Lung Cancer
Conditions
Brief summary
This is a longitudinal, consecutive case-series, multi-center study with mixed prospective and retrospective data collection. Data will be collected from eligible adults with EGFR mutation-positive advanced non-small cell lung cancer (NSCLC) treated with dacomitinib as first-line therapy from the date of advanced NSCLC diagnosis to the date of death, lost to follow-up, withdrawal of consent or end of study, whichever occurs first.
Interventions
This is a non-interventional, real world study of Asian patients being treated with dacomitinib as first-line treatment for EGFR+ NSCLC
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (aged ≥18 years) with histology-confirmed advanced NSCLC (TNM stage IIIB-IV); * Presence of any EGFR-activating mutation (exon 19 deletion or exon 21 L858R substitution) or other uncommon EGFR mutations prior to anti-cancer treatment; * Initiating dacomitinib as first-line treatment after confirmation of EGFR-mutation status (ie, no prior treatment with other EGFR TKI or systemic therapy);
Exclusion criteria
* Enrolled in any interventional clinical study or trial (however, patients enrolled in non-interventional, real world study may still be included).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time To Treatment Failure (TTF): All Asian Participants | From dacomitinib treatment initiation to dacomitinib discontinuation, PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | TTF was defined as the time from date of dacomitinib initiation to date of dacomitinib permanent discontinuation (for any reason), first disease progression (PD), or death (from any cause), whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants who remained on dacomitinib without an event until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis. |
| Number of Participants Classified According to NSCLC Staging: All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | The number of participants classified according to the disease stages as 3B, 3C, 4A and 4B were reported in this outcome measure. Cancer stages were classified based on tumor size (T), metastasis to regional lymph nodes (LN) \[N\] and distant metastasis (M). Stages were 3B, 3C, 4A and 4B. Stage 3B (T1N3M0, T2N3M0, T3N2M0, T4N2M0). Stage 3C (T3N3M0 and T4N3M0), Stage 4A (anyT, anyN and M1a/M1b), Stage 4B (anyT, anyN and M1c). where T1: \<=3 cm; T2: \>3 to \<=5 cm; T3: \>5 to \<=7 cm; T4: \>7cm. N0: not spread to regional LN; N1: spread to ipsilateral pulmonary or hilar nodes; N2: spread to ipsilateral mediastinal or subcarinal nodes; N3: spread to contralateral mediastinal, hilar, or supraclavicular nodes. M0: no distant metastasis; M1a: malignant pleural or pericardial effusion or pleural or pericardial nodules or separate tumor nodule(s) in a contralateral lobe; M1b: single extrathoracic metastasis; M1c= multiple extrathoracic metastases (1 or \>1 organ). |
| Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | ECOG performance classified as: Grade 0: fully active, able to carry on all pre-disease performance without restriction; Grade 1: restricted in physically strenuous activity but ambulatory and able to carry out work of light or sedentary nature; Grade 2: ambulatory and capable of all selfcare but unable to carry out any work activities, up and about more than 50% of waking hours; Grade 3: capable of only limited selfcare, confined to bed or chair more than 50% of waking hours; Grade 4: completely disabled, cannot carry on selfcare and totally confined to bed or chair and Grade 5: dead. Higher score indicated worse health status. |
| Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants classified according to type of EGFR mutation were reported in this outcome measure. One participant may have more than one mutation. Participants were classified into the following rows: EGFR exon 19 deletion, EGFR exon 21 L858R substitution, EGFR T790M mutation and other. |
| Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants with dacomitinib oral dose modification (any dose change) from initial dacomitinib therapy are presented in this outcome measure. Participants were classified into the following categories: no dose modification, one dose modification, two dose modifications and more than two dose modifications. |
| Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants with dacomitinib dose interruption (dacomitinib treatment being temporarily stopped) were reported in this outcome measure. Participants were classified into the following categories: no dose interruption, one dose interruption, two dose interruptions and more than two dose interruptions. |
| Number of Participants With Any Oral Dose Discontinuation: All Asian Participants | From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants with dacomitinib dose discontinuation (dacomitinib treatment permanently stopped) were reported in this outcome measure. |
