PD-L1-positive tumors was significantly associated with worse PFS outcomes compared to PD-L1-negative tumors...Patients with PD-L1-positive tumors was associated with worse progression-free survival outcomes compared to those with PD-L1-negative tumors in metastatic EGFR-mutated NSCLC, when particularly treated with older generations of EGFR TKI as first-line therapy.