CTS: Gefitinib Superior to Chemotherapy Among Asians with Lung Cancer



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CHCIAGO, Nov. 17 — For carefully selected Asian patients with non-small-cell lung cancer, the tyrosine kinase inhibitor gefitinib (Iressa) significantly improved progression-free survival compared with the standard carboplatin (Paraplatin) and paclitaxel (Taxol), researchers reported here.

The phase III IRESSA-Pan Asia Study (IPASS) included patients who were chemotherapy na?ve, were never smokers or light smokers with a good performance status, an adenocarcinoma histology and Stage IIIb/IV non-small-cell lung cancer. The patients were selected from centers in China, Singapore, Japan, Thailand, Malaysia, Indonesia, the Philippines and Taiwan.

The researchers assigned 609 patients to gefitinib at 250 mg/day and 609 patients were offered carboplatin at a dose of 5 or 6 area under the curve with paclitaxel at 200 mg/m2. The aim of the study was to show that gefitinib was non-inferior to the chemotherapy regimen, but Tony Mok, M.D., of the Chinese University of Hong Kong, found that patients taking gefitinib had superior outcomes.

After 12 months, 25.6% of patients on gefitinib had achieved progression-free survival compared with 18.3% of patients on carboplatin-paclitaxel, a highly significant superiority (P

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