| Duration of Dacomitinib Therapy: All Asian Participants | First dose of dacomitinib till discontinuation/ end of dacomitinib treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Duration of dacomitinib therapy (dacomitinib last dose date - dacomitinib initiation date + 1 day) was reported in this outcome measure. |
| Body Mass Index (BMI): All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. [approximately] 89 months); data was evaluated in this observational study for approx. 35.5 months | BMI was derived from body weight and height, and it was calculated as weight divided by height\^2. |
| Number of Participants Classified According to Smoking Status: All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants classified according to smoking status are presented in this outcome measure. Participants were classified into the following categories: current smoker, former smoker, never smoker and unknown. |
| Number of Participants Classified According to Comorbidities: All Asian Participants | Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants classified According to comorbidities are presented in this outcome measure. Participants were classified into the following categories: any comorbidities, none and unknown. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Events (AEs): All Asian Participants | From dacomitinib treatment initiation to death or end of study whichever occurred first (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | AE was any untoward medical occurrence in a participant or clinical investigation participant administered sponsor's product and which did not necessarily have a causal relationship with the product. |
| TTF: Chinese Participants With Common EGFR Mutation | From dacomitinib treatment initiation to dacomitinib discontinuation, PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | TTF was defined as the time from date of dacomitinib initiation to date of dacomitinib permanent discontinuation (for any reason), first PD, or death (from any cause), whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants who remained on dacomitinib without an event until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis. |
| PFS: Chinese Participants With Common EGFR Mutation | From dacomitinib treatment initiation to PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | PFS was defined as date of dacomitinib initiation to date of first PD or death from any cause, whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants without PD and remained alive (i.e. no date of death) until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis. |
| Number of Participants With AEs: Chinese Participants With Common EGFR Mutation | From dacomitinib treatment initiation to death or end of study whichever occurred first (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | AE was any untoward medical occurrence in a participant or clinical investigation participant administered sponsor's product and which did not necessarily have a causal relationship with the product. |
| Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants classified according to starting dose of dacomitinib (30 mg, 45 mg or other dose) as first-line in Chinese participants with common EGFR mutations are presented in this outcome measure. |
| Number of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation | From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | Number of participants without any dacomitinib dose modification (any dose change) from initial dacomitinib therapy in Chinese participants with common EGFR mutations are presented in this outcome measure. |
| Progression-free Survival (PFS): All Asian Participants | From dacomitinib treatment initiation to PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months | PFS was defined as date of dacomitinib initiation to date of first PD or death from any cause, whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants without PD and remained alive (i.e. no date of death) until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis. |
Countries
China, India, Malaysia
Participant flow
Recruitment details
Data of eligible participants who were diagnosed with epidermal growth factor receptor (EGFR) mutation-positive advanced NSCLC and received first-line treatment with dacomitinib under routine clinical practice was included. Participants did not receive intervention as a part of this study. A total of 307 participants were enrolled. Of these, 8 participants were excluded from any analysis (7 participants failed to meet the eligibility criteria and 1 participant was a duplicate).
Pre-assignment details
Data was collected retrospectively from medical records (1-Jan-2017 to 23-Nov-2021) or prospectively from prospective data collection (23-Nov-2021 to 28-May-2024) or mixed (retrospective and prospective, 1-Jan-2017 to 28-May-2024 \[89 months\]). Available data from eligible participants was evaluated in approximately 35.5 months (study start date: 11-June-2021 to study completion date: 28-May-2024) of this observational study as per its objectives.
