.1%)189 (84%)141 (89.8%)134 (87%)
Recurrence (, %)14 (18.6%)15 (19.5%)NRNRNRNR22 (19.6%)20 (19.6%)NRNR12 (7.6%)14 (9.1%)
Brain metastases (, %)NRNRNRNR11 (25.6%)14 (31.1%)36 (32.1%)36 (32.1%)NRNR44 (28%)47 (30.5%)
Treatment duration, median (days)Bev:326
Erl:431
254NRNRBev: 350
Erl: 405
364Bev: 308
Erl: 395
314Bev: 462
Erl: 551
377

Bev: bevacizumab; Erl: erlotinib; Ram: ramucirumab; 19del: EGFR exon 19 deletion; L858R: EGFR L858R mutation; ECOG PS: Eastern Cooperative Oncology Group performance status scores; NR: not reported.