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Real World Utilization and Outcomes With Dacomitinib First Line Treatment for EGFR Mutation-positive Advanced Non Small Cell Lung Cancer Among Asian Patients - A Multi Center Chart Review

ARIA: Real-world Utilization and Outcomes With Dacomitinib First-line Treatment for EGFR Mutation-positive Advanced Non-small Cell Lung Cancer Among Asian Patients - A Multi-center Chart Review

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04609319
Enrollment
307
Registered
2020-10-30
Start date
2021-06-11
Completion date
2024-05-28
Last updated
2025-05-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung Cancer

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

DRUGDacomitinib

This is a non-interventional, real world study of Asian patients being treated with dacomitinib as first-line treatment for EGFR+ NSCLC

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
OTHER

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Time To Treatment Failure (TTF): All Asian ParticipantsFrom 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 monthsTTF 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 ParticipantsBaseline (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 monthsThe 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 ParticipantsBaseline (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 monthsECOG 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 ParticipantsBaseline (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 monthsNumber 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 ParticipantsFrom 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 monthsNumber 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 ParticipantsFrom 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 monthsNumber 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 ParticipantsFrom 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 monthsNumber of participants with dacomitinib dose discontinuation (dacomitinib treatment permanently stopped) were reported in this outcome measure.
Duration of Dacomitinib Therapy: All Asian ParticipantsFirst 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 monthsDuration of dacomitinib therapy (dacomitinib last dose date - dacomitinib initiation date + 1 day) was reported in this outcome measure.
Body Mass Index (BMI): All Asian ParticipantsBaseline (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 monthsBMI 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 ParticipantsBaseline (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 monthsNumber 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 ParticipantsBaseline (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 monthsNumber 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

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs): All Asian ParticipantsFrom 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 monthsAE 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 MutationFrom 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 monthsTTF 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 MutationFrom 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 monthsPFS 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 MutationFrom 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 monthsAE 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 MutationFrom 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 monthsNumber 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 MutationFrom 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 monthsNumber 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 ParticipantsFrom 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 monthsPFS 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

ArmCount
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
Total299

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAlive until end of follow-up60531
Overall StudyDeath64491
Overall StudyLost to Follow-up20330
Overall StudyWithdrawal of consent1530

Baseline characteristics

CharacteristicDacomitinib 30 mgDacomitinib 45 mgDacomitinib Other DoseTotal
Age, Continuous61.5 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 Participants125 Participants2 Participants272 Participants
Race/Ethnicity, Customized
Indian
12 Participants13 Participants0 Participants25 Participants
Race/Ethnicity, Customized
Malay
1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Unknown
1 Participants0 Participants0 Participants1 Participants
Sex: Female, Male
Female
101 Participants59 Participants1 Participants161 Participants
Sex: Female, Male
Male
58 Participants79 Participants1 Participants138 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
64 / 15949 / 1381 / 2
other
Total, other adverse events
0 / 00 / 00 / 0
serious
Total, serious adverse events
0 / 00 / 00 / 0

Outcome results

Primary

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.

ArmMeasureValue (MEAN)Dispersion
Dacomitinib 30 mgBody Mass Index (BMI): All Asian Participants22.6 Kilogram per square meterStandard Deviation 3.57
Dacomitinib 45 mgBody Mass Index (BMI): All Asian Participants23.1 Kilogram per square meterStandard Deviation 3.44
Dacomitinib Other DoseBody Mass Index (BMI): All Asian Participants26.4 Kilogram per square meter
Primary

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).

ArmMeasureValue (MEDIAN)
Dacomitinib 30 mgDuration of Dacomitinib Therapy: All Asian Participants17.4 Months
Dacomitinib 45 mgDuration of Dacomitinib Therapy: All Asian Participants16.6 Months
Dacomitinib Other DoseDuration of Dacomitinib Therapy: All Asian Participants14.9 Months
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsAny comorbidities44 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsUnknown18 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsNone97 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsAny comorbidities22 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsNone109 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Comorbidities: All Asian ParticipantsUnknown7 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Comorbidities: All Asian ParticipantsAny comorbidities1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Comorbidities: All Asian ParticipantsUnknown0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Comorbidities: All Asian ParticipantsNone1 Participants
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 020 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 159 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 20 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 32 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 40 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 50 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsUnknown73 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsMissing5 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 25 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsUnknown40 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 31 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 40 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 50 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 011 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 180 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsMissing1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 21 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 10 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 00 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 30 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsUnknown1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 50 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsGrade 40 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Eastern Cooperative Oncology Group (ECOG) Performance Status: All Asian ParticipantsMissing0 Participants
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants4B97 Participants
Dacomitinib 30 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants3B6 Participants
Dacomitinib 30 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants4A56 Participants
Dacomitinib 30 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants3C0 Participants
Dacomitinib 45 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants4A46 Participants
Dacomitinib 45 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants4B80 Participants
Dacomitinib 45 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants3B8 Participants
Dacomitinib 45 mgNumber of Participants Classified According to NSCLC Staging: All Asian Participants3C4 Participants
Dacomitinib Other DoseNumber of Participants Classified According to NSCLC Staging: All Asian Participants4B0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to NSCLC Staging: All Asian Participants3C0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to NSCLC Staging: All Asian Participants4A0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to NSCLC Staging: All Asian Participants3B2 Participants
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsNo dose interruptions142 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsOne dose interruption10 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsTwo dose interruptions4 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsMore than two dose interruptions3 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsTwo dose interruptions2 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsNo dose interruptions115 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsOne dose interruption20 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsMore than two dose interruptions1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsOne dose interruption0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsMore than two dose interruptions0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsNo dose interruptions1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Interruptions: All Asian ParticipantsTwo dose interruptions1 Participants
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsOne dose modification16 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsMore than two dose modifications4 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsTwo dose modifications11 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsNo dose modification128 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsNo dose modification67 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsOne dose modification41 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsTwo dose modifications29 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsMore than two dose modifications1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsNo dose modification1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsTwo dose modifications0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsOne dose modification0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Number of Oral Dose Modifications: All Asian ParticipantsMore than two dose modifications1 Participants
Primary