Participants by arm
| Arm | Count |
|---|---|
| Dacomitinib 30 mg Participants who initiated treatment with dacomitinib as first line therapy at a dose of 30 mg, once daily in a real world setting under routine clinical practice outside of clinical trials were included. | 159 |
| Dacomitinib 45 mg Participants who initiated treatment with dacomitinib as first line therapy at a dose of 45 mg, once daily in a real world setting under routine clinical practice outside of clinical trials were included. | 138 |
| Dacomitinib Other Dose Participants who initiated treatment with dacomitinib as first line therapy at a dose of 30 mg, twice daily or 15 mg, once daily in a real world setting under routine clinical practice outside of clinical trials were included. | 2 |
| Total | 299 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Alive until end of follow-up | 60 | 53 | 1 |
| Overall Study | Death | 64 | 49 | 1 |
| Overall Study | Lost to Follow-up | 20 | 33 | 0 |
| Overall Study | Withdrawal of consent | 15 | 3 | 0 |
Baseline characteristics
| Characteristic | Dacomitinib 30 mg | Dacomitinib 45 mg | Dacomitinib Other Dose | Total |
|---|---|---|---|---|
| Age, Continuous | 61.5 Years STANDARD_DEVIATION 9.77 | 57.6 Years STANDARD_DEVIATION 9.29 | 70.5 Years STANDARD_DEVIATION 12.02 | 59.8 Years STANDARD_DEVIATION 9.76 |
| Race/Ethnicity, Customized Chinese | 145 Participants | 125 Participants | 2 Participants | 272 Participants |
| Race/Ethnicity, Customized Indian | 12 Participants | 13 Participants | 0 Participants | 25 Participants |
| Race/Ethnicity, Customized Malay | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Unknown | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Sex: Female, Male Female | 101 Participants | 59 Participants | 1 Participants | 161 Participants |
| Sex: Female, Male Male | 58 Participants | 79 Participants | 1 Participants | 138 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 64 / 159 | 49 / 138 | 1 / 2 |
| other Total, other adverse events | 0 / 0 | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 | 0 / 0 |
Outcome results
Body Mass Index (BMI): All Asian Participants
BMI was derived from body weight and height, and it was calculated as weight divided by height\^2.
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. [approximately] 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here Overall Number of Participants Analyzed signifies participants evaluable for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Dacomitinib 30 mg | Body Mass Index (BMI): All Asian Participants | 22.6 Kilogram per square meter | Standard Deviation 3.57 |
| Dacomitinib 45 mg | Body Mass Index (BMI): All Asian Participants | 23.1 Kilogram per square meter | Standard Deviation 3.44 |
| Dacomitinib Other Dose | Body Mass Index (BMI): All Asian Participants | 26.4 Kilogram per square meter | — |
Duration of Dacomitinib Therapy: All Asian Participants
Duration of dacomitinib therapy (dacomitinib last dose date - dacomitinib initiation date + 1 day) was reported in this outcome measure.
Time frame: First dose of dacomitinib till discontinuation/ end of dacomitinib treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dacomitinib 30 mg | Duration of Dacomitinib Therapy: All Asian Participants | 17.4 Months |
| Dacomitinib 45 mg | Duration of Dacomitinib Therapy: All Asian Participants | 16.6 Months |
| Dacomitinib Other Dose | Duration of Dacomitinib Therapy: All Asian Participants | 14.9 Months |
Number of Participants Classified According to Comorbidities: All Asian Participants
Number of participants classified According to comorbidities are presented in this outcome measure. Participants were classified into the following categories: any comorbidities, none and unknown.
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | Any comorbidities | 44 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | Unknown | 18 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | None | 97 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | Any comorbidities | 22 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | None | 109 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Comorbidities: All Asian Participants | Unknown | 7 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Comorbidities: All Asian Participants | Any comorbidities | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Comorbidities: All Asian Participants | Unknown | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Comorbidities: All Asian Participants | None | 1 Participants |
Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants
ECOG performance classified as: Grade 0: fully active, able to carry on all pre-disease performance without restriction; Grade 1: restricted in physically strenuous activity but ambulatory and able to carry out work of light or sedentary nature; Grade 2: ambulatory and capable of all selfcare but unable to carry out any work activities, up and about more than 50% of waking hours; Grade 3: capable of only limited selfcare, confined to bed or chair more than 50% of waking hours; Grade 4: completely disabled, cannot carry on selfcare and totally confined to bed or chair and Grade 5: dead. Higher score indicated worse health status.
