Study | Population | Subjects n | Objective response rates | Progression-free survival# | Overall survival#,¶ |
IPASS+ | |||||
Gefitinib versus carboplatin/paclitaxel in chemo-naïve, never- or former light-smokers with adenocarcinoma in East Asia | Overall | 1217 | 43.0% versus 32.2% | HR 0.74 | HR 0.91 |
OR 1.59 | 95% CI 0.65–0.85 | 95% CI 0.76–1.10 | |||
95% CI 1.25–2.01 | 5.7 versus 5.8 months | 18.6 versus 17.3 months | |||
p<0.001 | p<0.001 | ||||
EGFR mutation-positive | 261 | 71.2% versus 47.3% | HR 0.48 | HR 0.78 | |
OR 2.75 | 95% CI 0.36–0.64 | 95% CI 0.50–1.20 | |||
95% CI 1.65–4.60 | 9.5 versus 6.3 months | NR versus 19.5 months | |||
p = 0.0001 | p<0.001 | ||||
EGFR mutation-negative | 176 | 1.1% versus 23.5% | HR 2.85 | HR 1.38 | |
OR 0.04 | 95% CI 2.05–3.98 | 95% CI 0.92–2.09 | |||
95% CI 0.01–0.27 | 1.5 versus 5.5 months | 12.1 versus 12.6 months | |||
p = 0.0013 | p<0.001 | ||||
INTEREST§ | |||||
Gefitinib versus docetaxel in previously treated patients | Overall | 1466 | 9.1% versus 7.6% | HR 1.04 | HR 1.020 |
OR 1.22 | 95% CI 0.93–1.18 | 96% CI 0.905–1.150## | |||
95% CI 0.82–1.84 | 2.2 versus 2.7 months | 7.6 versus 8.0 months | |||
p = 0.33 | p = 0.47 | p = 0.7332 | |||
EGFR mutation-positive | 44 | 42.1% versus 21.1% | HR 0.16 | HR 0.83 | |
OR 25.22 | 95% CI 0.05–0.49 | 95% CI 0.41–1.67 | |||
95% CI 1.23–515.53 | 7.0 versus 4.1 months | 14.2 versus 16.6 months | |||
p = 0.0361 | p = 0.001 | p = 0.60 | |||
EGFR mutation-negative | 253 | 6.6% versus 9.8% | HR 1.24 | HR 1.02 | |
OR 0.63 | 95% CI 0.94–1.64 | 95% CI 0.78–1.33 | |||
95% CI 0.23–1.73 | 1.7 versus 2.6 months | 6.4 versus 6.0 months | |||
p = 0.3720 | p = 0.14 | p = 0.91 | |||
ISELƒ | |||||
Gefitinib versus best supportive care in previously treated patients | Overall | 1692 | 8.0% versus 1.3% | TTF HR 0.82 | HR 0.89 |
OR 7.28 | 95% CI 0.73–0.92 | 95% CI 0.77–1.02 | |||
95% CI 3.1–16.9 | 3.0 versus 2.6 months | 5.6 versus 5.1 months | |||
p<0.0001 | p = 0.0006 | p = 0.087 | |||
EGFR mutation-positive | 26 | 37.5% versus 0% | NC | NC | |
NC | |||||
EGFR mutation-negative | 189 | 2.6% versus 0% | NC | HR 1.16 | |
NC | 95% CI 0.79–1.72 | ||||
3.7 versus 5.9 months | |||||
p = 0.4449 |
Odds ratios >1 favour gefitinib. Hazard ratios <1 favour gefitinib. IPASS: IRESSA Pan-Asia Study; INTEREST: IRESSA NSCLC Trial Evaluating Response and Survival versus Taxotere; ISEL: IRESSA Survival Evaluation in Lung cancer; EGFR: epidermal growth factor receptor; NR: not reached; NC: not calculated; TTF: time to treatment failure. #: median month values are presented; ¶: IPASS overall survival follow-up is ongoing; +: values presented for IPASS are for gefitinib versus carboplatin/paclitaxel; §: INTEREST values are for gefitinib versus docetaxel; ƒ: ISEL values are for gefitinib versus placebo; ##: confidence interval entirely below non-inferiority margin of 1.154. Data are taken from [7, 28, 37, 38, 39] and previously unpublished studies.