The aim of this study was to assess the impact of TTF-1 expression on the clinical response to EGFR-tyrosine kinase inhibitor (TKI) treatment in patients with advanced LUAD....Among the patients with EGFR mutations, the TTF-1-negative subgroup had a significantly lower ORR (23.5% vs. 54.2%, p = 0.019) and DCR (58.8% vs. 89.7%, p = 0.003) compared to the TTF-1-positive subgroup.