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Table 1 Clinical studies on risk factors of ILD caused by lung cancer targeted therapy

From: Almonertinib-induced interstitial lung disease in a lung adenocarcinoma patient complicated with interstitial lung abnormality

No

Author, publication

time

EGFR-TKIs

Number of study people

Onset time of ILD

Incidence/mortality of ILD

Incidence of ILD

(≥ grade 3)

AIP/DAD

General population

Patients with concurrent or previous ILD

1 [17]

Katsuyuki Hotta, (2005)

Gefitinib

330

Median time of onset was 22d

15 (4.5%)/8 (53.3%)

6 (30.0%)/5 (83.3%)

12 (3.6%)

6 (40.0%)

2 [18]

Masahiko Ando, (2006)

Gefitinib

1976

median time of onset was 31d

70 (3.5%)/31 (44.3%)

5 (13.9%)/–

3 [19]

Shoji Kudoh, (2008)

Gefitinib

1901

Onset within 28d was most common

79 (4.2%)/25 (31.6%)

4 [20]

Katsuyuki Hotta, (2010)

Erlotinib (group A)

vs

gefitinib (group B)

539

Median time of onset was 13d

Group A: 2 (1.0%) /0 (0%);

Group B: 8 (2.4%) /6 (75%)

Group A: 1 (20.0%)/0 (0%);

Group B: 5 (25.0%)/4 (80.0%)

Group A: 0 (0%);

Group B: 8 (2.4%)

Group A: 0 (0%)

Group B: 5 (62.5%)

5 [21]

Shigeo Kawase, (2011)

Gefitinib or erlotinib

341

Median time of onset was 19d

20(5.9%)/9(45.0%)

9 (8.8%)/6 (66.7%)

5(25%)

6 [22]

Akihiko Gemma, (2014)

Erlotinib

9909

Median time of onset was 28d

429 (4.3%)/153 (35.7%)

257(2.6%)

63(14.7%)

7 [23]

Takeshi Johkoh, (2014)

Erlotinib

627

80.0% occurred within 28 days

19 (3.0%)/6 (31.6%)

5 (10.6%)/0 (0%)

9 (1.4%)

8 [24]

Akihiko Gemma, (2018)

Crizotinib

2028

41.9% occurred within 4 weeks; 69.2% occurred within 8 weeks

117 (5.8%)/22 (18.8%)

15 (23.1%)/–

70 (3.5%)

32 (27.4%)

9 [25]

Akihiko Gemma, (2020)

Osimertinib

3578

Median time of onset was 63d

231 (6.5%)/29 (12.6%)

20 (19.23%)/–

104 (2.9%)

26 (11.3%)

No

Author, publication time

Targeted drugs

Risk factors of ILD

1 [17]

Katsuyuki Hotta, (2005)

Gefitinib

Previous pulmonary fibrosis; PS of 3–4 points; radiotherapy history

2 [18]

Masahiko Ando, (2006)

Gefitinib

Concurrent ILD; male; smoking history

3 [19]

Shoji Kudoh, (2008)

Gefitinib

Preexisting ILD; PS (> 2 points); older age (> 55 years old); smoking history; short duration since NSCLC diagnosis (< 6 months); reduced extent of normal lung on CT scan (< 50%); concurrent cardiac disease

4 [20]

Katsuyuki Hotta, (2010)

Erlotinib (group A) vs gefitinib (group B)

Previous pulmonary fibrosis; PS of 3–4 points

5 [21]

Shigeo Kawase, (2011)

Gefitinib or erlotinib

Previous pulmonary fibrosis

6 [22]

Akihiko Gemma, (2014)

Erlotinib

Concurrent or previous ILD; emphysema or COPD; Lung infection; smoking history; time from cancer diagnosis to treatment (< 360 days)

7 [23]

Takeshi Johkoh, (2014)

Erlotinib

Previous ILD; reduced extent of normal lung on CT scan (< 50%)

8 [24]

Akihiko Gemma, (2018)

Crizotinib

Concurrent or previous ILD; older age; PS of 2–4 points; smoking history; concurrent pleural effusion

9 [25]

Akihiko Gemma, (2020)

Osimertinib

Concurrent or previous ILD; history of using nivolumab