NUKE, I think you are right! That's why I was reluctant to post those notes because I was not absolutely certain of the context. That's also why I asked for help and clarification. So thank you. That's also why I was not always (ever) an A student. I remember now that King was talking about BOTH first line NSCLC and Pancreatic in almost the same breath, and I must not have gotten the 1stline designation in my notes cuz things were going so fast. Yes, I agree. He must have been talking about 1st line NSCLC and not pancreatic. It DID sound like domestic (US) centers were getting better results than foreign centers in that instance though, fwiw.