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Table 3 Treatment

From: Intrathecal chemotherapy combined with systemic therapy in patients with refractory leptomeningeal metastasis of non-small cell lung cancer: a retrospective study

Patient

Gene mutation

CSF gene mutation before IC

Prior systemic treatment

Systemic treatment during IC

Neurological symptom assessment

MRI

Response determination

iPFS

(m)

OS

(m)

1

EGFR L858R

Unknown

Gefitinib, Osimertinib

TC + IM

Improved

Improved

Response

7.3

7.3

2

EGFR L858R

Unknown

Surgery, Icotinib, Almonertinib

Pemetrexed + IP

Stable

Stable

Stable

4

4

3

EGFR L858R

Unknown

Gefitinib, Erlotinib, Osimertinib

Osimertinib + IP + BEV

Stable

Stable

Stable

2.1

2.1

4

EGFR 19Del/T790M

Unknown

Gefitinib, Osimertinib

Osimertinib + IP

Improved

Stable

Stable

8.5

8.5

5

EGFR G719A

Unknown

Erlotinib

TC + IP

Worse

Not review

PD

2

2

6

EGFR 20Ins

Unknown

Osimertinib

TC + IM

Stable

Stable

Stable

3.5

3.5

7

Wild-type

Unknown

Surgery, DP, WBRT

TC + IM + BEV

Improved

Improved

Response

6.8

6.8

8

Wild-type

Unknown

PC + BEV

TC + IM + BEV

Improved

Stable

Stable

16.6

16.6

9

Wild-type

Unknown

PC + BEV

Pemetrexed + IM + BEV

Improved

Stable

Stable

11.6

24.3

10

Wild-type

Unknown

PC + BEV

Pemetrexed + IP + BEV

Stable

Stable

Stable

6.7

12

11

Wild-type

Unknown

PC + Pembrolizumab

Pemetrexed + IP

Worse

Not review

PD

2

2

12

Wild-type

Unknown

PC + BEV

PC + IP + BEV

Improved

Improved

Response

8.1

10.7

13

Wild-type

Unknown

Osimertinib + BEV

Osimertinib + IP + BEV

Improved

Improved

Response

15.1

17.8+

14

EGFR 19Del

Unknown

Gefitinib

Afatinib + IP + BEV

Improved

Stable

Stable

8.5

10.7

15

EGFR L858R

Unknown

Gefitinib

Osimertinib + IM + BEV

Improved

Improved

Response

10.1

10.1

16

EGFR L858R

Unknown

Gefitinib

Osimertinib + IP + BEV

Improved

Improved

Response

11.4

11.4

17

EGFR L858R

EGFR L858R

Gefitinib

Almonertinib + IP + BEV

Improved

Improved

Response

7

7

18

EGFR 19Del

EGFR 19Del, MET amplification

Surgery, Gefitinib

Osimertinib + Savolitinib + IP

Improved

Improved

Response

22.1+

22.1+

19

EGFR 19Del

EGFR 19Del

Surgery, Gefitinib

Osimertinib + IP + BEV

Improved

Stable

Stable

8

9.6

20

EGFR L858R

Unknown

Osimertinib, Pemetrexed + BEV

Osimertinib + IM + BEV

Improved

Improved

Response

3.6

13

21

EGFR 19Del

Unknown

Gefitinib, Osimertinib

Osimertinib + IP + BEV

Stable

Stable

Stable

14.5+

14.5+

22

EGFR L858R

Unknown

Icotinib + BEV

Osimertinib + IP

Improved

Stable

Stable

6

6.5

23

EGFR L858R

Unknown

Osimertinib

Osimertinib + IP

Improved

Improved

Response

14.7+

14.7+

24

EGFR 19Del

EGFR 19Del

Gefitinib, Osimertinib

Osimertinib + IP

Stable

Stable

Stable

6

7.3

25

EGFR L858R

Unknown

Icotinib, Osimertinib

Pemetrexed + IP + BEV

Improved

Improved

Response

5

9.8+

26

EGFR L858R

EGFR L858R

Surgery, Gefitinib, Almonertinib

Almonertinib + IP + BEV

Improved

Stable

Stable

5

6.4

27

Wild-type

Unknown

PC + Sintilimab

Sintilimab + IP + BEV

Improved

Improved

Response

6.6+

6.6+

28

EGFR 19Del

Unknown

Surgery, Gefitinib, Osimertinib

Osimertinib + IP + BEV

Stable

Stable

Stable

9.2

11.9+

29

EGFR 20Ins

EGFR 20Ins

TC + BEV, PC Sintilimab, Anlotinib

Almonertinib + IP

Improved

Stable

Stable

5.8

5.8

30

EGFR L858R

EGFR 19Del

Gefitinib, Osimertinib

Osimertinib + IP

Stable

Stable

Stable

3.9

3.9

31

EGFR L858R

EGFR L858R

Osimertinib

Osimertinib(160 mg/day) + IP

Worse

Not review

PD

1.7

1.7

32

EGFR 19Del

Unknown

PC, Osimertinib

Osimertinib(160 mg/day) + IP + BEV

Improved

Improved

Response

9.6+

9.6+

33

EGFR L858R

Unknown

Gefitinib, Almonertinib + BEV

Almonertinib + IP + BEV

Improved

Stable

Stable

6.4+

6.4+

34

EGFR L858R

Unknown

Gefitinib

Osimertinib + IP

Improved

Stable

Stable

8.7

13.2

35

EGFR 19Del

EGFR 19Del

Surgery, Gefitinib, Osimertinib

Osimertinib + IP + BEV

Improved

Stable

Stable

7.6+

7.6+

36

Wild-type

Unknown

PC

Paclitaxel + BEV + IP

Improved

Stable

Stable

4.5+

4.5+

37

Wild-type

Unknown

No

PC + BEV + IP

Worse

Not review

PD

4

4

38

EGFR 19Del

EGFR 19Del

Almonertinib

Almonertinib + BEV + IP

Improved

Stable

Stable

4.1+

4.1+

39

EGFR L858R

Unknown

Icotinib

Almonertinib + BEV + IP

Improved

Stable

Stable

4.1+

4.1+

40

EGFR L858R

Unknown

Gefitinib, Osimertinib

Pemetrexed + BEV + IP

Stable

Stable

Stable

4.1+

4.1+

41

EGFR L861Q

Unknown

Afatinib, Anlotinib Osimertinib

Osimertinib(160 mg/day) + IP

Improved

Stable

Stable

5

5.9

  1. EGFR, epidermal growth factor receptor; ALK, anaplastic lymphoma kinase; PFS, progression-free survival; OS, overall survival; PC, pemetrexed and carboplatin; TC, paclitaxel and carboplatin; IP, intrathecal pemetrexed; IM, intrathecal methotrexate; BEV, bevacizumab; PD, progressive disease.