Table 2 Efficacy summary.

From: Long term efficacy of first-line afatinib and the clinical utility of ctDNA monitoring in patients with suspected or confirmed EGFR mutant non-small cell lung cancer who were unsuitable for chemotherapy

 

PFS (36 events)

OS (35 deaths)

 

All patients

 

(N = 39)

6 months (95% CI)

59% (42–72)

74% (58–85)

12 months

33% (19–48)

62% (45–75)

36 months

13% (5–25)

23% (11–37)

Median, months

7.9 (4.6–10.5)

15.5 (10.0–27.5)

 

EGFR status at baseline (tissue)

 

Confirmed

Suspected

Confirmed

Suspected

 

(N = 21)

(N = 18)

(N = 21)

(N = 18)

6 months

76% (52–89)

39% (17–60)

86% (62–95)

61% (35–79)

12 months

48% (26–67)

17% (4–37)

81% (57–92)

39% (17–60)

36 months

24% (9–43)

0%

38% (18- 58)

6% (0–22)

Median, months

10.5 (6.5–27.5)

3.2 (2.6–7.9)

29.7 (13.8–47.7)

10.0 (3.9–16.3)

 

EGFR status at baseline (ctDNA)

 

EGFR mutant

Not EGFR mutant

EGFR mutant

Not EGFR mutant

 

(N = 24)

(N = 14)

(N = 24)

(N = 14)

6 months

58% (36–75)

64% (34–83)

75% (53–88)

79% (47–93)

12 months

38% (19–56)

29% (9–52)

67% (44–82)

57% (28–78)

36 months

13% (3–29)

14% (2–37)

25% (10–43)

21% (5–45)

Median, months

7.9 (4.6–14.3)

6.5 (2.6–23.7)

14.8 (6.7–33.4)

16.3 (4.1–34.9)

 

Exon 19 deletion or L858R (tissue or ctDNA)a

 

Yes

No

Yes

No

 

(N = 21)

(N = 18)

(N = 21)

(N = 18)

6 months

71% (47–86)

44% (22–65)

86% (62–95)

61% (35–79)

12 months

48% (26–67)

17% (4–37)

86% (62–95)

33% (14–55)

36 months

24% (9–43)

0%

33% (15–53)

11% (2–30)

Median, months

10.5 (5.9–19.8)

4.4 (2.6–6.7)

24.8 (14.2–39.3)

6.7 (4.0–16.3)

 

Baseline ctDNA values becoming undetectable during serial measurementsb

 

ctDNA clearance

No clearance

ctDNA clearance

No clearance

 

(N = 14)

(N = 4)

(N = 14)

(N = 4)

6 months

86% (54–96)

0%

93% (59–99)

50% (6–84)

12 months

50% (23–72)

0%

86% (54–96)

50% (6–84)

36 months

21% (5–45)

0%

36% (13–59)

0%

Median, months

10.5 (6.7–19.8)

4.6 (2.8–N/A)

21.1 (12.6–54.5)

5.2 (4.8–N/A)

  1. aPatients with rare mutations included within the “No” group had similar PFS/OS to those with no EGFR mutation identified (Fig. 2).
  2. bAnalysis excludes 6 patients without serial ctDNA and 15 without ctDNA detected EGFR mutations.