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AENEAS: A Randomized Phase III Trial of Aumolertinib Versus Gefitinib as First-Line Therapy for Locally Advanced or MetastaticNon–Small-Cell Lung Cancer With EGFR Exon 19 Deletion or L858R Mutations
Open accessAbstract
PURPOSE: Aumolertinib (formerly almonertinib; HS-10296) is a novel third-generation epidermal growth factor receptor tyrosine kinase inhibitor approved in China. This double-blind phase III trial evaluated the efficacy and safety of aumolertinib compared with gefitinib as a first-line treatment for locally advanced or metastatic EGFR-mutated non–small-cell lung cancer (NSCLC; ClinicalTrials.gov identifier: NCT03849768 ). METHODS: Patients at 53 sites in China were randomly assigned 1:1 to receive either aumolertinib (110 mg) or gefitinib (250 mg) once daily. The primary end point was progression-free survival (PFS) per investigator assessment. RESULTS: A total of 429 patients who were naïve to treatment for locally advanced or metastatic NSCLC were enrolled. PFS was significantly longer with aumolertinib compared with gefitinib (hazard ratio, 0.46; 95% CI, 0.36 to 0.60; P < .0001). The median PFS with aumolertinib was 19.3 months (95% CI, 17.8 to 20.8) versus 9.9 months with gefitinib (95% CI, 8.3 to 12.6). Objective response rate and disease control rate were similar in the aumolertinib and gefitinib groups (objective response rate, 73.8% and 72.1%, respectively; disease control rate, 93.0% and 96.7%, respectively). The median duration of response was 18.1 months (95% CI, 15.2 to not applicable) with aumolertinib versus 8.3 months (95% CI, 6.9 to 11.1) with gefitinib. Adverse events of grade ≥ 3 severity (any cause) were observed in 36.4% and 35.8% of patients in the aumolertinib and gefitinib groups, respectively. Rash and diarrhea (any grade) were observed in 23.4% and 16.4% of patients who received aumolertinib compared with 41.4% and 35.8% of those who received gefitinib, respectively. CONCLUSION: Aumolertinib is a well-tolerated third-generation epidermal growth factor receptor tyrosine kinase inhibitor that could serve as a treatment option for EGFR-mutant NSCLC in the first-line setting.
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Osimertinib in Untreated EGFR -Mutated Advanced Non–Small-Cell Lung Cancer
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Osimertinib in Resected EGFR -Mutated Non–Small-Cell Lung Cancer
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Metadata
- Authors
- Lu, S., Dong, X., Jian, H., Chen, J., Chen, G., Sun, Y., Ji, Y., Wang, Z., Shi, J., Lu, J., Chen, S., Lv, D., Zhang, G., Liu, C., Li, J., Yu, X., Lin, Z., Yu, Z., Wang, Z., Cui, J., Xu, X., Fang, J., Feng, J., Xu, Z., Ma, R., Hu, J., Yang, N., Zhou, X., Wu, X., Hu, C., Zhang, Z., Lu, Y., Hu, Y., Jiang, L., Wang, Q., Guo, R., Zhou, J., Li, B., Hu, C., Tong, W., Zhang, H., Ma, L., Chen, Y., Jie, Z., Yao, Y., Zhang, L., Jie, W., Li, W., Xiong, J., Ye, X., Duan, J., Yang, H., Sun, M., Sun, C., Wei, H., Li, C., Ali, S. M., Miller, V. A., & Wu, Q.
- Venue
- Journal of Clinical Oncology
- Published
- 2022-09-20
- Volume
- 40
- Issue
- 27
- Pages
- 3162-3171
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W4280558216
- Cited by
- 303
- References
- 11
- FWCI
- 33.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Lu, S., Dong, X., Jian, H., Chen, J., Chen, G., Sun, Y., Ji, Y., Wang, Z., Shi, J., Lu, J., Chen, S., Lv, D., Zhang, G., Liu, C., Li, J., Yu, X., Lin, Z., Yu, Z., Wang, Z., . . . Wu, Q. (2022). AENEAS: A Randomized Phase III Trial of Aumolertinib Versus Gefitinib as First-Line Therapy for Locally Advanced or MetastaticNon–Small-Cell Lung Cancer With EGFR Exon 19 Deletion or L858R Mutations. Journal of Clinical Oncology. https://doi.org/10.1200/jco.21.02641
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