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 0 | 20 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 1 | 59 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 2 | 0 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 3 | 2 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 4 | 0 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 5 | 0 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Unknown | 73 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Missing | 5 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 2 | 5 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Unknown | 40 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 3 | 1 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 4 | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 5 | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 0 | 11 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 1 | 80 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Missing | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 2 | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 1 | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 0 | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 3 | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Unknown | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 5 | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Grade 4 | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian Participants | Missing | 0 Participants |
Number of Participants Classified According to NSCLC Staging: All Asian Participants
The number of participants classified according to the disease stages as 3B, 3C, 4A and 4B were reported in this outcome measure. Cancer stages were classified based on tumor size (T), metastasis to regional lymph nodes (LN) \[N\] and distant metastasis (M). Stages were 3B, 3C, 4A and 4B. Stage 3B (T1N3M0, T2N3M0, T3N2M0, T4N2M0). Stage 3C (T3N3M0 and T4N3M0), Stage 4A (anyT, anyN and M1a/M1b), Stage 4B (anyT, anyN and M1c). where T1: \<=3 cm; T2: \>3 to \<=5 cm; T3: \>5 to \<=7 cm; T4: \>7cm. N0: not spread to regional LN; N1: spread to ipsilateral pulmonary or hilar nodes; N2: spread to ipsilateral mediastinal or subcarinal nodes; N3: spread to contralateral mediastinal, hilar, or supraclavicular nodes. M0: no distant metastasis; M1a: malignant pleural or pericardial effusion or pleural or pericardial nodules or separate tumor nodule(s) in a contralateral lobe; M1b: single extrathoracic metastasis; M1c= multiple extrathoracic metastases (1 or \>1 organ).
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4B | 97 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3B | 6 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4A | 56 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3C | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4A | 46 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4B | 80 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3B | 8 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3C | 4 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4B | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3C | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 4A | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to NSCLC Staging: All Asian Participants | 3B | 2 Participants |
Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants
Number of participants with dacomitinib dose interruption (dacomitinib treatment being temporarily stopped) were reported in this outcome measure. Participants were classified into the following categories: no dose interruption, one dose interruption, two dose interruptions and more than two dose interruptions.
Time frame: From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | No dose interruptions | 142 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | One dose interruption | 10 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | Two dose interruptions | 4 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | More than two dose interruptions | 3 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | Two dose interruptions | 2 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | No dose interruptions | 115 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | One dose interruption | 20 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | More than two dose interruptions | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | One dose interruption | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | More than two dose interruptions | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | No dose interruptions | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Interruptions: All Asian Participants | Two dose interruptions | 1 Participants |
Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants
Number of participants with dacomitinib oral dose modification (any dose change) from initial dacomitinib therapy are presented in this outcome measure. Participants were classified into the following categories: no dose modification, one dose modification, two dose modifications and more than two dose modifications.
Time frame: From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | One dose modification | 16 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | More than two dose modifications | 4 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | Two dose modifications | 11 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | No dose modification | 128 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | No dose modification | 67 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | One dose modification | 41 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | Two dose modifications | 29 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | More than two dose modifications | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | No dose modification | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | Two dose modifications | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | One dose modification | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Number of Oral Dose Modifications: All Asian Participants | More than two dose modifications | 1 Participants |
Number of Participants Classified According to Smoking Status: All Asian Participants
Number of participants classified according to smoking status are presented in this outcome measure. Participants were classified into the following categories: current smoker, former smoker, never smoker and unknown.
