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Safety and efficacy of first-line dacomitinib in Asian patients with EGFR mutation-positive non-small cell lung cancer: Results from a randomized, open- label, phase 3 trial (ARCHER 1050)

Lung Cancer Feb 28, 2021

Cheng Y, Mok TS, Zhou X, et al. - In Asian patients included in the ongoing ARCHER 1050 trial (a randomized, open-label, phase 3 trial), researchers compared dacomitinib with gefitinib with respect to efficacy and safety when administered as first-line treatment for EGFR mutation-positive advanced NSCLC. Randomization (1:1) of 346 eligible patients with newly diagnosed advanced EGFR mutation-positive NSCLC was done to oral dacomitinib 45 mg/day or oral gefitinib 250 mg/day. PFS by blinded independent review was the primary endpoint. Findings revealed that a significantly longer PFS and improved OS was conferred by first-line dacomitinib vs gefitinib in this patient population. The adverse event profiles of both agents in Asian patients were identified to be consistent with the overall ARCHER 1050 population.

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