From: Influence of afatinib dose on outcomes of advanced EGFR-mutant NSCLC patients with brain metastases
Characteristic | Starting dose 30 mg, n (%) | Starting dose 40 mg, n (%) | p-value |
---|---|---|---|
Age at diagnosis, years | |||
Median (range) | 62 (47–78) | 58 (26–76) | 0.299 |
< 65 | 15 (60.0) | 12 (70.6) | 0.482 |
≥ 65 | 10 (40.0) | 5 (29.4) | |
Sex | |||
Female | 16 (64.0) | 6 (35.3) | 0.067 |
Male | 9 (36.0) | 11 (64.7) | |
ECOG at start of afatinib | |||
0–1 | 20 (80.0) | 14 (82.4) | 1.000 |
2–3 | 5 (20.0) | 3 (17.6) | |
Smoking history | |||
Never | 18 (72.0) | 13 (76.5) | 1.000 |
Former/Current | 7 (28.0) | 4 (23.5) | |
Brain RT pre-afatinib | |||
Yes | 12 (48.0) | 14 (82.4) | 0.024 |
No | 13 (52.0) | 3 (17.6) | |
Brain RT post-afatinib | |||
Yes | 4 (16.0) | 3 (17.6) | 1.000 |
No | 21 (84.0) | 14 (82.4) | |
EGFR mutation type | |||
Exon 19 deletion | 15 (62.5) | 9 (52.9) | 0.019 |
Exon 20 insertion | 1 (4.2) | 0 | |
Exon 21 L858R | 3 (12.5) | 8 (47.1) | |
Double mutation | 5 (20.8) | 0 | |
Unknown | 1 | 0 | |
Site of progressiona | |||
CNS | 7 (63.6) | 3 (30.0) | 0.198 |
Systemic | 4 (36.4) | 7 (70.0) | |
No PD / unknown: | |||
Still on afatinib | 5 | 2 | |
Went on 2nd line | 3 | 4 | |
No scans / no PD recorded | 4 | 1 | |
FU at other hospital | 2 | 0 | |
Afatinib dose at PD, mg | |||
20 | 2 (18.2) | 1 (10.0) | 0.270 |
30 | 9 (81.8) | 6 (60.0) | |
40 | 0 | 3 (30.0) | |
No PD / unknown | 14 | 7 |