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Never smoker | 93 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Unknown | 40 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Current smoker | 2 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Former smoker | 24 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Former smoker | 41 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Current smoker | 11 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Never smoker | 71 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Smoking Status: All Asian Participants | Unknown | 15 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Smoking Status: All Asian Participants | Never smoker | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Smoking Status: All Asian Participants | Current smoker | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Smoking Status: All Asian Participants | Unknown | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Smoking Status: All Asian Participants | Former smoker | 1 Participants |
Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants
Number of participants classified according to type of EGFR mutation were reported in this outcome measure. One participant may have more than one mutation. Participants were classified into the following rows: EGFR exon 19 deletion, EGFR exon 21 L858R substitution, EGFR T790M mutation and other.
Time frame: Baseline (date of last non-missing measurement prior to dacomitinib initiation; from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 19 deletion | 54 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 21 L858R substitution | 102 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR T790M mutation | 0 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | Other | 22 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | Other | 37 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 19 deletion | 36 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR T790M mutation | 2 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 21 L858R substitution | 89 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | Other | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 21 L858R substitution | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR T790M mutation | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Type of EGFR Mutation: All Asian Participants | EGFR exon 19 deletion | 1 Participants |
Number of Participants With Any Oral Dose Discontinuation: All Asian Participants
Number of participants with dacomitinib dose discontinuation (dacomitinib treatment permanently stopped) were reported in this outcome measure.
Time frame: From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dacomitinib 30 mg | Number of Participants With Any Oral Dose Discontinuation: All Asian Participants | 116 Participants |
| Dacomitinib 45 mg | Number of Participants With Any Oral Dose Discontinuation: All Asian Participants | 105 Participants |
| Dacomitinib Other Dose | Number of Participants With Any Oral Dose Discontinuation: All Asian Participants | 2 Participants |
Time To Treatment Failure (TTF): All Asian Participants
TTF was defined as the time from date of dacomitinib initiation to date of dacomitinib permanent discontinuation (for any reason), first disease progression (PD), or death (from any cause), whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants who remained on dacomitinib without an event until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis.
Time frame: From dacomitinib treatment initiation to dacomitinib discontinuation, PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dacomitinib 30 mg | Time To Treatment Failure (TTF): All Asian Participants | 15.8 Months |
| Dacomitinib 45 mg | Time To Treatment Failure (TTF): All Asian Participants | 17.7 Months |
| Dacomitinib Other Dose | Time To Treatment Failure (TTF): All Asian Participants | 14.5 Months |
Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation
Number of participants classified according to starting dose of dacomitinib (30 mg, 45 mg or other dose) as first-line in Chinese participants with common EGFR mutations are presented in this outcome measure.
Time frame: From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here, Overall Number of Participants Analyzed signifies Chinese participants with common EGFR mutation evaluable for this outcome measure.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Dacomitinib 30 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 30 mg once daily | 133 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 45 mg once daily | 0 Participants |
| Dacomitinib 30 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | Other dose | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | Other dose | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 30 mg once daily | 0 Participants |
| Dacomitinib 45 mg | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 45 mg once daily | 113 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 45 mg once daily | 0 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | Other dose | 1 Participants |
| Dacomitinib Other Dose | Number of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation | 30 mg once daily | 0 Participants |
Number of Participants With Adverse Events (AEs): All Asian Participants
AE was any untoward medical occurrence in a participant or clinical investigation participant administered sponsor's product and which did not necessarily have a causal relationship with the product.
Time frame: From dacomitinib treatment initiation to death or end of study whichever occurred first (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dacomitinib 30 mg | Number of Participants With Adverse Events (AEs): All Asian Participants | 79 Participants |
| Dacomitinib 45 mg | Number of Participants With Adverse Events (AEs): All Asian Participants | 82 Participants |
| Dacomitinib Other Dose | Number of Participants With Adverse Events (AEs): All Asian Participants | 1 Participants |
Number of Participants With AEs: Chinese Participants With Common EGFR Mutation
AE was any untoward medical occurrence in a participant or clinical investigation participant administered sponsor's product and which did not necessarily have a causal relationship with the product.
