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clinical / clinicalIPASS Trial & Gefitinib in Asia-Pacific EGFR-Mutant NSCLC

Tony S. K. Mok

莫树锦

MD, FRCPC, FRCP

🏢The Chinese University of Hong Kong(香港中文大学)🌐Hong Kong

Li Shu Fan Medical Foundation Named Professor; Chairman, Department of Clinical Oncology, The Chinese University of Hong Kong李树芬医学基金会讲座教授;香港中文大学临床肿瘤学系主任

95
h-index
4
Key Papers
5
Awards
4
Key Contributions

👥Biography 个人简介

Tony S. K. Mok, MD, FRCPC, FRCP is the Li Shu Fan Medical Foundation Named Professor and Chairman of the Department of Clinical Oncology at The Chinese University of Hong Kong. He is one of the most influential oncologists in Asia and globally, best known for designing and leading the IPASS trial — arguably the single most important study in the history of EGFR-targeted therapy. IPASS (Iressa Pan-Asia Study), published in 2009 in the New England Journal of Medicine, demonstrated in a landmark randomized comparison that gefitinib was superior to carboplatin-paclitaxel as first-line therapy in selected Asian patients with advanced NSCLC, and crucially, the embedded biomarker analysis revealed that this benefit was entirely confined to patients with EGFR mutations — fundamentally establishing EGFR mutation as the predictive biomarker for EGFR-targeted therapy. This paradigm-shifting trial catalyzed the molecular stratification era in lung oncology. Dr. Mok has subsequently led multiple major Asia-Pacific trials in EGFR-mutant NSCLC including NEJ002, WJTOG3405, and later osimertinib studies; he is also a major contributor to understanding the unique epidemiology and biology of lung cancer in never-smokers in East Asia. He serves on the IASLC Board and has received numerous international honors for his contributions to oncology.

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🧪Research Fields 研究领域

IPASS Trial — Gefitinib vs Carboplatin-Paclitaxel in Asian NSCLCIPASS试验——亚裔非小细胞肺癌中吉非替尼对比卡铂-紫杉醇
EGFR-Targeted Therapy in Asia-Pacific Lung Cancer亚太地区EGFR靶向治疗
First-Generation EGFR Inhibitor Clinical Development第一代EGFR抑制剂临床开发
Lung Cancer Epidemiology and Molecular Epidemiology in East Asia东亚地区肺癌流行病学与分子流行病学
Immunotherapy and Combination Strategies in EGFR-Mutant NSCLCEGFR突变非小细胞肺癌免疫治疗与联合策略

🎓Key Contributions 主要贡献

IPASS — EGFR Mutation as the Definitive Predictive Biomarker for EGFR-TKI Therapy

Designed and led the IPASS phase III trial demonstrating that gefitinib was superior to carboplatin-paclitaxel in EGFR-mutant NSCLC (PFS HR 0.48) and inferior in EGFR wild-type disease — establishing EGFR mutation testing as mandatory before initiating EGFR-targeted therapy and founding the molecular stratification era in lung oncology.

Lung Cancer in Never-Smokers and Asia-Pacific Epidemiology

Characterized the distinct clinico-molecular epidemiology of never-smoker lung adenocarcinoma in East Asia, demonstrating high frequencies of EGFR mutations (>50% in Asian adenocarcinoma), female predominance, and distinct clinical behavior compared to smoker-associated KRAS-driven NSCLC — informing population-specific screening and treatment guidelines.

Sequential Therapy and Treatment Strategy in EGFR-Mutant NSCLC

Conducted and contributed to multiple clinical trials evaluating optimal sequencing of EGFR inhibitors, including studies of first-generation TKIs followed by osimertinib at T790M progression (AURA series) versus upfront third-generation therapy, and co-authored consensus guidelines on evidence-based sequencing strategies for EGFR-mutant NSCLC.

Immunotherapy Combinations in EGFR-Mutant NSCLC

Led or contributed to clinical trials investigating immune checkpoint inhibitor combinations in EGFR-mutant NSCLC — a clinically important and challenging question given the generally low immunotherapy efficacy in this molecular subgroup — including studies of osimertinib plus durvalumab and the TATTON platform, defining safety and efficacy boundaries for EGFR-IO combinations.

Representative Works 代表性著作

[1]

Gefitinib or carboplatin-paclitaxel in pulmonary adenocarcinoma (IPASS)

New England Journal of Medicine (2009)

Landmark IPASS trial establishing EGFR mutation as the definitive predictive biomarker for first-line gefitinib superiority over chemotherapy in Asian NSCLC, founding the molecular stratification era in thoracic oncology.

[2]

Osimertinib or platinum-pemetrexed in EGFR T790M-positive lung cancer (AURA3)

New England Journal of Medicine (2017)

AURA3 trial establishing osimertinib as the standard of care for T790M-positive NSCLC progressing after first-line EGFR-TKI, with superior PFS (10.1 vs 4.4 months) and CNS activity versus platinum-pemetrexed.

[3]

First-line gefitinib in patients with advanced non-small-cell lung cancer harboring somatic EGFR mutations (NEJ002)

New England Journal of Medicine (2010)

Japanese NEJ002 trial co-led by Mok confirming gefitinib superiority over chemotherapy in EGFR-mutant NSCLC in a pure Japanese population, corroborating IPASS in a prospectively EGFR-selected population.

[4]

Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer (KEYNOTE-024)

New England Journal of Medicine (2016)

KEYNOTE-024 trial establishing pembrolizumab as first-line standard for PD-L1 ≥50% advanced NSCLC in the wild-type EGFR/ALK population — a study in which Mok contributed as a steering committee member.

🏆Awards & Recognition 奖项与荣誉

🏆IASLC Paul Bunn Award for Scientific Excellence
🏆ASCO Special Award — International Achievement Award
🏆Hong Kong Medical Association Distinguished Service Award
🏆American Cancer Society Honorary Fellow
🏆Order of the British Empire (OBE)

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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