Apatinib as a third- or further- line treatment in patients with advanced NSCLC harboring wild-type EGFR

Shencun Fang1, Meiling Zhang2, Guihong Wei3

  • 1Department of Respiratory Medicine Center, Nanjing Chest Hospital, Nanjing, Jiangsu, China.

Oncotarget
|February 23, 2018
PubMed
Abstract

Insights

Apatinib shows efficacy in advanced non-small cell lung cancer (NSCLC) patients with EGFR wild-type, offering a valuable third-line therapy option. This treatment demonstrated a 75% disease control rate with manageable side effects.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Advanced non-small cell lung cancer (NSCLC) with EGFR wild-type often presents treatment challenges after multiple chemotherapy lines.
  • Identifying effective salvage therapies is crucial for improving patient outcomes in this refractory population.

Purpose of the Study:

  • To evaluate the efficacy and safety of apatinib as a third- or further-line treatment for advanced NSCLC patients with EGFR wild-type.
  • To determine prognostic factors influencing survival in this patient cohort.

Main Methods:

  • Retrospective analysis of 36 EGFR wild-type advanced NSCLC patients treated with apatinib (January 2014 - August 2016).
  • Evaluation of objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and adverse events (AEs).
  • Univariate and multivariate analyses to identify prognostic variables.

Main Results:

  • The objective response rate (ORR) was 16.7% and the disease control rate (DCR) was 75%.
  • Median progression-free survival (PFS) was 4.5 months, and median overall survival (OS) was 8.2 months.
  • Good performance status was a significant prognostic factor for longer OS (p = 0.015); most adverse events were mild to moderate.

Conclusions:

  • Apatinib demonstrates promising efficacy and tolerable toxicity in advanced NSCLC patients with EGFR wild-type who have failed multiple prior therapies.
  • Apatinib is recommended as a third- or further-line treatment option for this patient population.
  • Further prospective studies may validate these findings and optimize treatment strategies.

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