Time frame: From dacomitinib treatment initiation to death or end of study whichever occurred first (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here, Overall Number of Participants Analyzed signifies Chinese participants with common EGFR mutation evaluable for this outcome measure.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dacomitinib 30 mg | Number of Participants With AEs: Chinese Participants With Common EGFR Mutation | 60 Participants |
| Dacomitinib 45 mg | Number of Participants With AEs: Chinese Participants With Common EGFR Mutation | 67 Participants |
| Dacomitinib Other Dose | Number of Participants With AEs: Chinese Participants With Common EGFR Mutation | 0 Participants |
Number of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation
Number of participants without any dacomitinib dose modification (any dose change) from initial dacomitinib therapy in Chinese participants with common EGFR mutations are presented in this outcome measure.
Time frame: From start of dacomitinib treatment until discontinuation/end of treatment (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here, Overall Number of Participants Analyzed signifies Chinese participants with common EGFR mutation evaluable for this outcome measure.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Dacomitinib 30 mg | Number of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation | 111 Participants |
| Dacomitinib 45 mg | Number of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation | 55 Participants |
| Dacomitinib Other Dose | Number of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation | 1 Participants |
PFS: Chinese Participants With Common EGFR Mutation
PFS was defined as date of dacomitinib initiation to date of first PD or death from any cause, whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants without PD and remained alive (i.e. no date of death) until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis.
Time frame: From dacomitinib treatment initiation to PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here, Overall Number of Participants Analyzed signifies Chinese participants with common EGFR mutation evaluable for this outcome measure.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dacomitinib 30 mg | PFS: Chinese Participants With Common EGFR Mutation | 20.3 Months |
| Dacomitinib 45 mg | PFS: Chinese Participants With Common EGFR Mutation | 21.2 Months |
| Dacomitinib Other Dose | PFS: Chinese Participants With Common EGFR Mutation | NA Months |
Progression-free Survival (PFS): All Asian Participants
PFS was defined as date of dacomitinib initiation to date of first PD or death from any cause, whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants without PD and remained alive (i.e. no date of death) until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis.
Time frame: From dacomitinib treatment initiation to PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent).
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dacomitinib 30 mg | Progression-free Survival (PFS): All Asian Participants | 18.3 Months |
| Dacomitinib 45 mg | Progression-free Survival (PFS): All Asian Participants | 21.0 Months |
| Dacomitinib Other Dose | Progression-free Survival (PFS): All Asian Participants | 14.5 Months |
TTF: Chinese Participants With Common EGFR Mutation
TTF was defined as the time from date of dacomitinib initiation to date of dacomitinib permanent discontinuation (for any reason), first PD, or death (from any cause), whichever came first. PD was defined as cancer worsening based on radiologist's interpretation of the imaging and/or clinician's assessment, and after initiation of first-line dacomitinib treatment. Participants who remained on dacomitinib without an event until end of follow-up were censored at the date of last known contact/visit date. Participants lost to follow-up were censored based on the last known contact/visit date. Kaplan-Meier method was used for analysis.
Time frame: From dacomitinib treatment initiation to dacomitinib discontinuation, PD or death due to any cause, whichever came first or censoring date (from data collected for approx. 89 months); data was evaluated in this observational study for approx. 35.5 months
Population: FAS included all eligible participants who fulfilled all inclusion and exclusion criteria and provided informed consent (or with IRB/ IEC waiver of informed consent). Here, Overall Number of Participants Analyzed signifies Chinese participants with common EGFR mutation evaluable for this outcome measure.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Dacomitinib 30 mg | TTF: Chinese Participants With Common EGFR Mutation | 17.3 Months |
| Dacomitinib 45 mg | TTF: Chinese Participants With Common EGFR Mutation | 18.9 Months |
| Dacomitinib Other Dose | TTF: Chinese Participants With Common EGFR Mutation | NA Months |