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Table 4 Definition of subsequent (second-line) treatments

From: Clinical and economic impact of ‘ROS1-testing’ strategy compared to a ‘no-ROS1-testing’ strategy in advanced NSCLC in Spain

Molecular diagnosis

First-line treatment

Second-line treatment

Active treatment

Non-treatment

%

Treatment

%

Treatment

ALK+

Alectinib

80%a

PbCT/lorlatinib

20%a

BSC

Crizotinib

80%a

Alectinib

20%a

BSC

EGFR+

Osimertinib

70%a

PbCT

30%a

BSC

Erlotinib/Gefitinib/Afatinib/Dacomitinib

70%a

Osimertinib

30%a

BSC

ROS1+

Crizotinib/Clinical trial/Entrectinib

80%a

PbCT

20%a

BSC

WT

 TPS ≥50%

Pembrolizumab/Cisp+pmtrx/Clinical trial

60.80%b

PbCT

39.20%b

BSC

 TPS < 50%

Cisp+pemetrexed

46.60%c

immunotherapies/doce+nintedanib

53.40%c

BSC

carb+paclitx+beva

46.60%c

immunotherapies/doce+nintedanib

53.40%c

BSC

cisp+pmtrx+pembrolizumab

30.50%c

Doce+nintedanib

69.50%c

BSC

carb+paclitx+beva+atezolizumab

30.50%c

Doce+nintedanib

69.50%c

BSC

  1. For the grouping of PbCT/lorlatinib and immunotherapies/doce+nintedanib an arithmetic mean was considered
  2. aexpert panel
  3. b [47]
  4. c [48]
  5. EGFR Epidermal growth factor receptor, ALK Anaplastic lymphoma kinase, ROS1 C-ros oncogene 1, WT wild-type, Carb Carboplatin; pmtrx: pemetrexed, paclitx Paclitaxel, beva Bevacizumab, PbCT Platinum-based chemotherapy, doce Docetaxel, BSC Best supportive care