The phase III Iressa Survival Evaluation in Lung Cancer (ISEL) trial compared gefitinib with placebo in 1,692 patients with refractory advanced non–small-cell lung cancer....High EGFR protein expression was present in 264 patients (69.6%), and EGFR-positive patients achieved significantly better survival with gefitinib versus placebo than patients with EGFR protein expression–negative tumors (interaction test P = .049; Fig 3).