EGFR-TKIs plus local therapy demonstrated survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases
To investigate whether addition of local therapy to EGFR-TKIs could provide survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases (LM). Patients with EGFR-mutant NSCLC and oligometastatic or oligoprogressive LM who met inclusion criteria were retrospectively identified. The primary endpoint was progression-free survival (PFS); secondary endpoints included overall survival (OS) and patterns of failure. Addition of local therapy was associated with a significantly longer PFS (13.8 vs. 8.6 m, p <0.001) and OS (31.2 vs. 18.5 m, p <0.001) in whole group. In oligometastatic cohort, 20 patients received EGFR-TKIs and 23 received EGFR-TKIs plus local therapy as first-line treatment. Addition of local therapy showed a significantly longer PFS (12.9 vs. 7.9 m, p = 0.041) and OS (36.8 vs. 21.3 m, p = 0.034) than EGFR-TKIs alone. In oligoprogressive cohort, 24 patients received continuation of EGFR-TKIs plus local therapy and 25 received switching chemotherapy. Median PFS2 (13.9 vs. 9.2 m, p = 0.007) and OS (28.3 vs. 17.1 m, p = 0.011) was significantly longer in combined group than in switching chemotherapy group. Distant metastatic sites progression was the major pattern of failure in combined group while locoregional recurrence was the major reason in monotherapy or switching chemotherapy group. Our study suggested that EGFR-TKIs plus local therapy showed prolonged survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive LM, indicating addition of local therapy would be alternative choice in this clinical scenario.
基金:
Chronic Diseases Program of Shanghai Shen Kang Pharmaceutical Development Co. Ltd [SHDC 12015314]; Shanghai Education Development Foundation; Shanghai Municipal Education Commission [16SG18]; National Natural Science Foundation of China [81874036, 81772467, 81672286]
第一作者单位:[1]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Med Oncol, 507 Zheng Min Rd, Shanghai 200433, Peoples R China[2]Tongji Univ, Sch Med, Thorac Canc Inst, 507 Zheng Min Rd, Shanghai 200433, Peoples R China
通讯作者:
通讯机构:[1]Tongji Univ, Sch Med, Shanghai Pulm Hosp, Dept Med Oncol, 507 Zheng Min Rd, Shanghai 200433, Peoples R China[2]Tongji Univ, Sch Med, Thorac Canc Inst, 507 Zheng Min Rd, Shanghai 200433, Peoples R China
推荐引用方式(GB/T 7714):
Jiang Tao,Chu Qian,Wang Huijuan,et al.EGFR-TKIs plus local therapy demonstrated survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases[J].INTERNATIONAL JOURNAL OF CANCER.2019,144(10):2605-2612.doi:10.1002/ijc.31962.
APA:
Jiang, Tao,Chu, Qian,Wang, Huijuan,Zhou, Fei,Gao, Guanghui...&Hirsch, Fred R..(2019).EGFR-TKIs plus local therapy demonstrated survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases.INTERNATIONAL JOURNAL OF CANCER,144,(10)
MLA:
Jiang, Tao,et al."EGFR-TKIs plus local therapy demonstrated survival benefit than EGFR-TKIs alone in EGFR-mutant NSCLC patients with oligometastatic or oligoprogressive liver metastases".INTERNATIONAL JOURNAL OF CANCER 144..10(2019):2605-2612