Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer

Aim: We evaluated reasons for dacomitinib dose reduction (DR) and examined adverse event (AE) incidence, key efficacy end points (progression-free survival [PFS]/overall survival [OS]), and pharmacokinetics in dose-reducing patients in the ARCHER 1050 trial. Patients & methods: Newly diagnosed p...

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Autores: Corral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852, Mok, T.S. (Tony S.)|||/items/e91edeb3-d511-44a4-a72c-338e96ade778, Nakagawa, K. (Kazuhiko)|||/items/04e7db33-fd42-4c2b-a989-0d6a89ae878a, Rosell, R. (Rafael)|||/items/771e36b5-84e0-4ac6-9009-324f454c04b0, Lee, K.H. (Ki Hyeong)|||/items/494d4428-b76a-475d-a658-c74ee1ade123, Migliorino, M.R. (Maria Rita)|||/items/9abafe36-e406-4036-b7f4-de06f44c197f, Pluzanski, A. (Adam)|||/items/60793365-1e98-4ea9-8e43-b3df9623206c, Linke, R. (Rolf)|||/items/07873284-7c5d-4745-b966-cff39ed3b29d, Devgan, G. (Geeta)|||/items/fb3e0082-1314-470f-91f3-6e2b9787a62d, Tan, W. (Weiwei)|||/items/55ef5622-8ca9-4887-a576-36b6711f47dc, Quinn, S. (Susan)|||/items/1e0851a9-c13a-4765-97f3-d086cb24a7cc, Wang, T. (Tao)|||/items/6e6bf742-59a8-45e8-a19a-07e87e41dea3, Wu, Y.L. (Yi-Long)|||/items/7a103463-4dcc-4ad4-87d3-0c0081a787df
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/62028
Acceso en línea:https://hdl.handle.net/10171/62028
Access Level:acceso abierto
Palabra clave:Materias Investigacion::Ciencias de la Salud::Oncología
EGFR
NSCLC
Dacomitinib
Dose
First-line
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repository_id_str
spelling Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancerCorral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852Mok, T.S. (Tony S.)|||/items/e91edeb3-d511-44a4-a72c-338e96ade778Nakagawa, K. (Kazuhiko)|||/items/04e7db33-fd42-4c2b-a989-0d6a89ae878aRosell, R. (Rafael)|||/items/771e36b5-84e0-4ac6-9009-324f454c04b0Lee, K.H. (Ki Hyeong)|||/items/494d4428-b76a-475d-a658-c74ee1ade123Migliorino, M.R. (Maria Rita)|||/items/9abafe36-e406-4036-b7f4-de06f44c197fPluzanski, A. (Adam)|||/items/60793365-1e98-4ea9-8e43-b3df9623206cLinke, R. (Rolf)|||/items/07873284-7c5d-4745-b966-cff39ed3b29dDevgan, G. (Geeta)|||/items/fb3e0082-1314-470f-91f3-6e2b9787a62dTan, W. (Weiwei)|||/items/55ef5622-8ca9-4887-a576-36b6711f47dcQuinn, S. (Susan)|||/items/1e0851a9-c13a-4765-97f3-d086cb24a7ccWang, T. (Tao)|||/items/6e6bf742-59a8-45e8-a19a-07e87e41dea3Wu, Y.L. (Yi-Long)|||/items/7a103463-4dcc-4ad4-87d3-0c0081a787dfMaterias Investigacion::Ciencias de la Salud::OncologíaEGFRNSCLCDacomitinibDoseFirst-lineAim: We evaluated reasons for dacomitinib dose reduction (DR) and examined adverse event (AE) incidence, key efficacy end points (progression-free survival [PFS]/overall survival [OS]), and pharmacokinetics in dose-reducing patients in the ARCHER 1050 trial. Patients & methods: Newly diagnosed patients with EGFR mutation-positive, advanced non-small-cell lung cancer received oral dacomitinib (45 mg once-daily [QD]), with stepwise toxicity-managing DR (30 and 15 mg QD) permitted. Results: Skin toxicities (62.7%) were the most common DR-leading AEs. The AE incidence and severity decreased following DRs. Initial plasma dacomitinib exposure (45 mg QD) was generally lower in patients remaining at 45 mg QD compared with dose-reducing patients. Median PFS and OS were similar in all dacomitinib-treated patients and dose-reducing patients. Conclusion: Tolerability-guided dose modifications enabled patients to continue with dacomitinib and benefit from PFS/OS improvement.Future Medicine LtdDadun. Depósito Académico Digital Universidad de Navarra20212021-09-2020192019-01-0120192019-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/62028reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/620282026-06-21T12:47:57Z
dc.title.none.fl_str_mv Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
title Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
spellingShingle Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
Corral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852
Materias Investigacion::Ciencias de la Salud::Oncología
EGFR
NSCLC
Dacomitinib
Dose
First-line
title_short Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
title_full Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
title_fullStr Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
title_full_unstemmed Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
