Table 3.
Study | Phase | Treatment | Patient population | Sample size | ORR | PFS | OS |
---|---|---|---|---|---|---|---|
ARCHER 100221 | II | Dacomitinib 45 mg daily | Failed erlotinib and at one or two chemotherapy regimens; KRAS WT or EGFR exon 19 deletion/L858R | 66 (ADC 50, non-ADC 16) | ADC: 4.8% Non-ADC: 6.3% EGFR-mutant: 8% |
ADC: 12 weeks Non-ADC: 11 weeks EGFR-mutant: 18 weeks |
ADC: 45 weeks Non-ADC: 27 weeks EGFR-mutant: 57 weeks |
ARCHER 101724 | II | Dacomitinib 45 mg daily | Never/light smokers, ADC, KRAS WT if non-Asian, or EGFR-mutant | 89 | EGFR-mutant: 75.6% | 11.5 months Common EGFR-mutant: 18.2 months (95% CI 12.8–23.8) |
EGFR-mutant: 40.2 months (95% CI 29.0 months to NR) |
ARCHER 102826 | II | Dacomitinib 45 mg daily versus erlotinib 150 mg daily | One or two prior chemotherapies | 188 | 17% versus 5.3% | 2.86 months (95% CI 1.87–3.71) versus 1.91 months (95% CI 1.82–2.69) HR 0.66 (95% CI 0.47–0.91, P=0.012) |
9.53 versus 7.44 months (HR 0.80, 95% CI 0.56–1.13; P=0.205) |
ARCHER 100927 | III | Dacomitinib 45 mg daily versus erlotinib 150 mg daily | One or two prior chemotherapies | 878 | Overall population: 11.4% versus 8.2% (P=0.083) KRAS WT patients: 13.3% versus 11.0% (P=0.261) KRAS WT/EGFR WT: 1.9 versus 1.9 months (HR 1.01, 95% CI 0.81–1.25; P=0.075) |
Overall population: 2.6 versus 2.6 months (HR 0.94, 95% CI 0.80–1.10; one-sided P=0.229) KRAS WT patients: HR 1.02 (95% CI 0.83–1.25, one-sided P=0.587) |
Overall population: 7.9 versus 8.4 months (HR 1.08, 95% CI 0.91–1.27; P=0.82) KRAS WT patients: 8.1 versus 8.5 months (HR 1.10, 95% CI 0.88–1.36; P=0.80) |
Abbreviations: CI, confidence interval; HR, hazard ratio; NR, not reached; ORR, overall response rate; PFS, progression-free survival; OS, overall survival; WT, wild type; ADC, adenocarcinoma.