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EDITORIAL Compassionate Use Programs or Phase IV Trials of Innovative Molecular Targeted Drugs in Lung Cancer Deal or No Deal? Wilfried Eberhardt, MD PHASE IV OPEN-LABELED STUDY WITH ERLOTINIB IN SOUTH-EAST ASIANS WITH NON-SMALL CELL LUNG CANCER In this month’s issue of the journal, we are faced with yet another large compassionate use program (expanded access program [EAP/phase IV trial]) with a molecular targeted drug 1 1 in patients with non-small cell lung cancer (NSCLC). This time, Mok et al. present the results of a large South-East Asian patient cohort treated within an expanded access program of erlotinib for NSCLC in multiple-line situations after chemotherapy and/or radiotherapy or upfront in patients unsuitable for standard combination chemotherapy. Interestingly, 1242 patients were investigated for safety and efficacy of the treatment with the EGF-R tyrosine kinase inhibitor erlotinib in this mature analysis of the clinical trials results. The median overall survival with more than 14 months and the median progres- sion-free survival (PFS) of nearly 6 months seen with erlotinib in South-East Asian patients were found to be significantly better than the results observed in the parallel TRUST program with erlotinib in white/non-Asian patients reported in the same issue of this journal.
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Oct 1, 2010
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