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Acquired resistance to EGFR TKI

Gefitinib +

Cisplatin / Pem

Gefitinib until

PD

Placebo +

Cisplatin / Pem

Placebo until PD

1:1 randomisation

•

PD on gefitinib by RECIST

criteria

•

Measurable stage IIIB / IV

disease

•

ECOG 0-1

•

Activating

EGFR

mutations

N=265

Soria Lancet Oncol 15, Mok JCO 17

PFS:

5.4

vs.

5.4

HR 0.86, p=0.273

OS:

13.4

vs.

.

19.5

HR 1.44, p=0.016

IMPRESS phase III trial

OS results may be driven for T790M + (plasma)

patients