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Table 3 Comparison of characteristics between BM+ patients on 30 mg and 40 mg starting dose. Comparing the clinical characteristics of patients with brain metastases who started on 30 mg OD vs 40 mg OD of afatinib

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

 
  1. Note: Unknown data were not included in the calculation of percentages and p-values
  2. aCNS PD: brain. Systemic PD: lung, bone/spine, liver, mediastinal LN, malignant pericardial effusion, nodes, pleura
  3. bNote that there were 9 patients (5 on 30 mg and 4 on 40 mg) who were still on afatinib at data cut-off. Dose intensity was calculated up to last follow-up date for these patient