Boehringer Ingelheim has reported positive interim results from the real-world GioTag study of afatinib (Giotrif/Gilotrif) in EGFR Del19 and T790M mutation-positive non-small-cell lung cancer (NSCLC).

According to the data, initial therapy with afatinib followed by osimertinib led to overall survival (OS) of 45.7 months during the retrospective, observational, and unblinded study.

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Previous data from the study showed OS rates of two years and 2.5 years.

Analysis of updated findings from a subset of patients who had electronic health records in the US revealed a median OS rate of 41.3 months after a median follow-up of 30.3 months.

Boehringer added that the updated two-year OS rate was 80%.

Patients with Del19-positive tumours experienced a median OS rate of 45.7 months, while the two-year OS rate was 82%.

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New analysis revealed median time-on-therapy with sequential afatinib and osimertinib of 28.1 months in the overall population and 30.6 months in participants with Del19-positive tumours.

Median time on osimertinib treatment after afatinib therapy was 15.6 months and 16.4 months for Del19 mutations.

Boehringer Ingelheim Oncology Medicine corporate vice-president and global head Dr Victoria Zazulina said: “The continued clinical development of new EGFR TKIs provides additional treatment options for patients with EGFR M+ NSCLC, and raises questions about their optimal sequence.

“Real-world data from the GioTag study supports the argument for sequential use of afatinib and osimertinib for patients with EGFR M+ NSCLC who are Del19-positive.”

Zazulina also said that the lack of targeted treatments following the failure of osimertinib indicates the need for the drug to be used as a second-line treatment following second-generation EGFR TKIs.

Final analysis of the GioTag study is scheduled to take place early next year and will include data from Asian and European countries.

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