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).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsNever smoker93 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsUnknown40 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsCurrent smoker2 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsFormer smoker24 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsFormer smoker41 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsCurrent smoker11 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsNever smoker71 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Smoking Status: All Asian ParticipantsUnknown15 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Smoking Status: All Asian ParticipantsNever smoker1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Smoking Status: All Asian ParticipantsCurrent smoker0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Smoking Status: All Asian ParticipantsUnknown0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Smoking Status: All Asian ParticipantsFormer smoker1 Participants
Primary

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).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 19 deletion54 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 21 L858R substitution102 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR T790M mutation0 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsOther22 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsOther37 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 19 deletion36 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR T790M mutation2 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 21 L858R substitution89 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsOther0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 21 L858R substitution1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR T790M mutation0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Type of EGFR Mutation: All Asian ParticipantsEGFR exon 19 deletion1 Participants
Primary

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).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants With Any Oral Dose Discontinuation: All Asian Participants116 Participants
Dacomitinib 45 mgNumber of Participants With Any Oral Dose Discontinuation: All Asian Participants105 Participants
Dacomitinib Other DoseNumber of Participants With Any Oral Dose Discontinuation: All Asian Participants2 Participants
Primary

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).

ArmMeasureValue (MEDIAN)
Dacomitinib 30 mgTime To Treatment Failure (TTF): All Asian Participants15.8 Months
Dacomitinib 45 mgTime To Treatment Failure (TTF): All Asian Participants17.7 Months
Dacomitinib Other DoseTime To Treatment Failure (TTF): All Asian Participants14.5 Months
Secondary

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.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation30 mg once daily133 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation45 mg once daily0 Participants
Dacomitinib 30 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR MutationOther dose0 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR MutationOther dose0 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation30 mg once daily0 Participants
Dacomitinib 45 mgNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation45 mg once daily113 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation45 mg once daily0 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR MutationOther dose1 Participants
Dacomitinib Other DoseNumber of Participants Classified According to Starting Dose of Dacomitinib as First-line Therapy: Chinese Participants With Common EGFR Mutation30 mg once daily0 Participants
Secondary

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).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants With Adverse Events (AEs): All Asian Participants79 Participants
Dacomitinib 45 mgNumber of Participants With Adverse Events (AEs): All Asian Participants82 Participants
Dacomitinib Other DoseNumber of Participants With Adverse Events (AEs): All Asian Participants1 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants With AEs: Chinese Participants With Common EGFR Mutation60 Participants
Dacomitinib 45 mgNumber of Participants With AEs: Chinese Participants With Common EGFR Mutation67 Participants
Dacomitinib Other DoseNumber of Participants With AEs: Chinese Participants With Common EGFR Mutation0 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Dacomitinib 30 mgNumber of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation111 Participants
Dacomitinib 45 mgNumber of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation55 Participants
Dacomitinib Other DoseNumber of Participants Without Oral Dose Modifications: Chinese Participants With Common EGFR Mutation1 Participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Dacomitinib 30 mgPFS: Chinese Participants With Common EGFR Mutation20.3 Months
Dacomitinib 45 mgPFS: Chinese Participants With Common EGFR Mutation21.2 Months
Dacomitinib Other DosePFS: Chinese Participants With Common EGFR MutationNA Months
Secondary

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).

ArmMeasureValue (MEDIAN)
Dacomitinib 30 mgProgression-free Survival (PFS): All Asian Participants18.3 Months
Dacomitinib 45 mgProgression-free Survival (PFS): All Asian Participants21.0 Months
Dacomitinib Other DoseProgression-free Survival (PFS): All Asian Participants14.5 Months
Secondary

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.

ArmMeasureValue (MEDIAN)
Dacomitinib 30 mgTTF: Chinese Participants With Common EGFR Mutation17.3 Months
Dacomitinib 45 mgTTF: Chinese Participants With Common EGFR Mutation18.9 Months
Dacomitinib Other DoseTTF: Chinese Participants With Common EGFR MutationNA Months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026