Table 1

Main characteristics of studies included in the meta-analysis

ReferenceLocationNo. of patientsHistologyStagePrior treatmentCurrent treatmentGeneMutation positive/totalEnd pointsResponse criteriaNOS score
Rotella 201449Italy88ADCIIIB or VISurgery or chemotherapy or radiotherapyE: 150 mg/dK-ras (exon 2)13/88ORRRECIST8
Kim 201417Korea55ADCI-IVChemotherapyE, G, PANHERPIK3CA (exon 9, 20)3/55ORR, PFS, OSRECIST7
Kerner 201348Netherlands45NSCLCNRNREGFR-TKIK-ras (exon 2)108/368OSRECIST8
Fiala 201347Czech Republic179SLCIIIB or IVChemotherapyG: 250 mg/d or
E: 150 mg/d
K-ras (codon 12,13) PIK3CA (exon 9)14/174
6/170
PFS, OSNR9
Campos-Parra 201346Mexico353NSCLCIIIB or IVChemotherapyE or GK-ras (codon 12, 13)NRPFSRECIST8
Murray 201245Greece30NSCLCIIIB or IV or recurrentChemotherapyG: 250 mg/d or
E: 150 mg/d
K-ras (codon 12, 13)3/30OSRECIST8
Metro 201424Italy67NSCLCIIIB or IVChemotherapyE or GK-ras (exon 2, 3)18/67ORR, PFS, OSRECIST9
Ludovini 201218Italy166NSCLCIII or IVChemotherapyG: 250 mg/d or
E: 150 mg/d
K-ras (exon 2, 3) PIK3CA (exon 9, 20)11/162
6/145
ORR, OSRECIST9
Cadranel 201243France307NSCLCAdvancedChemotherapyE: 150 mg/dK-ras (exon 2)42/307PFS, OSWHO9
Hirsch 201142Multicenter94NSCLCIIIB or IVNRE: 150 mg/dK-ras (codon 12, 13)20/94ORRRECIST8
Zhu 201041China17NSCLCIIIB or IVNRE: 150 mg/d K-ras 3/17ORRRECIST7
Tiseo 201040Italy63NSCLCIII or IVChemotherapyG: 250 mg/dK-ras (exon 2)7/63ORRRECIST8
Douillard 201039Multicenter275NSCLCIIIB or IVChemotherapyG: 250 mg/dK-ras (codon 12, 13)49/275ORRRECIST9
Amann 20108USA41NSCLCIIIB or IV or recurrentChemotherapyE: 150 mg/dK-ras (exon 2)3/41ORR, OSRECIST9
Varella-Garcia 200937Japan30NSCLCRecurrentSurgeryG: 250 mg/dK-ras (codon 12, 13)4/30ORRRECIST9
Marchetti 200936Italy83ADCIIIB or IVChemotherapyG: 250 mg/d or
E: 150 mg/d
K-ras (exon 2)30/83ORR, PFS, OSWHO8
Boldrini 200935Italy411ADCIVSurgeryG: 250 mg/d or
E: 150 mg/d
K-ras (codon 12, 13)2/19ORRRECIST7
Zucali 200834Italy49NSCLCIII or IVChemotherapy or noG: 250 mg/dK-ras (exon 1, 2)15/49ORRRECIST8
Zhu 200833Multicenter206NSCLCIIIB or IVChemotherapyE: 150 mg/dK-ras (exon 2)30/206ORRRECIST9
Wu 200832Taiwan53NSCLCIB-IIIBSurgeryE or GK-ras (exon 1,2)1/53ORRRECIST8
Schneider 200831Germany393NSCLCIIIB or IVChemotherapy or radiotherapyE: 150 mg/dK-ras (exon 2,3)17/114ORR, PFS, OSRECIST9
Miller 200830USA82NSCLCIIIB or IVChemotherapy or noE: 150 mg/dK-ras (exon 2)18/80ORRRECIST9
Felip 200855Germany39NSCLCAdvancedChemotherapy or noE: 150 mg/dK-ras (exon 2,3)7/39ORRRECIST8
Zandwijk 200729Netherlands15NSCLCNRChemotherapyGK-ras (codon 2)3/15ORRRECIST8
Massarelli 200754USA70NSCLCIIIB or VIChemotherapy or noG: 250 mg/d or
E: 150 mg/d
K-ras (exon 1)16/70ORRRECIST9
Loprevite 200753Italy21NSCLCAdvancedChemotherapyG: 250 mg/dK-ras (exon 2)1/21ORRRECIST8
Jackman 200728USA41NSCLCIIIB or IVSurgery or RadiotherapyE: 150 mg/dK-ras (exon 2,3)6/41ORRRECIST9
Ichihara 200727Japan99NSCLCAdvanced or recurrentSurgery or chemotherapyG: 250 mg/dK-ras (exon 2)8/87ORRWHO8
Hirsch 200752Multicenter138NSCLCIII or IVChemotherapyG: 250 m g/d or
E: 150 mg/d
K-ras (exon 2)36/138ORRRECIST9
Cappuzzo 200726Italy37NSCLCIIIB or IVChemotherapy or noG: 250 mg/dK-ras (exon 2)1/37ORRRECIST7
Hirsch 200651Multicenter152NSCLCIII or IVChemotherapyG: 250 mg/dK-ras (exon 2)12/152ORRRECIST9
Han 200625Korea69NSCLCIIIB or IVNRG:250 mg/dK-ras (exon 2)9/69ORRWHO9
Giaccone 200624Switzerland53NSCLCIIIB or IVSurgery or RadiotherapyE: 150 mg/dK-ras (exon 1, 2) PIK3CA (exon 9, 20)10/25; 1/25ORRRECIST9
Pao 200550USA59ADCNRNRG: 250 mg/d or E: 150 mg/dK-ras (exon 2)9/47ORRRECIST7
Endoh 200623Japan78NSCLCRecurrentSurgery or chemotherapyG: 250 mg/dK-ras (codon 12, 13, 61); PIK3CA (open reading frame)7/78; 2/78ORR, OSRECIST8

ADC: adenocarcinoma; SLC: squamous lung cancer; NSCLC: non-small cell lung cancer; NR: not reported; E: erlotinib; G: gefitinib; PANHER: PF00299804, an irreversible TKI of EGFR, HER2, and HER4; ORR: objective response rate; PFS: progression-free survival; OS: overall survival; No.: number of patients assessed; NOS: Newcastle-Ottawa scale