title_sort Effects of dose modifications on the safety and efficacy of dacomitinib for EGFR mutation-positive non-small-cell lung cancer
dc.creator.none.fl_str_mv Corral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852
Mok, T.S. (Tony S.)|||/items/e91edeb3-d511-44a4-a72c-338e96ade778
Nakagawa, K. (Kazuhiko)|||/items/04e7db33-fd42-4c2b-a989-0d6a89ae878a
Rosell, R. (Rafael)|||/items/771e36b5-84e0-4ac6-9009-324f454c04b0
Lee, K.H. (Ki Hyeong)|||/items/494d4428-b76a-475d-a658-c74ee1ade123
Migliorino, M.R. (Maria Rita)|||/items/9abafe36-e406-4036-b7f4-de06f44c197f
Pluzanski, A. (Adam)|||/items/60793365-1e98-4ea9-8e43-b3df9623206c
Linke, R. (Rolf)|||/items/07873284-7c5d-4745-b966-cff39ed3b29d
Devgan, G. (Geeta)|||/items/fb3e0082-1314-470f-91f3-6e2b9787a62d
Tan, W. (Weiwei)|||/items/55ef5622-8ca9-4887-a576-36b6711f47dc
Quinn, S. (Susan)|||/items/1e0851a9-c13a-4765-97f3-d086cb24a7cc
Wang, T. (Tao)|||/items/6e6bf742-59a8-45e8-a19a-07e87e41dea3
Wu, Y.L. (Yi-Long)|||/items/7a103463-4dcc-4ad4-87d3-0c0081a787df
author Corral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852
author_facet Corral-Jaime, J. (Jesús)|||/items/aba4503e-6970-43e0-9219-238766ac8852
Mok, T.S. (Tony S.)|||/items/e91edeb3-d511-44a4-a72c-338e96ade778
Nakagawa, K. (Kazuhiko)|||/items/04e7db33-fd42-4c2b-a989-0d6a89ae878a
Rosell, R. (Rafael)|||/items/771e36b5-84e0-4ac6-9009-324f454c04b0
Lee, K.H. (Ki Hyeong)|||/items/494d4428-b76a-475d-a658-c74ee1ade123
Migliorino, M.R. (Maria Rita)|||/items/9abafe36-e406-4036-b7f4-de06f44c197f
Pluzanski, A. (Adam)|||/items/60793365-1e98-4ea9-8e43-b3df9623206c
Linke, R. (Rolf)|||/items/07873284-7c5d-4745-b966-cff39ed3b29d
Devgan, G. (Geeta)|||/items/fb3e0082-1314-470f-91f3-6e2b9787a62d
Tan, W. (Weiwei)|||/items/55ef5622-8ca9-4887-a576-36b6711f47dc
Quinn, S. (Susan)|||/items/1e0851a9-c13a-4765-97f3-d086cb24a7cc
Wang, T. (Tao)|||/items/6e6bf742-59a8-45e8-a19a-07e87e41dea3
Wu, Y.L. (Yi-Long)|||/items/7a103463-4dcc-4ad4-87d3-0c0081a787df
author_role author
author2 Mok, T.S. (Tony S.)|||/items/e91edeb3-d511-44a4-a72c-338e96ade778
Nakagawa, K. (Kazuhiko)|||/items/04e7db33-fd42-4c2b-a989-0d6a89ae878a
Rosell, R. (Rafael)|||/items/771e36b5-84e0-4ac6-9009-324f454c04b0
Lee, K.H. (Ki Hyeong)|||/items/494d4428-b76a-475d-a658-c74ee1ade123
Migliorino, M.R. (Maria Rita)|||/items/9abafe36-e406-4036-b7f4-de06f44c197f
Pluzanski, A. (Adam)|||/items/60793365-1e98-4ea9-8e43-b3df9623206c
Linke, R. (Rolf)|||/items/07873284-7c5d-4745-b966-cff39ed3b29d
Devgan, G. (Geeta)|||/items/fb3e0082-1314-470f-91f3-6e2b9787a62d
Tan, W. (Weiwei)|||/items/55ef5622-8ca9-4887-a576-36b6711f47dc
Quinn, S. (Susan)|||/items/1e0851a9-c13a-4765-97f3-d086cb24a7cc
Wang, T. (Tao)|||/items/6e6bf742-59a8-45e8-a19a-07e87e41dea3
Wu, Y.L. (Yi-Long)|||/items/7a103463-4dcc-4ad4-87d3-0c0081a787df
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Materias Investigacion::Ciencias de la Salud::Oncología
EGFR
NSCLC
Dacomitinib
Dose
First-line
topic Materias Investigacion::Ciencias de la Salud::Oncología
EGFR
NSCLC
Dacomitinib
Dose
First-line
description Aim: We evaluated reasons for dacomitinib dose reduction (DR) and examined adverse event (AE) incidence, key efficacy end points (progression-free survival [PFS]/overall survival [OS]), and pharmacokinetics in dose-reducing patients in the ARCHER 1050 trial. Patients & methods: Newly diagnosed patients with EGFR mutation-positive, advanced non-small-cell lung cancer received oral dacomitinib (45 mg once-daily [QD]), with stepwise toxicity-managing DR (30 and 15 mg QD) permitted. Results: Skin toxicities (62.7%) were the most common DR-leading AEs. The AE incidence and severity decreased following DRs. Initial plasma dacomitinib exposure (45 mg QD) was generally lower in patients remaining at 45 mg QD compared with dose-reducing patients. Median PFS and OS were similar in all dacomitinib-treated patients and dose-reducing patients. Conclusion: Tolerability-guided dose modifications enabled patients to continue with dacomitinib and benefit from PFS/OS improvement.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-01-01
2019
2019-01-01
2021
2021-09-20
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/62028
url https://hdl.handle.net/10171/62028
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Future Medicine Ltd
publisher.none.fl_str_mv Future Medicine Ltd
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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